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Alcohol relapse prevention — USMLE Step 3 MCQ

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ModeratePsychiatry (outpatient management)Alcohol relapse preventionUSMLE Step 3

A 45-year-old man with alcohol use disorder returns after 2 months of naltrexone and counseling. He has reduced drinking substantially and liver enzymes are stable. He reports one lapse at a wedding but wants to continue recovery. Which of the following would you recommend at the follow-up visit?

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Correct answer: E — Continue medication, reinforce coping plan, and address triggers

Alcohol use disorder is chronic and relapse-prone; lapses should prompt treatment adjustment and relapse-prevention planning rather than abandonment of therapy.

Reference: APA alcohol use disorder pharmacotherapy guideline: https://www.psychiatry.org/