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"As pioneers in the field of cognitive therapy, Dr. Beck and his colleagues have applied their wealth of knowledge and experience with this modality to the.
Table of contents


  • C. S. Lewis: Creator of Narnia (Heroes of the Faith).
  • Cognitive Behavioral Therapy (CBT) — Treatment Definition;
  • Polos Wild Card (Nick Polo Mystery Book 5)?
  • History of Cognitive-Behavioral Therapy.

All of these serve to provide the individual with greater resources for responding to stress. Based upon the premise that maladaptive behavioral patterns are a function of the learning processes, Relapse Prevention uses several cognitive-behavioral techniques to obtain abstinence and for intervention with relapse. Cognitive therapy is versatile enough to be applicable in long-term or short-term residential settings as well as non-residential treatment programs.

Using Cognitive Behavioral Therapy (CBT) In Addiction Treatment

This is particularly important within the current social mandates to minimize the cost of intervention without reducing the quality of care. Moreover, when in both residential settings and in non-residential programs, there can be a continuity of therapy type that provides a more comfortable transition for the client. Cognitive based therapies can provide a variety of techniques that the patient can use to either minimize the temptation to use a substance or to choose not to use the substance.

This leads to the patient developing a greater sense of control and empowerment, which serve to enhance self-esteem, and well being. The evidence certainly exists to indicate cognitive therapies are effective in dealing with addictive behaviors. Traditional step groups, cognitive-behavioral therapies, and motivational interviewing have been found equally effective in the treatment of people with alcohol abuse problems American Psychological Association, One of the greatest advantages to the cognitive-behavioral therapies is that they are also appropriate in dealing with some of the mental health issues that may have been contributing factors in the onset of substance abuse.

For those who are dual diagnosed, this is particularly important because of the stigmas concerning mental illness that can be found with those involved in the step programs. Ouimette, Finney, and Moos found similar results when comparing cognitive-behavioral therapy with step approaches to alcohol abuse treatment. However, the authors report that those individuals in the step program were more likely to remain abstinent one year following treatment as compared to those who were involved in a cognitive-behavioral therapy treatment modality.

It is interesting to note that one of the distinct differences between the two approaches is that the step programs are free while most cognitive-behavioral therapies are financially driven and subject to financial constraints of state or locally funded programs, insurance companies, or health management organizations.

Simple availability to resources could be a factor when apprising long-term outcomes in a non-research setting. Furthermore, the support structure provided by such programs offers a degree of immediate assistance and ease of availability that may not be available in clinical outpatient settings. In examining the effectiveness of cognitive therapy as a component in treatment of substance abuse with and without auditory guidance, Sanders and Waldkoetter noted that cognitive behavioral therapy coupled with aspects of transactional analysis and rational behavior therapy showed a marked decrease in aggression and other negative behaviors.

The authors further noted that these benefits were increased when auditory guidance was added to the treatment protocol. Comorbid depression and alcoholism are frequently found with patients. Cognitive-behavioral therapy has been shown to be particularly effective when treating alcohol abuse with a depressive patient Brown and Ramsey, This therapy can be initiated early in substance abuse treatment. It is a non-invasive intervention presenting little or no risk of harm to the patient.

The use of cognitive-behavioral treatment of depression, when added to alcohol treatment can serve to reduce depressive symptom and improve treatment outcome. Overall, recent research clearly portrays cognitively based therapies as providing an effective intervention for those dealing with substance abuse. The flexibility of these therapeutic modalities allow for a broad-range approach which can be easily modified to generate the greatest degree of positive change while minimizing the negative effects of altering behavior. Moreover, it allows for the inclusion of treatment for any comorbid mental health issues that may exist at the onset of treatment or arise during the therapeutic process.

Substance abuse is not a simple cause and effect relationship. Instead, it involves a myriad of factors, both internal and external to the patient, which contribute to use, abstinence, and relapse prevention. Relationships with family members, coworkers, social groups, and the self can be seriously compromised. In large part, these effects are the result of subconscious or conscious thoughts that precipitate detrimental behaviors.

Cognitive based therapies provide a fertile field for dealing with these issues. Once the deeply entrenched values and beliefs have been uprooted, the client can begin to develop new ways of approaching challenges that are less costly and provide greater benefits in quality of life than the previous ones were capable of contributing.

In light of the recent trends towards managed care, cognitive therapies offer a cost-effective alternative because it can be used effectively with any age group and as a short-term intervention. It also allows for the treatment of comorbid mental health issues within the same treatment venue. Once the client has mastered the methods employed, they can be applied to a broad range of areas of life where distress occurs. Thus, the client is empowered with problem-solving techniques. The mental health provider must maintain an awareness of the potential complications in cognitive functioning that are likely to accompany substance abuse issues.

Before a period of abstinence from the chemical substance, there may be cognitive side effects that may change as usage decreases or ceases. The length of time and the degree of change that occurs can be a function of the type of substance abuse and the length of time of usage.

Cognitive Therapy of Substance Abuse

Furthermore, it is likely that the substance abuser has developed self-care patterns that can also affect cognitive functioning. Dietary intake, poly-substance abuse, stress, and physical illnesses can all serve to reduce cognitive functioning. Some of these deficits may reverse when the behaviors causing them change. Unfortunately, there are also situations where the damage is irreversible. This clearly mandates the care provider to do an ongoing assessment of the unique individual in order to maximize the benefits of cognitively based therapeutic interventions.

Your email address will not be published. Save my name, email, and website in this browser for the next time I comment. Sign me up for the newsletter! Currently you have JavaScript disabled. In order to post comments, please make sure JavaScript and Cookies are enabled, and reload the page. Click here for instructions on how to enable JavaScript in your browser. Abstract Significant cognitive theories are discussed that tend to play a major role in substance abuse treatments. Common Ground During the course of a lifetime, an individual obtains information from a wide range of sources. The Role of Cognitive Therapies in Substance Abuse Treatment The dynamics of substance abuse are fertile ground for the cognitive-based therapies.

Research in Cognitive Therapies and Addictive Behavior Traditional step groups, cognitive-behavioral therapies, and motivational interviewing have been found equally effective in the treatment of people with alcohol abuse problems American Psychological Association, Summary Substance abuse is not a simple cause and effect relationship.

References: American Psychological Association. Tailoring treatments for alcoholics is not the answer. APA Monitor, February, , 6. Beck, A. Cognitive therapy and the emotional disorders. New York: International Universities Press.

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Anxiety disorders and phobias: A cognitive perspective. New York: Basic.

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Cognitive therapy of depression. New York: Guilford. Cognitive therapy of substance abuse. Berne, E. Transactional Analysis in Psychotherapy. New York: Grove Press. Brown, R. Addressing comorbid depressive symptomatology in alcohol treatment. Professional Psychology: Research and Practice, 31, Cahalan, D.

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Principles of Drug Addiction Treatment: A Research-Based Guide (Third Edition)

Problem Drinkers: A National Survey. San Francisco: Jossey-Bass. Caudill, B. Modeling influences in social drinking: An experimental analogue. Journal of Consulting Clinical Psychology 43, Hall, W. The public perception of the risks and benefits of alcohol consumption. Australian Journal of Public Health 16, Changes in the public perceptions of the health benefits of alcohol use, to Retrieved on March 18, Heath, D. Some generalizations about alcohol and culture. In: Heath, D. Westport, CT: Greenwood Press. Lazarus, R. Psychological Stress and the Coping Process.

NY: McGraw-Hill. Leigh, B. Self-generated alcohol expectancies in four samples of drinkers. Addictions Research 1, Lowe, G. In: Warburton, D. Wiley: Chichester.

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Ludwig, A. Oxford University Press. Positive and negative consequences related to drinking as a function of annual alcohol intake. British Journal of Addictions 83, Marlatt, G.