National Certified Addiction Counselor, Level 2 (NCAC II) Practice Exam Exam

What characterizes dependence on a psychoactive substance?

1. Frequent denial of problems associated with substance use

2. Inconsistent use with long periods of sobriety

3. Continual involvement with substance and high relapse rates

4. Complete avoidance of substance use after detox

The correct answer is: Continual involvement with substance and high relapse rates

Dependence on a psychoactive substance is primarily characterized by a continual involvement with the substance, which often leads to high relapse rates. This pattern indicates that the individual frequently engages in substance use despite the negative consequences they may experience. The persistence of substance use, even in the face of adverse outcomes, showcases the depth of the dependence. This choice highlights the compulsive behaviors associated with substance dependence, where the individual may struggle to maintain control over their use. High relapse rates are indicative of the challenges faced in recovery, as the cravings and experiences tied to the substance often contribute to repeated cycles of use. In contrast to the other options, which do not fully capture the complexities of dependence, this choice underscores the cyclic nature of dependency, where ongoing involvement with the substance is a critical marker of the disorder.