IC&RC Advanced Alcohol & Drug Counselor (AADC) Examination

According to DSM-5-TR, what is the minimum number of criteria required to diagnose Severe Substance Use Disorder?

• A2-3 per current practice standards.
• B4-5 without adequate clinical justification.
• C6 or more
• DAll 11 in this clinical scenario.

An AADC counselor identifies a client with concurrent alcohol use disorder and bipolar I disorder. Per evidence-based practice, what is the most appropriate treatment approach?

• ATreat SUD first, then address bipolar disorder
• BTreat bipolar disorder first, then address SUD
• CIntegrated dual-disorder treatment for both conditions
• DRefer exclusively to inpatient psychiatry in this clinical context.

Per IC&RC standards, what is the passing score for the AADC examination?

• A70 percent as the primary intervention here.
• B500 on 200-800 scale
• C75 percent per current practice standards.
• D85 percent without adequate clinical justification.

A client meets criteria for opioid use disorder and is interested in medication-assisted treatment (MAT). Which medication can be prescribed in office-based settings without an X-waiver per the MAT Act 2022/2023?

• AMethadone for OUD in office-based settings
• BBuprenorphine without an X-waiver (MAT Act)
• CHeroin as a prescribed maintenance medication
• DAll controlled substances still require a DEA X-waiver

Motivational Interviewing (MI) consists of which 4 core processes (OARS plus)?

• AConfronting, blaming, demanding, controlling
• BEngaging, focusing, evoking, planning
• CDiagnosing, treating, monitoring, discharging
• DListening, advising, prescribing, discharging

Contingency Management (CM) is most evidence-supported for which substance use disorder?

• AStimulant use disorder (cocaine, methamphetamine)
• BCannabis use disorder in this clinical context.
• CTobacco use disorder without further clinical assessment.
• DSedative use disorder as the standard of care here.

A licensed AADC counselor is supervising an unlicensed counselor in a clinical setting. According to ethical standards, the supervisor's primary responsibility is:

• AMaintaining client billing records without further clinical assessment.
• BEnsuring quality of client care and supervisee competency development
• CStrictly enforcing agency policies as the primary intervention.
• DDocumenting all supervisee mistakes in this clinical context.

A 32-year-old Latina woman presents for AUD treatment. She has limited English proficiency. Per culturally responsive practice, the AADC counselor should:

• AUse family members as interpreters in session
• BUse professional interpreters; address cultural factors
• CRefer immediately without attempting culturally responsive care
• DConduct all therapy in English regardless of proficiency

Cognitive Behavioral Therapy (CBT) for SUD primarily targets which of the following?

• AChildhood trauma exclusively without further clinical assessment.
• BIdentifying and modifying maladaptive thoughts, beliefs
• CFamily systems only without further clinical assessment.
• DMedication adherence only in this clinical context.

Naltrexone (oral or extended-release injectable) is FDA-approved for which of the following?

• ACannabis use disorder only without further clinical assessment.
• BAlcohol use disorder AND opioid use disorder
• CStimulant use disorder only in this clinical context.
• DSedative use disorder only in this clinical context.

An AADC counselor is approached by an attorney representing a client involved in a custody case. The attorney requests treatment records. What is the appropriate action?

• ARelease all treatment records to the attorney immediately
• BRefuse to provide any information under any circumstances
• CRequire valid authorization or Part 2-compliant court order
• DRelease a brief summary without client consent without further clinical assessment.

Under the ASAM Criteria, 4th Edition, level-of-care placement evaluates which six dimensions?

• ACost, location, length, severity, history, motivation
• BIntoxication/withdrawal, biomedical, psychiatric/cognitive, substance-use risks, recovery…
• CSubstance type, frequency, duration, route, age, gender
• DDSM criteria, family history, trauma, comorbidity, finances, transport

A client in early recovery presents with anhedonia, irritability, and sleep disturbance 6 weeks post-detox. This is most consistent with:

• ANew onset major depression as the primary intervention.
• BPost-acute withdrawal syndrome (PAWS)
• CBipolar depression as the primary intervention.
• DPersonality disorder as the primary intervention.

The Stages of Change Model (Prochaska & DiClemente) includes which stages?

• AMild, moderate, severe, terminal without further clinical assessment.
• BPre-contemplation, contemplation, preparation, action, maintenance
• CInitial, ongoing, completion, post-treatment without further clinical assessment.
• DDetox, rehab, sober living, discharge as the standard of care here.

A 45-year-old female with severe AUD has been hospitalized for withdrawal. She has been counted with CIWA-Ar scores >20. What is the standard treatment?

• AOutpatient detoxification with home monitoring
• BBenzodiazepine taper with thiamine and monitoring
• CAntipsychotic medication as sole withdrawal treatment
• DAntidepressant therapy without benzodiazepine support

What is the primary advantage of family therapy approaches (CRAFT, BCT) in SUD treatment?

• AThey eliminate the need for individual therapy in this clinical context as the primary in…
• BThey engage family members in supporting client recovery and improving family functioning
• CThey reduce treatment costs without further clinical assessment per current practice stan…
• DThey bypass confidentiality regulations without further clinical assessment without adequ…

A client with SUD reports feeling intense shame and stigma about her addiction. Per evidence-based practice, the AADC counselor should:

• AReinforce that addiction is a moral failing as the standard of care here.
• BUse person-first language, normalize the disease model
• CAvoid discussing the addiction directly in this clinical context.
• DDischarge the client for not accepting personal responsibility

Per IC&RC, a master's-level AADC scope of practice includes:

• ADirect individual and group counseling only in this clinical context.
• BAssessment, treatment planning, supervision, and integrated care
• CClinical supervision of other counselors exclusively without further clinical assessment.
• DProgram administration and billing functions only as the standard of care here.