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

Which disorder is characterized by difficulty with thought and decision-making?

1. Anxiety disorder

2. Substance use disorder

3. Personality disorder

4. Obsessive-compulsive disorder

The correct answer is: Substance use disorder

The disorder characterized by difficulty with thought and decision-making is indeed substance use disorder. Individuals with this disorder often experience cognitive impairments due to the effects of substances on the brain, which can hinder their ability to think clearly and make sound decisions. As substance use progresses, the brain’s functioning may be altered, leading to a reduced capacity for judgment, impulse control, and critical thinking. While anxiety disorders, personality disorders, and obsessive-compulsive disorder can also impact thought processes, their primary characteristics differ significantly. Anxiety disorders may lead to excessive worrying that can cloud judgment but are not primarily defined by cognitive impairment. Personality disorders encompass a broader range of maladaptive behaviors and thought patterns, and while they can involve decision-making difficulties, the core issues relate more to personality traits and interpersonal relationships than cognitive deficits. Obsessive-compulsive disorder primarily involves intrusive thoughts and compulsions rather than a general impairment in thought and decision-making abilities. Understanding substance use disorder's impact on cognitive function emphasizes the importance of addressing both behavioral and cognitive aspects during treatment and recovery efforts.