Question 1

What are the most frequently found co-occurring psychiatric disorders among female substance abusers? What are the most frequently found co-occurring psychiatric disorders among male substance abusers? Why do you think these differences exist?

Accepted Answer

The most frequently found co-occurring psychiatric disorders among female substance abusers are mood disorders such as depression and anxiety, as well as eating disorders. On the other hand, the most frequently found co-occurring psychiatric disorders among male substance abusers are antisocial personality disorder and attention-deficit/hyperactivity disorder (ADHD).

These differences may exist due to a combination of biological, psychological, and social factors. For example, research has shown that women are more likely to experience mood disorders, which may make them more susceptible to using substances as a way to cope with their symptoms. Additionally, societal pressures and expectations placed on women may contribute to the development of eating disorders as a co-occurring disorder with substance abuse.

On the other hand, men may be more likely to exhibit antisocial behaviors and have difficulty with impulse control, which could contribute to the higher prevalence of antisocial personality disorder and ADHD among male substance abusers. Additionally, societal expectations of masculinity and the stigma surrounding mental health issues may lead men to be less likely to seek help for mood disorders, leading to a lower prevalence of these co-occurring disorders among male substance abusers.

Overall, these differences in co-occurring psychiatric disorders among female and male substance abusers likely stem from a complex interplay of biological, psychological, and social factors. Understanding these differences is important for developing targeted and effective treatment approaches for individuals with co-occurring substance abuse and psychiatric disorders.

Question 2

What are some differences between women and men in terms of binge drinking and drunk driving? What are some differences between women and men in terms of physical health problems related to substance abuse?

Accepted Answer

In terms of binge drinking and drunk driving, research has shown that men are more likely to engage in these behaviors compared to women. According to the National Institute on Alcohol Abuse and Alcoholism, men are almost twice as likely as women to engage in binge drinking, which is defined as consuming five or more drinks in a short period of time. Additionally, men are more likely to be involved in drunk driving incidents compared to women.

In terms of physical health problems related to substance abuse, there are also differences between men and women. For example, women are more susceptible to liver damage from alcohol compared to men, even if they consume less alcohol. This is due to differences in how men and women metabolize alcohol. Women also tend to develop alcohol-related heart disease and brain damage at lower levels of drinking compared to men. On the other hand, men are more likely to experience erectile dysfunction and other sexual health problems related to substance abuse.

Overall, while both men and women face physical health problems related to substance abuse, there are differences in the specific health issues they may experience. It's important for both men and women to be aware of these differences and seek help if they are struggling with substance abuse.

Question 3

What are the three steps to establish reconnection after trauma for women, according to Herman? Explain how men are affected by moderate trauma and by severe trauma.

Accepted Answer

The three steps to establish reconnection after trauma for women, according to Herman, are safety, remembrance and mourning, and reconnection. Safety involves creating a safe and stable environment for the individual to process their trauma. Remembrance and mourning involve allowing the individual to remember and grieve their experiences. Reconnection involves integrating the trauma into their personal history and reconnecting with the world and others.

Men are affected by moderate trauma in various ways, including increased stress, anxiety, and difficulty coping with emotions. They may also experience difficulties in relationships and have trouble expressing their feelings. With severe trauma, men may develop post-traumatic stress disorder (PTSD), depression, and other mental health issues. They may also struggle with substance abuse and have a higher risk of engaging in risky behaviors.

In summary, the three steps to establish reconnection after trauma for women involve safety, remembrance and mourning, and reconnection. Men are affected by moderate trauma through increased stress and difficulty coping with emotions, while severe trauma can lead to mental health issues and risky behaviors.

Question 4

A woman presents with alcoholism. She is very interested in mutual help because she considers herself to be a socially oriented person. However, she was discouraged by two groups in her area, as she felt they could not help her. What might you recommend?
A) She needs social skills training, as she does not seem to be as socially oriented as she thinks if two groups could not help her.
B) She would benefit most from a group that uses the Thirteen Statements of Acceptance.
C) She would benefit most from individual-based therapy since mutual help has not worked.
D) She would benefit most from a woman-focused AA group.

Accepted Answer

The answer of A woman presents with alcoholism. She is...

Question 5

A man and a woman each have an alcoholic parent. The man was adopted by a dysfunctional family. The woman was adopted by a functional family. Without more information, what might you conclude?
A) The man has a higher chance than the woman of becoming an alcoholic, because G x E interactions may be stronger for men than for women.
B) The woman has a higher chance than the man of becoming an alcoholic, because G x E interactions may be stronger for women than for men.
C) The man has a lower chance than the woman of becoming an alcoholic, because G x E interactions may be stronger for men than for women.
D) The woman has a lower chance than the man of becoming an alcoholic, because G x E interactions may be stronger for women than for men.

Accepted Answer

The answer of A man and a woman each have...

Question 6

have twice as many substance use disorders as . Because encounter more barriers, have higher proportions in treatment.
A) Men; women; women; men
B) Women; men; men; women
C) Men; women; men; women
D) Women; men; women; men

Accepted Answer

Men have twice as many substance use disorders as women. Because women encounter more barriers, men have higher proportions in treatment.

Question 7

The top three substances of abuse for women are alcohol, at time of treatment admission).
A) marijuana, and cocaine
B) opiates, and cocaine
C) marijuana, and opiates
D) opiates, and tranquilizers

Accepted Answer

Alcohol, opiates, and cocaine are commonly reported as top substances of abuse among women at the time of treatment admission.

Question 8

The top three substances of abuse for men are alcohol, at time of treatment admission).
A) marijuana, and cocaine
B) opiates, and cocaine
C) marijuana, and opiates
D) opiates, and tranquilizers

Accepted Answer

The answer of The top three substances of abuse for...

Question 9

You are assessing a woman who is a substance abuser and in a relationship involving intimate partner violence IPV). Her male partner is the victim and also is a substance abuser. Without more information, what might you conclude about this situation?
A) He must be trying to self-medicate.
B) She might be trying to self-medicate.
C) He must have been abusing substance to get into such a relationship.
D) She might be abusing substance as a precursor to the violence.

Accepted Answer

The answer of You are assessing a woman who is...

Question 10

A woman who binge drinks weekly is pregnant. She wants to stop drinking and wants to enter treatment. She is already five months pregnant. What do you tell her?
A) You congratulate her on her decision and tell her she will reduce the risk of her child having FAS or FASD.
B) You congratulate her on her decision and tactfully explain that her binge drinking during pregnancy has already put her child at risk for FAS or FASD.
C) You frankly tell her that her binge drinking during pregnancy has already put her child at risk for FAS and FASD, although stopping now might help.
D) You congratulation her on her decision and tell her that her binge drinking was not as dangerous as moderate drinking regarding risk for FAS/FASD.

Accepted Answer

Stopping alcohol consumption now can still be beneficial, but it is important to acknowledge that the child is already at risk due to previous binge drinking.

Question 11

An alcoholic woman who is not married enters treatment with you. Comparing the differences between married and unmarried women, what are her chances for recovery?
A) The same as if she were married
B) Lower than a woman in a tense marital) relationship
C) Lower than a woman married to an alcohol-using partner
D) Higher than a married woman

Accepted Answer

The answer of An alcoholic woman who is not married...

Question 12

An alcoholic man is in gender-specific group therapy for which you are the female facilitator. What issue do you plan to discuss?
A) The context of femininity
B) Financial strategies for providing for families
C) Female therapists and male clients
D) Men and their mothers

Accepted Answer

The topic of "Female therapists and male clients" is relevant as it directly addresses the dynamics that might be present in the therapy sessions due to the gender difference between the therapist (female) and the client (male), which could influence the therapeutic process and outcomes.

Question 13

You are screening a man and a woman, both substance abusers, for trauma. Results show they have both experienced severe abuse. What might you conclude?
A) The woman has antisocial personality disorder.
B) The man has clinical depression.
C) Both need trauma-informed treatment from you for their substance abuse.
D) Both need trauma-specific treatment from you for their trauma.

Accepted Answer

Both individuals have experienced severe abuse and are substance abusers, indicating a need for trauma-informed treatment to address the underlying issues contributing to their substance abuse.

Question 14

What is the telescoping effect?
A) That men develop alcohol and other drug (AOD) problems more 
rapidly than women 
B) That women develop AOD problems more rapidly than men 
C) That substance abuse screening is a part of regular gynecological 
exams 
D) That substance abuse screening is a part of regular prostate 
exams

Accepted Answer

The telescoping effect refers to the phenomenon where women tend to develop alcohol and other drug (AOD) problems more rapidly than men after initial use. This concept highlights the accelerated progression from the start of substance use to the onset of dependence and related problems in women compared to men.

Question 15

You are assessing a woman who is a substance abuser and in a relationship involving intimate partner violence IPV). Her male partner is the perpetrator and also is a substance abuser. Without more information, what might you conclude about this situation?
A) She might be trying to self-medicate.
B) He might be trying to self-medicate.
C) She must have been abusing substance to get into such a relationship.
D) Whenever he abuses substance, he initiates violence.

Accepted Answer

The answer of You are assessing a woman who is...

Question 16

You are a pediatrician. An adolescent girl presents with loss of appetite, weight, and interest in school. When asked about substance use, she admits that she has tried marijuana. Without more information, what might you conclude?
A) She probably has anorexia.
B) She needs to be assessed for substance abuse.
C) She needs to be treated for depression.
D) She is probably a marijuana abuser.

Accepted Answer

The symptoms of loss of appetite, weight, and interest in school, combined with her admission of trying marijuana, suggest the need for a comprehensive assessment for substance abuse, as these could be related to or exacerbated by substance use.

Question 17

What are some differences between men and women with regard to using substance to reduce negative emotions and enhance positive emotions? Explain why you agree or disagree with theories that accentuate the different traits of the two sexes.

Accepted Answer

The answer of What are some differences between men and...

Question 18

What are at least four general differences between women and men in terms of the consequences of substance abuse? What are some specific differences in terms of personal consequences and social consequences?

Accepted Answer

The answer of What are at least four general differences...

Question 19

A substance-abusing man who is married enters treatment with you. Comparing the differences between married men and married women, what are his chances for relapse?
A) The same as if he were a married woman
B) Lower than if he were a married woman
C) Higher than if he were single
D) Higher than if he were a married woman

Accepted Answer

Married men generally have lower relapse rates compared to married women, possibly due to different social support dynamics and societal expectations.

Quiz 15: Gender, Substance Use, and Substance Use Disorders

What are the most frequently found co-occurring psychiatric disorders among female substance abusers? What are the most frequently found co-occurring psychiatric disorders among male substance abusers? Why do you think these differences exist?

What are some differences between women and men in terms of binge drinking and drunk driving? What are some differences between women and men in terms of physical health problems related to substance abuse?

What are the three steps to establish reconnection after trauma for women, according to Herman? Explain how men are affected by moderate trauma and by severe trauma.

A woman presents with alcoholism. She is very interested in mutual help because she considers herself to be a socially oriented person. However, she was discouraged by two groups in her area, as she felt they could not help her. What might you recommend?

A man and a woman each have an alcoholic parent. The man was adopted by a dysfunctional family. The woman was adopted by a functional family. Without more information, what might you conclude?

have twice as many substance use disorders as . Because encounter more barriers, have higher proportions in treatment.

The top three substances of abuse for women are alcohol, at time of treatment admission) .

The top three substances of abuse for men are alcohol, at time of treatment admission) .

You are assessing a woman who is a substance abuser and in a relationship involving intimate partner violence IPV) . Her male partner is the victim and also is a substance abuser. Without more information, what might you conclude about this situation?

A woman who binge drinks weekly is pregnant. She wants to stop drinking and wants to enter treatment. She is already five months pregnant. What do you tell her?

An alcoholic woman who is not married enters treatment with you. Comparing the differences between married and unmarried women, what are her chances for recovery?

An alcoholic man is in gender-specific group therapy for which you are the female facilitator. What issue do you plan to discuss?

You are screening a man and a woman, both substance abusers, for trauma. Results show they have both experienced severe abuse. What might you conclude?

What is the telescoping effect?

You are assessing a woman who is a substance abuser and in a relationship involving intimate partner violence IPV) . Her male partner is the perpetrator and also is a substance abuser. Without more information, what might you conclude about this situation?

You are a pediatrician. An adolescent girl presents with loss of appetite, weight, and interest in school. When asked about substance use, she admits that she has tried marijuana. Without more information, what might you conclude?

What are some differences between men and women with regard to using substance to reduce negative emotions and enhance positive emotions? Explain why you agree or disagree with theories that accentuate the different traits of the two sexes.

What are at least four general differences between women and men in terms of the consequences of substance abuse? What are some specific differences in terms of personal consequences and social consequences?

A substance-abusing man who is married enters treatment with you. Comparing the differences between married men and married women, what are his chances for relapse?