Ok, I'm not a builder, just a guy how researched his options and had an ICF home built..... here's my thoughts
DRYWALL SCREWS : My block, which happened to be nudura, has little plastic slates in them I think about every 8 to 12 inches so you can screw drywall right into them, I recently dry walled part of my basement and it went fairly easy, just drill straight, if you go off at a bad angle you just end up hitting foam : ) Also when building the house, the drwall guys had no prblems with the drywall hanging.....
STRENGTH - Well the government uses these things for secured locations and have seen videos of them blowing up a few pounds of tnt outside of them and they only got scabbed so that seems pretty strong

... google ICF and TNT and you might find the video .... but an in person test was done by a local friend / contractor guy who helped me out......
After the 2nd story was framed out ( ICF all the way up to the roof ) my local inspector came buy and said, hey you need an escape window 36'' off the ground on the 2nd floor,in all the bedrooms ( well you can imagine my reaction to that BS : ) ) how many 2 stories have windows 36'' off the ground on the 2nd floor...... anyway that's a whole other story.... in the end we had to cut windows into already poured walls... fortunately I have a friend who is an excavator and has concrete cutting tools from all of the road work they do,, he said sure, it would be a pain, he thought it would be a 4-6 hour job.... well, it took him almost 10 hours to cut 3 2x3' windows in my walls with a concrete .granted it took him a long time to get a water tank up to the 2nd floor : ).. so if it takes that long just to cut thru my walls I feel pretty safe in them : )