Mental and Substance-Related Disorders: Diagnostic and Cross-Cutting Topics- Substance Use Disorder Treatment for People with Co-Occurring Disorders (4 credit hours)

Program Summary:  This course explores the cooccurrence of substance use disorders and mental disorders.  It focuses on the diagnosis and treatment of common co-occurring mental disorders, including depressive disorders, bipolar I disorder, posttraumatic stress disorder, personality disorders, anxiety disorders, schizophrenia and psychosis, attention deficit hyperactivity disorder, and feeding and eating disorders.  DSM-5 diagnostic criteria and treatment approaches are examined, and case studies are given. The reading includes Chapter 4 of SAMHSA’s TIP 42 Substance Use Disorder Treatment for People with Co-Occurring Disorders.

This course is recommended for social workers, counselors, and therapists and it is appropriate for beginning and intermediate levels of practice.  

Readings:  Chapter 4-Tip 42 Substance Use Disorder Treatment for People with Co-Occurring Disorders

Find the reading at: https://www.freestatesocialwork.com/articles/DiagnosticandCross-CuttingTopics.pdf

Publisher:  SAMHSA

Course Objectives: To enhance professional practice, values, skills, and knowledge by exploring the diagnosis and treatment of common co-occurring mental disorders.

Learning Objectives:  Identify common co-occurring mental disorders, DSM-5 diagnostic criteria, and treatment approaches.  Compare independent versus substance-induced mental disorders.  Describe how substances may mimic common mental disorders.

Review our pre-reading study guide.

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1: The co-occurrence of mental disorders with substance use disorders is the
 
 
2: Which of the following is not a common feature of depressive disorders?
 
 
 
 
3: Prevalence of MDD in emerging adults (ages 18 to 29 years) is  _________ than the prevalence in older adults (ages 60 years and older).
 
 
4: For the diagnosis of PDD in children and adolescents, mood can be irritable and the duration must be at least __________.
 
 
 
 
5: People with depression and co-occurring SUDs tend to have
 
 
 
 
6: Recent evidence suggests that
 
 
7: An estimated __________ of people with bipolar disorder try to commit suicide.
 
 
 
 
8: Individuals with bipolar I have _______________ prevalence rates of lifetime SUD, AUD, and drug use disorder.
 
 
9: When counseling a client with bipolar I disorder,
 
 
 
 
10: For developing mania, _______________ have demonstrated remarkable efficacy.
 
 
11: "The world is completely dangerous" is an example of
 
 
 
 
12: Which of the following is increasingly considered the current standard of care for treating PTSD and SUD, particularly when combining psychosocial and pharmacologic approaches?
 
 
13: When counseling a client with PTSD,
 
 
 
 
14: When counseling a client with PTSD, recognize that trauma injures an individual's capacity for attachment.  The establishment of a trusting treatment relationship will be
 
 
15: A personality disorder refers to a person's _____________ inability to form healthy, functional relationships with others and a failure to develop an adaptive sense of self.
 
 
16: PDs are among the most ____________ of all mental disorders.
 
 
17: Effective treatments are available to address
 
 
18: When counseling a client with a PD, clients with PDs tend to be limited in their ability to ____________ corrective feedback.
 
 
 
 
19: About _______  of people with BPD have a history of self-harm.
 
 
 
 
20: A core feature of ASPD is
 
 
 
 
21: Disregard for others' rights can be a feature of
 
 
 
22: Which of the following describes generalized anxiety disorder?
 
 
 
23: The fear of being judged by others, being embarrassed or humiliated, accidentally offending someone, or being the center of attention best describes
 
 
 
24: Clients with severe and persistent SUDs and anxiety disorders should be seen as
 
 
 
 
25: Individuals with severe mental illness die approximately ___________ years earlier than the general population, mostly because of the effects of physical illnesses caused at least in part by SUDs.
 
 
 
 
26: Advice to the counselor:  When counseling a client with schizophrenia or another psychotic disorder, understand that what looks like resistance or denial may in reality be a manifestation of ___________ symptoms of schizophrenia.
 
 
27: Which of the following is the standard of care for reducing positive symptoms for a client with schizophrenia?
 
 
 
 
28: Using the diagnostic criteria for ADHD, talking excessively is an example of
 
 
29: Poor job performance and job loss are behaviors that are often evident in people with
 
 
 
30: _________ medications have misuse potential, and counselors should be vigilant for signs of diversion.
 
 
31: Many symptoms and features of eating disorders overlap with those of SUDs, such as
 
 
 
 
32: Substance-induced mental disorders
 
 
33: Accurate assessment of a mental disorder can occur while an individual is actively using substances.
 
 
34: Most substance-induced symptoms begin to improve within ___________ after substance use has stopped.
 
 
 
35: According to Exhibit 4.19, the use of alcohol (intoxication) can mimic
 
 
 
 
 
36: As much as __________ percent of occurrences of depressive disorders in the context of AUD could be because of intoxication or withdrawal.
 
 
 
 
37: Suicide rates remain more than 3 times higher for ____________.
 
 
38: Asking a client directly about his or her desire to die by suicide make self-harm more likely.
 
 
39: Which of the following is an example of an empirical treatment for suicide?
 
 
 
 
40: Clients who are actively suicidal
 
 
 
 
41: Trauma in people with addiction, mental illness, or both is
 
 
42: Research indicates that failing to address trauma in people with SUDs leads to ____________ outcomes.
 
 

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Free State Social Work, LLC, provider #1235, is approved to offer social work continuing education by the Association of Social Work Boards (ASWB) Approved Continuing Education (ACE) program. Organizations, not individual courses, are approved as ACE providers. State and provincial regulatory boards have the final authority to determine whether an individual course may be accepted for continuing education credit. Free State Social Work, LLC maintains responsibility for this course. ACE provider approval period: 9/6/2018 - 9/6/2021. Social workers completing this course receive 4 clinical continuing education credits.

Free State Social Work has been approved by NBCC as an Approved Continuing Education Provider, ACEP NO. 6605. Programs that do not qualify for NBCC credit are clearly identified. Free State Social Work is solely responsible for all aspects of the programs.

G.M. Rydberg-Cox, MSW, LSCSW is the Continuing Education Director at Free State Social Work and responsible for the development of this course.  She received her Masters of Social Work in 1996 from the Jane Addams School of Social Work at the University of Illinois-Chicago and she has over 20 years of experience.  She has lived and worked as a social worker in Chicago, Boston, and Kansas City.  She currently practices in the area of hospital/medical social work.  The reading materials for this course were developed by another organization.