Cognitive behavioral therapy in drug treatment is the most common type of therapy in drug rehab; it can be used in group therapy and individual therapy.Cognitive behavioral therapy (CBT), when used in drug treatment, is based on the idea that feelings and behaviors are caused by a person’s thoughts, not on outside circumstances and events.
People are not always able to change their circumstances but, CBT says, they can change their thoughts thus changing how they feel and behave. As for drug addicts, this therapeutic approach brings awareness the way they behaved and felt when using drugs and alcohol. With cognitive behavioral therapy in drug treatment, they can change these destructive behaviors and develop new, healthy ones.
Cognitive Behavioral Therapy in Drug Treatment: What is CBT?
Cognitive behavioral therapy (CBT) refers to behavior therapy, cognitive therapy, and therapy based upon a combination of basic behavioral and cognitive principles. It is a “structured, short-term, present-oriented psychotherapy for depression, directed toward solving current problems and modifying dysfunctional (inaccurate and/or unhelpful) thinking and behavior.”
CBT has been shown to be effective in treating a variety of conditions, including mood, personality, eating, substance abuse, and psychotic disorders. Evidence-based treatment, where specific treatments for symptom-based diagnoses are recommended, has favored CBT over other approaches such as psychodynamic treatments.
Cognitive Behavioral Therapy in Drug Treatment: Mood Disorders
It’s quite common for people who struggle with substance use disorders, such as addiction, to also be suffering with mental illness, such as a mood disorder (i.e. depression, anxiety). Therefore, the most successful programs offer dual diagnosis treatment. Dual diagnosis treatment approaches treating the client for both of their conditions simultaneously for the best treatment outcomes.
Because CBT is useful in treating clients when it comes to addiction as well as those with mood disorder, cognitive behavioral therapy in drug treatment for those with a dual diagnosis is a valid, beneficial and therefore often-used approach.
Most therapists working with patients dealing with anxiety and depression use a blend of cognitive and behavioral therapy. This technique acknowledges that there may be behaviors that cannot be controlled through rational thought, but rather emerge based on prior conditioning from the environment and other external and/or internal stimuli.
Mainstream cognitive behavioral therapy assumes that changing maladaptive thinking leads to change in affect and behavior as well as emphasizes changes in the client’s relationship to maladaptive thinking rather than changes in thinking itself. Therapists use CBT techniques to help clients challenge their patterns and beliefs and replace what they call “errors in thinking such as overgeneralizing, magnifying negatives, minimizing positives and catastrophizing” with “more realistic and effective thoughts, thus decreasing emotional distress and self-defeating behavior.”
Modern Cognitive Behavioral Therapy in Drug Treatment
Modern forms of CBT include a number of diverse but related techniques such as exposure therapy, stress inoculation training, cognitive processing therapy, cognitive therapy, relaxation training, dialectical behavior therapy, and acceptance and commitment therapy. Some practitioners promote a form of mindful cognitive therapy which includes a greater emphasis on self-awareness as part of the therapeutic process.
Cognitive behavioral therapy in drug treatment has six phases:
- Assessment or psychological assessment;
- Skills acquisition;
- Skills consolidation and application training;
- Generalization and maintenance;
- Post-treatment assessment follow-up.
CBT is “problem focused,” meaning that it is used to address specific problems as well as “action oriented” – the CBT therapist assists the client in creating specific strategies in order to address the identified problems.
If you are struggling with a psychological disorder and/or substance use disorder, CBT and dual diagnosis treatment can get you on the path to health and recovery. At Palm Partners, we employ CBT methods as well as several other approaches to treatment, including holistic methods, in order to help our clients reach successful outcomes of their cognitive behavioral therapy in drug treatment program. Please call toll-free 1-800-951-6135 to speak with one of our knowledgeable and compassionate Addiction Specialists; we are available 24/7.
By Cheryl Steinberg
If you’re worried you don’t measure up, that could actually be a sign that you do.
There’s an old philosopher’s riddle that ponders whether you can ever really be sure that anyone else has a mind at all. The truth is: you can’t. Now, this can be quite a terrifying thought, one that might trigger an existential meltdown. On the other hand, when it comes to creativity, it’s a hugely liberating realization.
It’s in our human nature to compare ourselves with others as well as categorize people and things. It’s how our brains work. And, whether we’d like to admit it or not, our happiness depends, in part, on thinking we’re better than others. In fact, studies have shown that a good many of us would choose to earn less money overall if it meant that we’d be earning more than our co-workers. When it comes to our creativity and the products of our creative efforts, we judge these in a similar fashion. We perceive the products of our creativity as successful if they’re as good as or better than that of other people.
Apples vs. Oranges
The problem with this is: we’re comparing our insides with other people’s outsides. Perhaps the old adage ‘comparing apples with oranges’ best describes it.
So, for example, you’re waiting your turn to give an important presentation at work and you feel like a panic-stricken mess on the inside. Your co-worker (and rival), on the other hand, is up there, killin’ it with his presentation, making you feel all the more nervous. The thing is, he could be just as much of a mess inside as you are. And you’d never know it.
And, in fact, if he’s really good, he probably is panicking on the inside. According to research on this very subject, the: the more successful you become, the more likely you are to interact with ever more talented and successful people, which, in turn, leaves you feeling even more inadequate by comparison. This is something called “impostor syndrome,” and it may get worse as people get better at what they do.
False Advertising: The Problem with Comparing Yourself to Others
Deep down, the fact of the matter is that we all feel like we don’t know what we’re doing; it’s not just you. The late Maya Angelou, renowned as a novelist, poet, and memoirist has said, “I have written 11 books but each time, I think ‘Uh-oh. They’re going to find out now. I’ve run a game on everybody and they’re going to find me out.’” That said, Ms. Angelou was not only remarkable for her talent, she was equally remarkable in that she was willing to admit that she didn’t feel authentic in her talent.
It can be difficult to remember this stuff, especially in this digital age where people love to humble-brag via social media such as Facebook, Instagram, and Twitter. But, keep in mind, people are selective at what they share (hence the term ‘humble brag’), putting only their best foot forward – and probably embellishing it at that. Of course we’re only seeing their lavish dinners, exotic vacations, the finished projects, and glowing testimonials from satisfied clients. What we’re forgetting is that these people are human, like us, and so there’s a whole lot that they’re not sharing: the sleepless nights, spousal arguments, the moments of despair and self-doubt.
What I’m saying is, take everything with a grain of salt but, don’t hold yourself small, either.
It’s important – and healthy – to have standards for yourself, that are in line with your personal values and morals. But, be sure to manage expectations and create goals that are within reason. It’s vital, however, to never take other people’s facades as reliable evidence of what’s really going on inside.
Remember that everyone else is just as unsure and full of doubt at times as you are. The thing is, we all jump into the deep end at times. This is a good thing. It’s way more exciting and invigorating to be a small fish in a big pond instead of the other way ‘round. That would be boring – and stagnant – with no room for growth. Without growth, there’s no life.
Sick and tired of being sick and tired? Ready to make a change but fearful of change at the same time? That’s completely normal and, many people have done it and are currently doing it. It might be scarier than hell to think of doing anything differently than you’re used to doing but, it’s time for a change and change is possible. Call us today toll-free at 1-800-951-6135. An Addiction Specialist is waiting to talk to you and answer your questions.
The problem when trying to make the tough decisions in life is that we use the same thinking for everything. This is inevitable. We are who we are, and over time have developed a thinking pattern that is virtually inescapable. Think of it like this: you write an essay for school. Then you *try* to proofread it. Let’s say you’ve made a couple grammar and spelling mistakes. Well, when you proofread it, you will pass over these mistakes because you don’t recognize them as mistakes. I mean, how could you? You thought what you had written was correct at the time. Or, even if you know the difference between necessary and nesesary, for example, you are still more likely to pass over the typo than if you had a fresh set of eyes, say a friend, proofreading your paper for you.
Therefore, the same thinking that created the issue at hand, cannot also solve it. But, the good news is that there are some steps you can take when trying to make tough decisions.
Here’s How to Make Tough Decisions: A Step by Step Guide
#1. Pretend You’re Giving Advice to a Friend
When faced with a tough decision, a good place to start is to pretend that your friend has come to you for your input. Being able to remove yourself from the situation and seeing it as a decision that is affecting someone else, someone you care about, nonetheless, will help you to know what your gut would tell you.
#2. Don’t Overwhelm Yourself with Information
Limit the amount of information you take in and don’t overload yourself with details and options. Basically, keep it as simple as possible. It’s quite common that we think the more information we have, the better decisions we can make. However, at some point, a line is crossed, one in which you’ve entered overload. When we have too much information, we start to fill in gaps and add more value to information that really doesn’t matter.
So, for example, instead of talking with a bunch of friends, keep it limited to a few of your closest, most trusted friends.
#3. Play Devil’s Advocate
Look at both, opposing sides of the coin. Ask yourself: what if I did the opposite of this? What would it look like? What are the benefits? Costs? We’re so prone to making the same kind of choices throughout our lifetime that challenging ourselves by doing the exact opposite is often the best way to get around this problem. The idea here is to confront our default thoughts, beliefs, and behaviors, to step outside our comfort zone, and to use our imagination to test some completely new ideas.
#4. What, So What, Now What
Employ this type of protocol to come up with solutions in order to make those tough decision. First is the “what.” This refers to the decision, itself, that’s at hand. Then comes the “So, What,” which would be the result of the different actions you can take to address the “What.” Then, for each, outcome, answer the “So, What.” This would be the results and consequences of each approach to the original decision. This gets you to see multiple perspectives to your issue.
#5. Write It Down (in an organized fashion)
While in step 4, make a chart or spreadsheet, whichever you are most comfortable with, in order to clearly see your thoughts. The problem with keeping our thoughts in our head is that we inevitably get stuck on the hamster wheel and can lose sight of the original decision as well as get lost in the details. Talking about it aloud to yourself or with a friend is another option. People like to joke that talking to yourself (and answering yourself) is a sign that you’re crazy, however, studies reveal that people who talk to themselves are more intelligent and sane than the general public.
#6. Check in With Yourself
After going through this process of decision making, and coming to a (potential) conclusion, ask yourself, “Is this in alignment with my core value system?” This is a good way to cross check all that hard work you put into making a tough decision.
Making what seems to be the tough decision to get help for your substance abuse or addiction problem? It doesn’t have to be that difficult. These are chronic, ongoing medical conditions for which specialized treatment is needed in order to recover and heal. The good news is that such treatment exists and is more accessible than you may think. Call us toll-free at 1-800-951-6135 to speak directly with an Addiction Specialist. We are available around the clock.
Overthinking things could ruin you. Overthinking is a destructive habit that really has no positive benefits at all. Overthinking does not solve problems and overthinking may cause depression. The good news is that all that overthinking can be resolved if you stop.
Overthinking vs. Worrying
Worrying and overthinking are two different things to. Worrying is thinking about the future and what can be changed etc. Overthinking is going over the same event again and again in the mind in a negative way.
Overthinking is also called ruminating. People who ruminate think over and over about the causes and consequences of their problems without creating solutions. They might not even realize that they are ruminating. They might believe they’re trying to understand the deeper meaning of events, gain insight and solve problems, unfortunately that isn’t the case. The way to tell the difference or the tipoff is that nothing gets resolved. If a person is immobilized by their thoughts, and is getting more distressed and overwhelmed [with] time, they may be ruminating in an unhealthy way that could cause them to end up with a much larger problem than what is in their mind. This is because overthinking and depression are linked to each other.
Overthinking and depression could lead to each other. Negative overthinking leads to hopelessness and despair which also creates low motivation and self-esteem. When a person tells themselves negative thoughts over and over again those thoughts get more powerful. Stresses seem more daunting and a person is more likely to react in an intense and lasting way. If the person is already vulnerable to depression they could end up severely depressed. Overthinking or ruminating is focused on the past, specifically the bad things that have happened or unfortunate situations that a person wishes had gone differently.
So how can a person tell if they have moved on from overthinking into depression?
When a person has depression they are down almost all of the time and they lose interest in almost everything about life. There are also symptoms of depression that are not just overthinking. For instance a person has a change in sleep habits, is tired, has trouble concentrating, and has feelings of worthlessness or suicidal thoughts. The symptoms of the depression are so bad they can interfere with a person’s ability to get along with daily life. Overthinking just makes these symptoms worse.
Say a person is only having a bad day. Overthinking can turn that bad day into a severe depression. And then it all becomes harder. The increased depression takes away any motivation for a person to find a solution and then the overthinking perpetuates the thoughts. Overthinking may not just have something to do with depression though. Research on people who ruminate has shown that overthinking can also put people at a higher risk for anxiety, substance abuse and eating disorders. Which makes sense because all three are trying to dealing with emotions. Worrying or overthinking can cause anxiety disorders, substance abuse and binge eating are ways to escape the worrying and overthinking.
If you or your loved one is in need of treatment for alcohol or drug addiction please give us a call at 800-951-6135.