Chapter 4 Brief Cognitive-Behavioral Therapy Brief Interventions and Brief Therapies for Substance Abuse NCBI Bookshelf

The role of self-efficacy hasbeen examined for alcohol (Evans andDunn, 1995; Solomon and Annis,1990), cocaine (Coon et al.,1998; Rounds-Bryant et al.,1997), marijuana (Stephens etal., 1993), opiates (Reilly etal., 1995), and across all of these substances of abuse (Sklar et al., 1997). This researchgenerally supports the hypothesis that those with lower levels ofself-efficacy are more likely to abuse substances. Behavioral contracting and cbt interventions for substance abuse contingency management are often found as elementsin a number of more comprehensive approaches such as community reinforcementand behavioral self-control training. One recent study evaluated the effects of a voucher program in the treatmentof methadone-maintained opiate addicts with a history of cocaine use (Silverman et al., 1998). The value of the vouchers increased as the number of consecutivecocaine-free urine samples increased.

How Much Does Cognitive Behavioral Therapy Cost?

Conclusions and Relevance  The present study supports the efficacy of combined CBT and pharmacotherapy compared with usual care and pharmacotherapy. Cognitive behavioral therapy did not perform better than another evidence-based modality (eg, motivational enhancement therapy, contingency management) in this context or as an add-on to combined usual care and pharmacotherapy. These findings suggest that best practices in addiction treatment should include pharmacotherapy plus CBT or another evidence-based therapy, rather than usual clinical management or nonspecific counseling services. Skills building can be broadly conceptualized as targeting interpersonal, emotion regulation, and organizational/problem-solving deficits. Clinical trials examining the addition of coping and communication skills training have demonstrated positive outcomes and are common components of CBT for substance abuse.[60, 61] The use of strategies should be based on case conceptualization, building from patient report and behavioral observation of such deficits.

Can Cognitive Behavioral Therapy (CBT) Treat Alcoholism and Drug Addiction?

• When CBT was contrasted with a non-specific therapy or treatment as usual, treatment effect was statistically significant for consumption frequency and quantity at early, but not late, follow-up.
• A self-help group is any group that has the aim of providing support, practical help and care for group members who share a common problem.
• 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.
• Two advantages of CBT are that it is relatively brief in duration and quiteflexible in implementation.

A review ofthe alcohol treatment outcome literature identifies CRA among thoseinterventions having the greatest empirical support (Miller et al., 1995). CRA’s application tosubstances other than alcohol also appears to have been https://ecosoberhouse.com/ successful (Higgins et al., 1998). Thisextension is exemplified by the recent publication of a detailed CRA therapymanual for the treatment of cocaine dependence by the National Institute onDrug Abuse (Budney and Higgins,1998).

Benefits of CBT for Alcoholism and Addiction

Word of mouth can be a great way to find a clinic or a therapist that someone you know has personally used. Online therapy can be a great option if you have a busy or unpredictable schedule, or want to have sessions from the comfort of your own home. “You have to challenge your beliefs about what is a healthier strategy with your money, for your family, for yourself,” she adds. “You haven’t been able to get control over the compulsive behavior of going and buying a lot of lottery tickets. CBT can give you the tools and a way to apply newly formed skills to make changes and feel successful, according to Hornstein.

• Clearly,different clients will have different responses to these qualitatively differentapproaches to modifying their thoughts and beliefs.
• By Buddy TBuddy T is a writer and founding member of the Online Al-Anon Outreach Committee with decades of experience writing about alcoholism.
• Although there are anumber of similarities across these three seminal perspectives (see Carroll, 1998), each has contributed uniqueideas consistent with its theoretical underpinnings.
• If you’re in a recovery process, she recommends asking people if they have any recommendations for therapists.
• From the two review studies considered and the subsequent 15 studies of mediators of CBT effects, coping skills, self-efficacy, and reduced craving show promise, but there is minimal evidence to suggest these processes are uniquely important to CBT and are more likely processes that are broadly relevant to AOD behavior change.