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

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Which of the following is NOT a stage of alcohol withdrawal?

Tremors
Withdrawal seizures
Psychosis
Delirium Tremens

The correct answer is: Psychosis

The correct answer is psychosis, as it is not classified as a specific stage of alcohol withdrawal. Alcohol withdrawal symptoms typically unfold in a recognizable pattern. The initial stage often involves tremors, which can start within hours after the last drink, characterized by shaking and jitteriness. As withdrawal progresses, individuals may experience withdrawal seizures, which can occur generally within one to two days after cessation of alcohol consumption. This is a serious condition that requires medical attention due to the risk of repeated seizures. Delirium Tremens is one of the most severe manifestations of alcohol withdrawal, usually occurring 48 to 72 hours after the last drink. It encompasses significant disturbances in cognition and perception, including severe confusion, hallucinations, and intense autonomic instability. While psychosis can occur in alcohol withdrawal, it is not recognized as a discrete stage. It may manifest as a symptom during the delirium tremens phase or in other contexts but does not represent a defined stage of withdrawal itself. Understanding these stages is crucial for effective evaluation and management of individuals suffering from alcohol dependence.