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Cognitive-behavioral therapy | Marital, family, and couples therapies | Behavioral couples therapy | Community reinforcement and family training | Twelve-step facilitation therapy | Individual drug counseling
Excerpt
Cognitive-behavioral therapy (CBT) in the treatment of addictions
emphasizes the role of thinking in determining both craving for
drugs and the ensuing drug seeking and use. Put simply, the therapy
is based on the findings that thoughtsas well
as people and situations cause the feelings and behaviors associated
with relapse, and in turn, it is possible with therapy to change
thoughts about and reactions to relapse-provoking situations. There
are several approaches to, or variations on, CBT, including rational
emotive behavior therapy, rational behavior therapy, rational living
therapy, cognitive therapy, and dialectical behavior therapy. In
the addiction field, most of the versions studied have been adapted
from Marlatt and Gordon's (1985) relapse prevention
treatment for problem drinking. As studied in most research trials,
the therapy is usually individual (but also group), delivered in
8–16 weekly sessions. Change in thinking about and reactions
to relapse-provoking situations requires practice and time. Thus,
one of the hallmarks of CBT is homework assignments to provide practice
in the cognitive techniques learned during the formal sessions.