NCAC study materials
NCAC study resources

NCAC case studies

NCAC · Put your knowledge to work in context.

The NCAC I - National Certified Addiction Counselor, Level I - is a national credential for addiction counselors offered through NAADAC, the Association for Addiction Professionals. It is the entry tier of NAADAC's counselor certification ladder, aimed at counselors who are building supervised clinical experience in substance use disorder treatment and who want a nationally recognized, rather than state-only, mark of competence. The NCAC case studies are 5 cases and about 4,164 words.

1

The Client Who "Only Drinks on Weekends"

Marcus, 41, is referred by his employer after a second DUI in 18 months (BACs 0.19 and 0.16). He tells you he "only drinks on weekends," which he defines as Thursday through Sunday: 8–10 beers plus several shots of whiskey each of those days.

803 words, about 4 min
2

Withdrawal Risk in a Combined Alcohol–Benzodiazepine Presentation

Denise, 29, walks into your outpatient program at 10 a.m. She last drank at midnight (about 10 hours ago) and last took alprazolam - prescribed at 2 mg four times daily for four years by her primary care physician - at 6 a.m.

826 words, about 4 min
3

The Mandated Seventeen-Year-Old

Jamal, 17, is referred by juvenile probation after a possession charge. He has smoked cannabis daily for about a year, misses first period most weeks, and his grades have fallen from B's to D's.

859 words, about 4 min
4

Small Town, Shared Recovery Community, and a Phone Call from an Employer

Elena is a certified alcohol and drug counselor with three years in recovery who has worked 14 months at a small nonprofit in a town of 9,000. Her new client, Ray, is a 45-year-old man in early recovery from opioid use disorder.

867 words, about 4 min
5

Buprenorphine in Pregnancy and Conflicting Advice

Aisha, 31, is 14 weeks pregnant and has been stable on buprenorphine/naloxone 16 mg daily for two years, with negative urine screens for 18 months. She is housed, employed, and engaged in prenatal care.

809 words, about 4 min