Which of the following is NOT a substance typically assessed for misuse in AOD counseling?

Caffeine is not typically assessed for misuse in AOD counseling, primarily because it is often viewed as a legal and socially acceptable stimulant, commonly consumed in beverages such as coffee and tea. While excessive caffeine consumption can have health implications, it doesn't usually reach the level of concern or criteria used to diagnose substance use disorders, unlike the other substances listed.

Nicotine, cocaine, and alcohol are classified as substances that can lead to significant health risks, dependency, and social issues. Nicotine is known for its addictive properties and is a major contributor to health problems associated with smoking. Cocaine and alcohol are both associated with well-documented misuse and serious impairment in functioning, making them central to assessments in alcohol and drug counseling. Caffeine's status as a widely tolerated substance means it usually does not warrant the same level of scrutiny as these other substances within the context of substance misuse assessments.