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It was hard not because you don’t know them, but because they are funny dramas. They are things that you can explain but they are things that you regret yourself.” (Male, 21 years). A few youths had initial doubts about being counseled by an age-mate, but their fears were allayed during the sessions. Seven are based on the constructs of the TFA, and an eighth centers on participant recommendations to enhance acceptability.
Themes and illustrative excerpts from participant narratives are presented in Table 2, with additional excerpts incorporated in the presentation of each theme below. And the two interview facilitators completed subsequent steps of thematic analysis to identify themes from the data, using the codes guided by the TFA and the research questions of the study. Themes and sub-themes were developed and refined through iterative discussion amongst F.J. Since then, several authorities have recommended BIs for addressing substance use among adolescents and youth. In its International Standards for Drug Use Prevention, the United Nations Office on Drugs and Crime (UNODC) recommends the implementation of BIs to address substance use for older adolescents 16. The American Academy of Pediatrics recommends the incorporation of BIs in routine care for adolescents 17.
How Inpatient and Outpatient Rehab Programs Compare for Addiction Recovery
All the youth expressed that the counselling session fit with their goals and values (see Table 2). Many youths had life goals related to career and family, including goals to improve the lives of their family members. Between 22nd November and 1st December 2023, we conducted individual semi-structured interviews with these youth to investigate BI acceptability. The semi-structured interviews were conducted in a confidential, private room at MTRH three months after youth received the intervention. In 2010, the World Health Organization (WHO) published a manual for integrating BIs into primary health care to help address the rising burden of harmful substance use globally 14. Following this, a multinational study was conducted to establish the efficacy of BIs.
- The authors reason that including the “negative perceptions” construct will provide a greater understanding of barriers to intervention acceptability—information that could be useful in improving the intervention.
- Patients’ self-perceived resilience has been linked to significant clinical outcomes, such as psychological distress, health-related behaviors, and ease in conveying values to medical teams 7.
- All the youth expressed that the counselling session fit with their goals and values (see Table 2).
- Cognitive-behavioral therapy teaches different skills to better manage our thoughts and behaviors.
- The literature was screened in strict accordance with the population, intervention, comparator, and outcome (PICO) framework 22.
What is Cognitive Behavioral Therapy
These thoughts are closely connected to our feelings and, most of all, our behaviors. We are committed to healing everyone who enters our doors from the inside out. No matter what stage our guests enter treatment, we strive to meet them right where they are. Discover five reasons you should go to rehab and take the first step toward a healthier, fulfilling life.
How to Manage Self-Criticism and Build Self-Compassion in Recovery
Cognitive Behavioral Therapy (CBT) is often most effective when used in conjunction with other treatment modalities for substance use disorders. For instance, Mindfulness-Based Approaches enhance self-awareness and emotional regulation, which support recovery efforts. Additionally, therapies such as Motivational Interviewing (MI) help boost patients’ motivation to change and engage in their recovery, providing essential support that complements the structured approach of CBT. Techniques like role-playing and behavioral experiments allow patients to rehearse their responses to triggers in a safe environment. For instance, they might practice refusing substances in social settings or managing cravings through thought records. The structured approach of CBT not only prepares individuals for real-life challenges but also promotes resilience, assisting them in maintaining long-term recovery.
Alcohol Rehab
CBT’s structured and goal-oriented nature makes it adaptable to individual needs, allowing therapists to customize treatment plans to fit each patient’s specific circumstances, such as readiness to change and personal challenges. Integrating pharmacotherapy with CBT can further bolster treatment outcomes. Medication can address withdrawal symptoms or cravings, making it easier for patients to focus on CBT strategies. MI, as an adjunct to CBT, facilitates a discussion-driven approach that can enhance clients’ commitment to treatment and adherence, providing a solid foundation for recovery. Research shows that this combination can improve the prognosis for those grappling with co-occurring disorders.
Cognitive Behavioral Therapy (CBT) for Addiction Treatment
When compared to traditional therapeutic approaches, CBT stands out due to its structured and goal-oriented nature. Unlike some methods that require longer treatment periods, CBT typically consists of 6 to 14 sessions, delivering results in a shorter timeframe. Its combination with Motivational Interviewing (MI) further enhances outcomes, particularly in addressing motivation, while pairing with pharmacotherapy can provide additional support in managing addiction effectively. CBT emphasizes the interconnectedness of thoughts, feelings, and behaviors. By addressing harmful cognitive patterns, patients learn to break the cycle of addiction.
The Importance of Long-Term Planning for Addiction Recovery
Another potential, but largely unexplored advantage of technology-based, modularized CBT approaches is that they are compatible with evaluation and refinement via the MOST (Multiphase Optimization Strategy) approach of Collins and colleagues (Collins, Murphy, & Stretcher, 2007; Drug rehabilitation Collins et al., 2007; Collins et al., 2014). Briefly, MOST approaches utilize factorial (and fractional factorial) designs to efficiently evaluate individual components of an intervention and their contribution to producing outcome. MOST designs have been successfully implemented in smoking research to refine multicomponent interventions for smoking (Piper et al., 2016; Schlam et al., 2016). Once triggers are identified, CBT assists individuals in developing tailored coping strategies. This can involve problem-solving techniques to manage stress or negative emotions without resorting to substances.
- To be fair, it seems that most people who take part in 12-step groups see it this way, too.
- It’s not always easy knowing how to help a teenager with a substance use disorder.
- Scrutiny of even seemingly small decisions that may affect thoughts, emotions, or behavior, as in the case of an alcoholic who may pass a favorite bar on the way to or from work, is strongly encouraged.
- Cognitive behavioral therapy (CBT) approaches have among the highest level of empirical support for the treatment of drug and alcohol use disorders.
- Some show CBT to be more effective, while others show it to be of equal, but not greater, effectiveness than other treatments.
Thirteen of the included studies used traditional or contemporary CBT as the main intervention measure. Seven interventions involved a traditional CBT framework, and six interventions involved contemporary CBT. Traditional CBT was defined as interventions that adhere to established cognitive‒behavioral principles, including not only models based on Beck’s therapy but also models based on information processing. On the other hand, contemporary CBT is characterized by a focus on cognitive processes—such as cognitive bias, attention and interpretation—rather than the content of thoughts, aiming to change the interaction between individuals and their internal experiences.
Skills Training
Compared with face-to-face CBT, mobile-based CBT exerted more positive intervention effects. Mobile devices represent a key future avenue for psychological interventions, as virtual agents powered by artificial intelligence (AI) and big data can effectively communicate and empathize with patients, adjusting the learning content according to their pace and overcoming the limitations of time and space 42. This platform would be designed for cancer patients to use both in the hospital and at home, with personalized feedback and real-time support, enabling patients to engage in interventions anytime and anywhere and improving the convenience and effectiveness of treatment 42, 43. Therefore, the current systematic review and meta-analysis aimed to investigate the effects of CBT on psychological resilience among cancer patients.
Behavioral change is achieved by addressing negative thought patterns that often accompany substance misuse. CBT helps individuals understand the consequences of their actions, enabling them to replace harmful behaviors with healthier alternatives. This shift empowers them to respond differently to triggers, enhancing their recovery journey. By adapting CBT principles to the individual’s readiness for change, treatment becomes more effective and personalized.