Cognitive Behavioral Therapy for Substance Use Disorders
Cognitive-behavioral treatments (CBT) are derived from cognitive learning theories. Several forms of CBT demonstrate enduring benefits. Most effective are coping skills training approaches such as communication skills training, relapse prevention focused on interpersonal skills, and cocaine-specific coping skills training. Computerized CBT and mood-management training are less helpful for patients with low education or intelligence. Cue exposure therapy with urge-specific coping skills practice produces lasting effects on alcohol use. Cognitive therapy and acceptance and commitment therapy are mostly untested. Pretreatment assessments focus on trigger situations, self-efficacy, expected effects, coping skills, motivation, and comorbidities. Many CBTs are recommended as part of comprehensive treatment
Chapter
Encyclopedia of Mental Health, 2016, 307