How Cognitive Behavioral Therapy Transforms Addiction Recovery

By: 
Steve Trevino
August 12, 2024

Cognitive Behavioral Therapy (CBT) is one of the most widely researched and empirically supported forms of therapy. Its focus on specific goals and measurable results has made it a preferred treatment for a range of mental health and substance use disorders. If you're seeking a way to transform your addiction recovery journey, CBT offers powerful tools to help you make meaningful changes.

Understanding Cognitive Behavioral Therapy

CBT is based on the cognitive model of mental illness, which suggests that your perceptions of events influence your emotions and behaviors. It’s not the situation itself that determines how you feel, but rather how you interpret and construe the situation. For instance, if you struggle with depression or anxiety disorders, you might have a tendency to interpret events negatively. Recognizing and altering these interpretations can play a significant role in your recovery process.

At the heart of the cognitive model is cognition, which refers to how you think about things and the content of those thoughts. Researchers describe three levels of cognition that influence your experiences and behaviors:

  • Core beliefs
  • Dysfunctional assumptions
  • Negative automatic thoughts

Core beliefs, or schemas, are deeply ingrained beliefs about yourself, others, and the world. These beliefs typically form early in life, are heavily influenced by childhood experiences, and are often viewed as absolute truths. Understanding these core beliefs can help you see how they relate to:

  • The self: Thoughts like, “I'll never be able to quit,” or “I can't handle life without using substances” can significantly impact your recovery.
  • The world/others: Beliefs such as “The world is unfair” or “Everybody hates me because I abuse substances” can shape your interactions with others.
  • The future: If you often think, “Things will never work out for me,” or “I’ll never be good at anything because everybody hates me,” these thoughts might contribute to feelings of hopelessness.
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Dysfunctional assumptions are rigid, conditional "rules for living" that you might adopt. As humans, we tend to cling to the negative more easily than the positive. However, these distortions can be unrealistic and maladaptive.

Negative automatic thoughts, on the other hand, are involuntary negative perceptions of reality that happen out of habit. They can be hard to recognize because they’re often brief and cause negative feelings.

How CBT Helps in Addiction Recovery

CBT is an effective and proven approach to overcoming addiction. Evidence from numerous large-scale trials and qualitative reviews shows the effectiveness of CBT is long-lasting, as the approach helps people with SUDs avoid triggers, improve self-control, and develop coping skills for daily stressors.

One meta-analysis of 2,340 participants by the NIH found larger treatment sizes for the treatment of cannabis, cocaine, and opioids, respectively. The results were even better when CBT was combined with other interventions like contingency management, motivational interventions, couples and family treatments, etc.

If you are dealing with addiction, CBT can provide you with the tools and strategies to understand your behavior, identify triggers, and develop healthier ways to cope with life’s challenges. In CBT, you learn to recognize the connection between your thoughts, feelings, and behaviors. How you think about situations can significantly influence how you feel and act. For example, if you believe that you need substances to handle stress or anxiety, you might be more likely to use them when faced with stressful situations.

Cognitive Behavioral Therapy Techniques

CBT employees a number of techniques to support your addiction recovery:

Cognitive Restructuring

Cognitive restructuring helps you identify the negative thought patterns that contribute to your addiction. You’ll learn to recognize when your thoughts are distorted or irrational and understand how these thoughts can lead to substance abuse. You then learn to challenge and reframe the negative thoughts into more positive and realistic ones. For instance, instead of thinking, “I can’t cope without drugs,” you might reframe it to, “I have other skills to manage stress that don’t involve substances.”

Exposure Therapy (ET)

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ET prepares you to deal with real-life triggers that lead to cravings. It involves gradual exposure to these triggers in a safe environment. The aim is to help you build resilience and reduce your response to stressors. With practice, you’re able to confront and manage the triggers and situations that lead to cravings.

Skills Training

Skills training is also a key component of CBT. It equips you with practical tools to handle everyday stressors and challenges. You'll learn strategies for managing stress, improving communication, and solving problems effectively. These skills empower you to navigate life’s challenges without relying on substances, leading to a more sustainable and healthy recovery journey.

Benefits of CBT in Addiction Treatment

CBT is a flexible and adaptable treatment tool used successfully in addiction programs worldwide, both in individual and group therapy settings. This evidence-based approach is highly effective in treating addictions and addictive behaviors. CBT is goal-oriented and recovery-focused, offering several key benefits for addiction treatment:

  • CBT considers past experiences while focusing on creating positive changes in the present. It reviews old thought patterns to help you build a healthier future.
  • Homework assignments are a key part of CBT. You will apply insights gained during therapy sessions (and from support groups) to your daily life, reinforcing your progress outside of sessions.
  • This therapy interrupts negative thinking patterns, helping you alter associated behaviors and feelings. As a result, you'll improve your ability to cope with stress and make healthier choices.
  • Addressing and confronting self-defeating beliefs through CBT enhances your self-awareness and self-esteem. This builds a strong foundation for sustainable addiction recovery.
  • CBT addresses underlying mental health issues like eating disorders, mood disorders, depression, anxiety, etc., all of which tend to co-occur with addiction.

CBT at More Than Rehab

If you're ready to take the next step in your recovery journey, consider cognitive behavioral therapy at More Than Rehab. Located in Houston, Texas, our drug addiction treatment center provides high-quality, evidence-based care tailored to your needs. We also have outpatient services from our location in Tyler, Texas, just outside of Dallas.

We work with many health insurance providers to ensure you receive the support you need. Contact us today to learn how our CBT programs can help you achieve lasting sobriety and a healthier future.

888-249-2191

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About The Author: 
Steve Trevino
Steve Trevino is married to Julie, his high school sweetheart and they have two daughters. He is the founder and executive director of CrossCentral Church and Recovery Center. With experience in both non-profit and for-profit treatment, he has helped thousands find freedom from addiction through residential programs, recovery workshops and consulting around the world.

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