Cognitive Behavioral Interventions for Alcohol and Drug Use Disorders: Through the Stage Model and Back Again PMC

cbt interventions for substance abuse

By the sixth 1-hour treatment session, they nolonger reported either subjective highs or physiological withdrawal. By the15th session, all clients reported that they no longer experienced cravingwhen presented with the drug-related cues. Clients who received the cueexposure as part of their standard outpatient treatment for cocaine use werealso less likely to drop out of treatment and had more cocaine-free weeksthan did clients attending the same outpatient program but who did notreceive cue exposure. Evidence from multiple studies also proves that CBT for addiction is an effective treatment. It includes many interventions that can be carried out both in group and individual settings.

  • This includes participation in support groups like Alcoholics Anonymous or Narcotics Anonymous.
  • High-risk offenders should receive intensive treatment, while low-risk offenders should receive minimal or no treatment.
  • The ability to individually tailor the skillstraining to the client’s needs represents one of the strengths of CBT.
  • In addition to increasing drug abstinence, similar voucher systems have beeneffective in maintaining attendance of methadone clients at a job-skillstraining program (Silverman et al.,1996).
  • Furthermore, it may benecessary to develop coping skills specific to several possiblesituations in which the client may use substances.

Duration of Therapy and Frequency of

Despite this heterogeneity, core elements emerge based in a conceptual model of SUDs as disorders characterized by learning processes and driven by the strongly reinforcing effects of substances of abuse. Particular challenges to the field include the determination of the most effective combination treatment strategies and improving the dissemination of CBT to service provision settings. Novel treatment strategies including more scalable modalities (such as computer-based programs) and combination strategies to improve rates or speed of treatment response (such as DCS) may aid in the transportability of treatments outside of research settings. Skills building can be broadly conceptualized as targeting interpersonal, emotion regulation, and organizational/problem-solving deficits.

Behavioral Therapy Techniques Based on Operant

Treatment, therefore, is directed primarily at changing distorted or maladaptivethoughts and related behavioral dysfunction. Cognitiverestructuring is the general term given to the process of changing theclient’s thought patterns. Figure 4-10shows a number of distorted addictive thoughts and more rational alternativesthat the therapist might help develop and practice over the course of cognitiverestructuring.

Relapse Prevention

First, there appears to be aconsiderable degree of situational specificity in the coping process.That is, different types of substance-related situations seem to requiredifferent types of coping responses rather than a general copingstrategy’s being equally effective across situations. Second, strategiesused to cope with nonspecific stress appear to be somewhat differentfrom those used to cope with temptation. These findings suggest thattreatment not only should rectify deficiencies in coping abilities, butthat it may be necessary to focus on skills to deal with both generalstress and substance-related temptation. Furthermore, it may benecessary to develop coping skills specific to several possiblesituations in which the client may use substances. While Ellis and Beck have similar views about the prominent role that cognitionsplay in the development and maintenance of substance abuse disorders, theirtheories differ in considering how the therapist should treat irrational ormaladaptive cognitions.

cbt interventions for substance abuse

Following detoxification, the core components of treatment, such as CBT, then begin. When you can identify these patterns, you start to work with your therapist on changing your negative thoughts into positive, cbt interventions for substance abuse healthier ones. You and your therapist will learn how to discover patterns in your thinking that are unhealthy, and how these thoughts have a negative impact on your behaviors and your own beliefs.

  • A 12-session CBT for cocaine addicts suggested that thislength of treatment is sufficient to achieve and stabilize abstinence fromcocaine (Carroll, 1998).
  • Many people are surprised to learn that there is a link between anxiety and drug abuse.
  • A review of outcome studies evaluating the efficacy of relapseprevention interventions indicates that the support for relapse preventionis more equivocal (Carroll,1996b).
  • Providers should take advantage of the widerange of behavioral therapy techniques that are available.
  • A greater emphasis is also placed on using behavioralcoping strategies, especially early in therapy.
  • Over time, with repeated exposure, aspects of a situational context (e.g.,the people, places, feelings, activities) can come to serve as conditionedcues that can elicit a strong craving or desire to use.
  • This is facilitatedby skill guidelines that focus attention on the most important aspects ofthe approach as it applies to substance abuse.

cbt interventions for substance abuse

  • Before we dive into the role of cognitive behavioral therapy in preventing relapse, let’s understand what relapse is and why it’s so common.
  • Regardless of the reasons behind a relapse, it’s crucial to understand that it doesn’t signify failure.
  • Although there are anumber of similarities across these three seminal perspectives (see Carroll, 1998), each has contributed uniqueideas consistent with its theoretical underpinnings.
  • The lack of supervision and monitoring of clinician implementation of evidence-based treatments in clinical practice suggests that CBT and other EBPs, in practice, may bear little resemblance to the more closely monitored versions of those treatments as implemented in randomized clinical trials demonstrating their efficacy (Martino et al., 2016).
  • Research suggests that the skills obtained through CBT are enduring and can also be applied in other areas of an individual’s life as well.

What Is Cognitive Behavioral Therapy (CBT)?

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