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Chemical Dependency Counselor CCDC Exam Prep

Category - Case Management

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Janet is seeking treatment on the advice of her husband, who has been noticing behaviors that are unhealthy. Janet is a 35-year-old software designer who is relatively isolated at work, but who can have some social interactions. Janet had what could be considered her first manic episode, immediately following a highly traumatic experience. At 35, you might expect to see Janet’s bi-polar diagnosis could use the qualifier:

  1. Late onset
  2. Bridging
  3. Early onset
  4. NOS
Explanation

Answer - A - Janet’s diagnosis could use the qualifier for late-onset, since Bipolar disorders are usually diagnosed in late teens or mid-twenties. Considering that this client also had trauma associated with a major national disaster, it could affect her presentation of what may or may not be a mood or thought disorder. However, it would certainly be specified that based on the qualifiers that you have, NOS would not be an option.

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