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Chapter 6.Action

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    Sections

    Discussion of the Clinical Case | Suggestions for Treatment | Suggestions for Teaching and Supervision | Movie: Ray | Multiple-Choice Questions | References

    Excerpt

    Maintenance of abstinence is a highly active process. It is not simply the cessation of using a substance. Helping patients develop lifestyles that support abstinence and that are less compatible with substance use is the major goal of treatment during the transition between the action and maintenance phases. Cognitive-Behavior Therapy (CBT), based on principles of learning, is one type of psychotherapy that is effective for developing healthy lifestyles that support abstinence. CBT rests on the assumption that symptoms are related to the interaction of thoughts, behaviors, and emotions. It is intensely active and collaborative, albeit prescriptive, and focuses on identifying and directly changing thoughts and behaviors that may be maintaining symptoms. Using specific approaches discussed in this chapter, patients can learn and practice alternative, healthier, non-substance-using patterns of living.

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