National Certified Addiction Counselor, Level I (NCAC I) Practice Exam

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What effect is unique to benzodiazepine use in individuals with a history of alcohol abuse?

Increased sedation
Feeling of euphoria
Memory impairment
Enhanced relaxation

The correct answer is: Feeling of euphoria

The unique effect of benzodiazepine use in individuals with a history of alcohol abuse is primarily the feeling of euphoria. This can be attributed to the potentiation of the effects of benzodiazepines when combined with a previous alcohol use disorder. Individuals who have abused alcohol may have altered neurochemical responses. The use of benzodiazepines can trigger a reinforcing cycle where the euphoria experienced can potentially lead to increased use and risk of dependency. The interplay of the two substances affects brain chemistry, particularly involving the GABA neurotransmitter system, leading to increased feelings of pleasure and relaxation, especially in individuals who are already sensitized from their past experiences with alcohol. Other effects, such as increased sedation, memory impairment, or enhanced relaxation, can also occur with benzodiazepine use but are not exclusive or uniquely intensified for individuals with a history of alcohol abuse in the same manner as the euphoric feeling, which stands out because of the synergy with previous substance use patterns.