Originally Cognitive-Behavioral Therapy (CBT) was developed to help the individual with alcoholism recognize trigger situations or events and prevent relapse by improving the individual’s self-control and developing coping methods. Since then it has become a therapy used for cocaine and many other drug addiction.
It is based on recognizing problems or behaviors that would put the person at risk of using and learning new skills to deal with these and prevent or stop usage. This demands self-control and developing insight into one’s own feelings and knowing how to deal with situations or recognizing and avoiding the high-risk events that can occur.
There are several approaches to cognitive-behavioral therapy, including Rational Emotive Behavior Therapy, Rational Behavior Therapy, Rational Living Therapy, Cognitive Therapy, and Dialectic Behavior Therapy.
CBT is usually an outpatient treatment program. Because it focuses on the reasons for substance abuse the day-to-day life of the patient will bring about situations and events to work on. The therapist will also be able to develop and refine functional analyses to help the individual develop new skills by knowing what their life is like, what they do to spend time, and where they live. Also by living in their regular lives it becomes easier to see how they can apply these new skills on a daily basis and immediately see what works and does not work for the individual and permits the development of new “strategies” or skills to cope.
CBT is not recommended as an outpatient program for all cases. The patient must have a stable living arrangement. A medical physical pre-assessment is mandatory.