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

What signifies the prodromal phase in alcoholism?

1. Avoidance of alcohol

2. Severe disruptions in daily life

3. Blackouts and serious symptoms

4. Heightened family awareness of the problem

The correct answer is: Blackouts and serious symptoms

The prodromal phase in alcoholism is characterized by early signs of problematic drinking behavior that typically precede the more severe stages of alcohol use disorder. In this phase, individuals may begin to experience blackouts, which are periods where they cannot remember events or actions while under the influence of alcohol. This lack of memory can often be a critical indicator of the developing severity of their drinking pattern. Additionally, during the prodromal phase, those struggling with alcohol may display serious symptoms such as increased tolerance to alcohol or social and functional difficulties beginning to emerge, although they may not yet be as pronounced as in later stages. It is a warning sign that the disorder is developing and that dependency on alcohol is growing increasingly significant. While the other options represent various aspects of an individual’s relationship with alcohol, they either signify later stages of alcoholism or do not accurately reflect the early, formative signs of the disorder. The prodromal phase is particularly marked by the internalized consequences of drinking, such as blackouts, which emphasize the growing risks associated with their alcohol use.