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LCAS North Carolina Exam Questions and Correct Answers – Substance Abuse Counseling Study Guide

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This document contains LCAS North Carolina exam questions and verified answers covering substance abuse counseling, addiction treatment, mental health theories, trauma-informed care, counseling techniques, and medication-assisted treatment. It reviews important topics such as screening, assessment, treatment planning, stages of change, group counseling, personality disorders, and commonly abused substances. The material is designed to support exam preparation for addiction counselors and behavioral health professionals preparing for the LCAS certification exam. It also includes key therapeutic models, withdrawal symptoms, and pharmacological interventions frequently tested on licensing exams.

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LCAS North Carolina Exam Questions
And Correct Answers


Methadone

the only long-acting full opioid agonist approved for treatment, at this time. It provides
a range of effects similar to those of short-acting opitates like Heroin and Morphine,
surpressing withdrawal symptoms and avoiding cravings as the opioid is eliminated from
the body. Dose needed for cross-tolerance depends on client's level of tolerance for the
drug(s).




Trauma-informed treatments

This treatment approach should minimize the risk of re-traumatization or replicating
prior trauma dynamics. Ex: Clients may express feelings of powerlessness or being
trapped if they are not active involved in treatment decisions or if providers mirror
specific behaviors/dynamics from client's past traumatic experiences.




Screening

The first two steps in in this process are to determine whether the client as a history of
trauma and whether he/she has trauma related symptoms.




Screening

Often the first contact between client and treatment providers, this interaction can set
the tone of treatment and being the relationship with the client.

,Assessment

When a client screens positive for substance abuse, trauma-related symptoms, or
mental health disorders, the counselor should follow up with a comprehensive
_______________________




Assessment

This process should reoccur throughout treatment, to provide valuable information and
details as client's trust in staff members grow and progress occurs.




CBT

Most PTSD and SA models involve ________________ that integrates cognitive and
behavioral theories by incorporation two ideas: that thoughts mediate between
situational demands and one's attempts to effective respond and that behavioral
change influences acceptance of altered cognition about oneself or a situation and
establishment of newly learned patterns




Cognitive Processing Therapy

a manualized 12-session treatment approach which can be administered in group or
individual practice, which involves Exposure Therapy.




Exposure Therapy

, This type of therapy asks clients to directly describe and explore trauma-related
memories, objects, emotions, or places. Intense emotions are evoked, but decrease,
desensitizing clients through repeated encounters with traumatic material.




Experimental and Social Use of Drugs and Alcohol (stage 1)

occasional - perhaps a few times monthly, usually on weekends or at parties with
friends. May use when alone. Little to no behavioral changes, occasional, moderate
hangover.




Abuse of Drugs and Alcohol (stage 2)

regular use - up to several times a week. may begin use during the day. may be using
along rather than with friends. There are behavioral indicators in this phase of addiction,
such as a decrease in activities, declined in school or work performance, and greater
interest in use. May use to manipulate emotions in this phase. May sell drugs or keep
supply for personal use.




Dependency/Addiction Phase (Stage 3)

daily use, continuous. will take serious risks to obtain drugs/alcohol, potentially
including criminal behavior. Drugs/Alcohol help client to feel normal. Behavioral
indicators can include changes in weight, health issues, poor appearance, memory loss,
volatile mood swings, employment loss, possible overdoses, lack of concern about being
caught. Chronic relapsing disorder in his phase.




Alcohol

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