Maine Certified Alcohol and Drug Counselor (CADC) Practice Test

Denial, as a psychoanalytic defense mechanism, involves refusing to accept painful realities or truths. This psychological strategy helps an individual avoid confronting uncomfortable emotions, thoughts, or situations by simply disregarding or rejecting their existence. In this context, denial serves as a coping mechanism for handling adverse realities, providing temporary relief from anxiety or distress until one is able to process the situation more constructively.

Understanding denial is crucial for professionals working in the field of mental health and substance use, as clients may often engage in this defense mechanism to avoid acknowledging their substance use issues, the consequences of their behaviors, or the need for change. By recognizing denial in their clients, counselors can develop strategies to help clients confront those painful realities more productively.

The other options present alternative defense mechanisms. Exaggerating opposite thoughts or behaviors is known as reaction formation, while projecting one's own feelings onto others relates to projection. Justifying actions with rational explanations is termed rationalization. Each of these serves different functions in coping with anxiety but does not encapsulate the essence of denial as a refusal to accept reality.