Certified Clinical Trauma Specialist: Trauma and Addiction (2021)

Welcome to your Certified Clinical Trauma Specialist: Trauma and Addiction (2021)

Username

Email

Phone (no dashes)

Which of the following statements regarding yoga is false?

Yoga offers a sensory-motor approach in conjunction with trauma therapy

Trauma is stored in the body and more primitive brain

Integrative movement leads to cycles of shame and hopelessness

Yoga can help with the shutdown response

Which of the following is NOT an increased risk for people with 4 ACEs?

Kidney Disease

Scoliosis

Loss of vision

Cancer

What happens when the relational social engagement system is suppressed?

Stable friendships and family relationships

Poor quality attachment

Understanding of social cues

Altruistic behaviors

Which of the following is NOT provided by the integrated brain?

Impulse control

Reward evaluation

Evaluation and planning

Erratic thinking/behavior

What can happen when there is reduced serotonin in the body?

An interruption in sequential memory

Loneliness, stress, alienation

A reduction in ability to reality check

Low self-esteem, hopelessness, panic attacks

Which of the following statements about the vagus nerve is false?

It is the 9th cranial nerve extending from the medulla oblongata to the pharynx

It provides the nervous system with critical information

It connects several major organs such as lungs, heart, stomach, and intestines

It regulates heart rate variability

When the balance system (ANS) is dysregulated, it responds with ___________

Intentionality

Growth and learning

Survival strategies

Vagal brakes

Which of the following is NOT a way that an individual could be invited to engage in the social dominance game?

If the individual perceives status, power, or role is respected

If the individual perceives attention is being forced

If the individual perceives a restriction of movement and action

If the individual perceives that someone is trying to exert control

What is an action-oriented behavior related to adaptation?

Compulsiveness

Addiction

Suicidality

Impulsivity

What was found in the brain scan of cocaine abusers?

Increase in white matter integrity

Reduction of dopamine D2 receptors

Increase in grey matter density

Reduction of brain’s basal ganglia

How can a therapist capacity build with a client?

Recognize that most problematic behavior should be addressed by healing pathology

Understand that developmental history cannot be deconstructed

Define reality by pathology and impairment

Acknowledge connections and potential in individuals, families, and communities

Which of the following does NOT occur when the hot system is activated?

A reduction in language ability

Internal conditioned dialogues are suppressed

Perceptions shift to worrisome fantasies

Moral reasoning lessens or disappears

Which statement about memory is true?

Attention is always focused on everything in the environment

Memory is built on the foundation of relevance

Energy competition in the brain is high in parasympathetic dominant states

Memory is always reliable

Which of the following is NOT a salutogenic asset-focused counselor characteristic?

Skilled in delivering information lengthily

Awareness of one’s own beliefs, preferences, needs and biases

Experienced in strengthening personal reliance to stressors

Ability to give a believable and reasonable rationale for information

In 2008, what was the prevalence of PTSD in SUD clients in comparison to the general population?

13x higher

13x lower

17x higher

17x lower

What can determine how genes are turned on/off or whether some are expressed at all?

Early experiences

Number of genes transferred from parent to offspring

Presence of neurotransmitters

Development of synapses

Which of the following is NOT relational-developmental trauma?

Emotional neglect

Unstable environment

Natural disaster

Attachment trauma

Which of the following statements is false regarding ibogaine?

Ibogaine has been classified as a pharmaceutical substance and is restricted to license medical practitioners in the U.S.

Ibogaine is used most frequently in other countries for detoxification from opioids

Ibogaine is an alkaloid that comes from a shrub called the iboga in West Africa

Ibogaine administered to animals reduces naloxone

How is muscle tension affected when an individual is more deeply drawn into the dominance game?

Less tension is experienced

Tension continually fluctuates regardless of the dominance game

There is no change in tension

More tension is experienced

Which of the following is NOT an indication of an integrated brain?

Attunement to others

Ability to isolate

Sequential memory

Logic and reason

Which of the following is NOT included in Stage 2: Psychoeducation and Self-regulation?

Normalize perceptions of self, significant relationships, and the world view

Increase understanding around causes, symptoms, and treatment of traumatic stress to provide comprehensive psychoeducation to clients

Create a common language to enhance relational connection

Move discussion away from physiology and towards emotions and psychological states

What is the limbic system responsible for?

Learning, memory, and coping with stress

Involuntary physiologic processes (e.g., heart rate, blood pressure, etc.)

Delivering oxygen and nutrients to cells

Movement and muscle contraction

Which of the following is NOT a criterion for intermittent explosive disorder?

Age is under 6 years old

Magnitude of aggressiveness is grossly out of proportion to stressor

Aggressive outbursts are impulsive, or anger based

Verbal of physical aggression occurring 2x weekly for 3 months

Which of the following is NOT included in the format to give information?

Disregard sharing how each activity connects within the overviewed material

Summarize by embedding them in a success story

Overview/orient

Ask for their feedback (e.g., As you move through this situation, what do you expect you will experience?)

What is a salutogenic assumption?

Avoid getting worse

Humans are inherently flawed

Reactive to treat disease

Humans are naturally healthy

What do pathogenic approaches address?

Whole person

Lifestyle

Deficits

Prevention

Which template is NOT created by a child’s nervous system looking for stimulus?

Regulation patterns

Physical patterns

Emotional patterns

Cognitive patterns

Which of the following is NOT one of the four R’s from SAMHSA?

Resist re-traumatization

Realize

Recognize

Reactivate

What has Medicated Assisted Treatment (MAT) been shown to do?

Decrease retention in treatment

Increase criminal activity among people with substance use

Contribute to lowering a person’s risk of contracting HIV or hepatitis C

Impairs birth outcomes among women who have substance use disorders and are pregnant

How many drug overdose deaths occurred in the United States in the 12 months ending in May 2020?

53,000

68,000

79,000

81,000

Which of the following is NOT a hippocampal function

Connects separate brain regions as part of active integration

Serializes and/or sequences time within a context

Enhances executive functioning and cognitive flexibility

Modifies and governs hypothalamus function

Which of the following statements is false regarding trauma?

Trauma is any experience that overwhelms one’s nervous system and ability to cope

Trauma is a standardized experience among all individuals meaning what one person perceives as traumatic is also traumatic to others

Trauma is the body’s reaction to Sympathetic System dominance that has occurred continuously/repeatedly creating changes in the CNS

Unresolved trauma leads to a “Frozen residue of energy” that needs to be discharged from the body

Why was treatment unsuccessful for Jaime?

Overuse of trauma treatment in substance abuse facility

Shame based punitive approach

Individual support only rather than therapeutic groups

Free movement in an unlocked facility

What fraction of individuals with 7+ ACEs have heart disease?

1 in 14

1 in 30

1 in 7

1 in 6

Which of the following is NOT how the human body reacts to threat, toxic stress, or adversity?

Muscles tighten throughout the body

Hypothalamus activates the adrenal glands

Liver produces extra insulin resulting in low levels of glucose in the blood

Stress hormones affect the respiratory and cardiovascular systems

What can sensory integration rooms be used for?

Provide symptom tracking, instant access to support, connection with communities, daily meditations, mindfulness tools, etc.

Create dynamic, 3-D stimulus environments and allows for the recording of behavioral and physiological responses providing clinical assessment options

Help clients identify emotions, understand why they are feeling this way, and learn how to calm themselves without the use of substances

Reduce or eliminate the geographic distance causing spatial barriers for patients to receive care and treatment

What is a common medication to treat alcohol use disorder?

Buprenorphine

Naloxone

Disulfiram

Methadone

What are the two categories of ACEs?

Discrimination and household dysfunction

Abuse or neglect and socioeconomic status

Distress and deviance

Abuse or neglect and household dysfunction

In Arizona, what percentage of children ages 12 to 17 have experienced two or more ACEs?

15.6%

30.5%

44.4%

57.8%

Which of the following is NOT a core feature in resilience?

Intentional applications of personal strengths

Appreciation of life except when faced with stressors

Exploring new possibilities

Relating to others, reconnecting or creating new connections

What is indicative of a substance use disorder rather than addiction?

Cannot stop behavior by act of will

Current use of alcohol/drugs causes clinically significant impairment

Dissociative experiences

Self-administered analgesia

Which of the following is NOT a reason why COVID-19 may have been traumatizing for some individuals?

Decreased social engagement and attunement

Increase in unpredictability

Decrease in chaotic and aggressive environments

Increase in inconsistent environments

Which of the following statements is false about the reptilian brain?

It is indistinctive, automatic

It aids in the functioning of the heart, lungs, intestines, throat/larynx via the pharyngeal nerve

It is the oldest, primitive part of the brain

It is everything individuals have in common with a lizard

What percent of participants engaging in AA would remain completely abstinent one year later?

35%

42%

56%

65%

Which of the following statements is false about the salutogenic approach?

Salutogenesis is necessary when acuity is not centered in one part

Salutogenesis considers individuals as multiple systemic beings

Salutogenesis is designed for dealing with the whole person

Salutogenesis asks the question, “what is wrong with you?”

How does binary thinking make healing and dealing effectively with trauma more complicated?

Binary thinking allows for being relational rather than being ego driven

Binary thinking is problem focused and deficits based

Binary thinking promotes intentional living rather than reactivity

Binary thinking follows the salutogenic model

What percentage of U.S. adults indicate they have a family member/close friend who is addicted to drugs or has been in the past?

37%

46%

53%

62%

What is the neocortex involved with?

Abstract representation, social behavior, decision making

Converting short-term memory to long-term memory

Relaying all senses except for smell

Autonomic arousal, sensory information, body processing

What is an example of tolerable stress?

Presence of buffering, caring adult

Temporary, mild elevation in stress hormones

Disrupted development of brain and immune system

Lifelong consequences for poor health outcomes

Which of the following is NOT associated with SUD and PTSD?

Increased physical health problems

Poorer social functioning

Lower rates of suicide attempts

Certified Clinical Trauma Specialist: Trauma and Addiction (2021)

Have you completed the educational requirements and course for this certification?

Have you completed the educational requirements and course for this certification?

Have you completed the educational requirements and course for this certification?

Have you completed the educational requirements and course for this certification?

Have you completed the Course for this certification?

Have you completed the educational requirements and course for this certification?

Have you completed the educational requirements and course for this certification?

Have you completed the educational requirements and course for this certification?

Have you completed the educational requirements and course for this certification?

Have you completed the educational requirements and course for this certification?

Have you completed the Course for this certification?