The objective of any counseling intervention is to create efficacy with their client in their ability to stop using substances to in order to meet and adhere to personal goals and values in pursuit of enjoying life within society constructs. Cognitive behavioral therapy (CBT) and motivational interview (MI) are two therapies used to assist individual and families with changing behavior and actions with adults and adolescent displaying substance use disorder (SUD). Consequently, many psychosocial, mental health care approaches have shown encouragement in reducing SUD adolescent and family therapies. CBT offers a logical approach for administering methodology that may show congruency for adolescent SUD given the high-risk behaviors and maladaptive …show more content…
Its primary components incorporate didactic or video presentations about immediate and delayed multidimensional problems associated with SUD.
Research has found CBT to be helpful in reducing relapse with older youth and males (Kaminer, Burleson, & Goldberger, 2002). CBT rate of efficacy diminishes over time which suggest incorporating other methodologies to maintain or increase CBT effectiveness. According to Miller, Forchimes, & Zweben (2011) CBT provides addicts with coping skills that were not learned because of social economic or vareity of other reasons. The intent for CBT is to collaborate with the client using a variety of cognitive, emotive, and behavioral techniques. to identify potential areas where thinking errors have led to a need to use substances or how substances have created change in beliefs and actions. Counselors can use CBT as their behavior through. Corey (2015) describes CBT as active, directive, time-limited, and psychoeducational structured therapy (p. 443). Moreover, according to Griffin & Botvin (2010) these factors consist of three components, (1)
Cognitive Behavior Therapy (CBT) addresses dysfunctional emotions, maladaptive behaviors, and cognitive processes. This is an effective treatment for patients who are dealing with anxiety and depression. CBT refers to a group of psychotherapies that incorporate techniques from cognitive therapy and behavior therapy. Albert Ellis and Aaron Beck are the two psychologists who came up with therapies. Beck developed the cognitive therapy (CT) that focuses on changing the client’s unrealistic maladaptive beliefs and thoughts in order to change the individual’s behavior and emotional state. To help CT is directive collaboration by help teach the client correct their distorted thinking and perception of self,
CBT has a number of strengths; first beginning with its capacity to yield empirical results as to its effectiveness. Countless studies have shown CBT to be the most effective treatment for anxiety and depression (e.g., Oei & McAlinden, 2014; Tolin, 2010); this is likely the result of a number of factors. CBT is a collaborative, educational, time-limited model that demystifies the therapy process; changes are made with clients, not to clients, the strategies learned equip clients to better navigate current and future difficulties, and the setting of goals allows clients to clearly see their progress (Corey, 2013; Skinner & Wrycraft, 2014). An additional strength of CBT for anxiety and depression is its applicability to both individuals and groups; group CBT has a number of auxiliary benefits including, vicarious learning, a sense of cohesiveness that can increase motivation, social interaction and the opportunity to help others (Oei & McAlinden, 2014).
Based on the participant’s background and history, I determined that an integrative approach using CBT and Reality Therapy was appropriate. Cognitive Behavior Therapy and Reality Therapy are both effective in treating addictions. My participant struggles with negative thinking and irrational thoughts, poor decision making and problem solving which are common for a person struggling with substance use disorders. Therefore, integrating these two treatment modalities will assist the participant in restructuring his thoughts and finding effective ways to bring about changes in his life by taking responsibility for his own actions.
Combined Motivational Interviewing and Cognitive-Behavioral Therapy with Older Adult Drug and Alcohol Abusers is an article written by Lyle Cooper concerning the abuse or misuse of illicit drugs, prescription medications, and alcohol in older populations. Due to lack of knowledge or resources, elderly individuals are falling victim to substance use problems and the numbers are projected to rise. Therefore, an assistance program called HeLP was created to provide evidence-based treatment to the specific cohort of 50 and up age range. Motivational interviewing is used to eliminate internal uncertainties clients may have concerning their treatment; hence, opening themselves up to behavioral changes. Clients who decide to move on to the next stage and if HeLP workers deem it necessary, cognitive-behavioral therapy is implemented to promote changes in thoughts, behaviors, and prevention of future relapse.
Cognitive Behavioral Therapy (CBT) is ubiquitous and a proven approach to treatment for a host of diverse psychological difficulties (Wedding & Corsini, 2014). There are copious of acceptable created experiments that show to be highly useful in treating anxiety disorders through GAD Generalized Anxiety Disorder approach (Fawn & Spiegler, 2008). The purpose of this assignment is to expound on the client’s demography and demonstrating concern. The first procedure in this assignment will consist of the required informed consent and the client background information. Thus, a succinct discretion of the theoretical framework of CBT will describe the theoretic framework of CBT therapy expended in this assignment (Wedding & Corsini, 2014; Fawn & Spiegler, 2008). The next steps will adherent on how information regarding the clients past and present is problematic amalgamated to form an evaluation and to construct the client’s treatment. In the midst of assessment or the evaluation process and schema is implemented to create the sessions, examination, and provide feedback throughout each session.
I will be collaborating with The National Institute of Mental Health for the funding of the research project. The research will attempt to identify what factors determine whether someone with PTSD will respond well to Cognitive Behavioral Therapy (CBT) intervention, aiming to develop more personalized, effective and efficient treatments. The mission of this project is to transform the understanding and treatment of mental illnesses through basic and clinical research, paving the way for prevention, recovery, and cure (National Institutes of Health, 2013).
In addition, abstinence is the client’s way to remain substance free, by establishing a stable and healthy lifestyle, develop coping/living skills, and increase support of family members to protect the individual’s best interest. Last, maintenance concept, is a relapse prevention or termination stabilizing their success when in treatment. Fourth, an individual may gain momentum using models such as the CENAPS Model, with self-regulation and stabilization. To clarify, teaching or educating a client about self-regulation helps a person with their thinking, emotions, thought process, memory, and judgment changing at risk of relapse to a minimum.
Stevens, P., & Smith, R. L. (2013). Substance abuse counseling: Theory and practice (5th ed.). Upper Saddle River, NJ: Pearson Education, Inc.
Over the course of my career I have been trained in interventions from various theoretical orientations, with particular emphasis on Cognitive Behavioral Therapy (CBT). I always find myself gravitating to the structure of CBT, which in order to be effective, requires collaboration between the provider and patient to identify maladaptive patterns of thoughts, emotions, and behaviors within the context of the individual’s environment. The CBT approach has a wide array of carefully constructed exercises, in addition to various protocols, to help clients evaluate and change their thoughts and behaviors.
Motivational interviewing is a counseling approach that was studied and understood as an applicable theory of practice that would be beneficial in the environment where I currently work which is an alcohol treatment facility. Whereas, it is understood that clinical and applied aspects of Motivational Interviewing (MI) have shown effective as a relatively brief intervention (Levensky, Cavasos, & Brooks, 2008), especially those dealing with an alcohol dependency. According to Miller and Roderick, MI, has been defined mostly as a directive, client centered counseling approach for eliciting behavior change by helping clients to explore and resolve ambivalence. In addition, with its goal-orientated approach it can help break down resistance to change (Corey, 2013, pp. 191-194). This theoretical approach is the most favored for the environment in my profession of choice, in addition, integrating it with the practice of Cognitive Behavioral Therapy (CBT) which is already in use.
There are many contributing factors and political issues that address substance abuse. Throughout the years, many researchers have designed many interventions and social policies designed to treat people who have used, abused, and became addicted to substances. Today, there are many new studies that address substance abuse at the individual, group, family, and community or policy levels. Today, there are many services that are effective for decreasing recidivism in youth who have completed a substance abuse program. A substance abuse treatment program or center is the best way to treat individuals who have abused substances.
The premise of Cognitive behavioral theory (CBT) approach for substance abuse is if learning plays a significant role in developing and reinforcing drug issues; then it can play a role in eradicating the issues. In other words, drug additions are learned behaviors in which can be unlearned. Cognitive behavioral theory clinicians tailor treatment to fit the individual case while often using an integrated intervention approach. CBT is frequently used with other treatments such as medication for substance use, concurrent psychiatric disorders, self-help group, family and couple therapy, vocational counseling, parenting training etc. The intervention approach is brief, short term, structural, goal orientated, and solution- focused. Evaluation
Cognitive behavioral therapy is commonly used in the treatment for drug-dependent individuals. CBT is a short-term brief approach that is used as a treatment for drug abuse and dependence. CBT has been rigorously evaluated in clinical trials and has solid empirical support as treatment for drug addiction. There is evidence that CBT is effective with severely addicted individuals. CBT is structured, goal-oriented and focused on the immediate problems faced by drug addicts that are entering treatment and are struggling to control their drug abuse. CBT is flexible and uses an individualized approach that is adaptable to a wide range of patients as well as a
CBT is an integrated approach using various combinations of cognitive and behavioral modification interventions and techniques (Myers, 2005). The aim is to change maladaptive patterns of thinking and behaving that impact clients in the present (Weiten et al., 2009). From a cognitive behavioral perspective Jane would be diagnosed as having faulty thinking and dysfunctional behavioral issues suffering from depression, and anxiety in the form of Agoraphobia (Weiten et al., 2009).
Cognitive and Behavioural approaches are also widely used with alcohol and drug using clients. In a meta-analysis of 17 studies Walters, Mortgenstern, & Rotgers (2003) found that behavioural self-control programs (training in drinking rate control, goal setting, identifying high risk situations, alternatives to alcohol use) were more effective than no treatment and at least as effective as abstinence based programs. CBT for substance abuse encompasses a variety of interventions that emphasize different targets. However, this essay will be focus only on motivational intervention and family therapy.