Author Question: Which of the following clients most clearly exemplifies the vulnerability model of dual diagnosis? ... (Read 57 times)

jc611 · **on:** Jul 19, 2018

Which of the following clients most clearly exemplifies the vulnerability model of dual diagnosis?

A) A client with a diagnosis of schizophrenia who admits that she uses marijuana to control the frequency and severity of her symptoms
B) A client with a family history of alcoholism who has developed Wernicke's encephalopathy after many years of heavy alcohol use
C) A client with depression who was introduced to cocaine and has continued to use it in an effort to experience relief
D) A client who has a diagnosis of antisocial personality disorder and who uses alcohol to numb the pain of a traumatic childhood

Question 2

Many clients with dual diagnoses have concomitant Axis III disorders. Which of the following is considered a disorder that would be classified in Axis III of the DSM-IV-TR?

A) Profound mental retardation
B) Antisocial personality disorder
C) Depression
D) Cirrhosis

heyhey123 · **Reply #1 on:** Jul 19, 2018

Answer to Question 1

Ans: B
The vulnerability model of dual diagnosis posits that substance use precipitates a mental health disorder. An example of this cause and effect relationship would be the development of alcohol-induced encephalopathy after a history of heavy alcohol use. The self-medication hypothesis is a counterpoint in which substance use is a response to mental illness.

Answer to Question 2

Ans: D
Axis III disorders include cirrhosis of the liver, peptic ulcer disease, and cardiovascular disease. Axis II includes personality disorders and mental retardation. Depression is included in Axis I disorders.