Cognitive Behavioral Therapy for Substance Use Disorders
Open accessAbstract
Cognitive behavioral therapy (CBT) for substance use disorders has shown efficacy as a monotherapy and as part of combination treatment strategies. This article provides a review of the evidence supporting the use of CBT, clinical elements of its application, novel treatment strategies for improving treatment response, and dissemination efforts. Although CBT for substance abuse is characterized by heterogeneous treatment elements such as operant learning strategies, cognitive and motivational elements, and skills-building interventions, across protocols several core elements emerge that focus on overcoming the powerfully reinforcing effects of psychoactive substances. These elements, and support for their efficacy, are discussed.
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CBT theory holds that mental disorders including mood and addiction disorders are maintained by cognitive, emotional, and behavioral factors, though etiology may be multicausal including genetic components.
“Cognitive behavioral therapies (CBTs) theorize that mental disorders, including mood and addiction disorders, are maintained by cognitive, emotional, and behavioral factors, although the etiology of such disorders may be multicausal, including genetic components.”
From Are smoking cessation treatments associated with suicidality risk? An overview (2016) · cites this paper as [96]
The Summary and Clinical Elements of CBT for SUDs (page unavailable) describe substance use disorders in terms of learning, reinforcement, cognition, affect, and behavior, supporting that part of the paraphrase. The paper does not extend this account to mood disorders generally or discuss a multicausal etiology that includes genetic components. (LLM, conf=0.87)
Experimental — accuracy not yet measuredCBT belongs to a family of interventions focused on the identification and modification of dysfunctional cognitions in order to modify negative emotions and behaviours.
“CBT belongs to a family of interventions that are focused on the identification and modification of dysfunctional cognitions in order to modify negative emotions and behaviours.”
From Cognitive behavioural interventions in addictive disorders (2018) · cites this paper as [2]
The Clinical Elements of CBT for SUDs > Cognitive and Motivational Strategies section describes identifying cognitive distortions and developing more adaptive appraisals. But the Summary and Efficacy sections describe CBT for substance use disorders as a broader range of interventions, including approaches that do not focus on modifying cognitions; the copy does not establish cognitive change as the defining route to changing negative emotions and behaviours. (LLM, conf=0.84)
Experimental — accuracy not yet measuredCBT includes coping skills training and problem solving therapy.
“They also include coping skills training and problem solving therapy2.”
From Cognitive behavioural interventions in addictive disorders (2018) · cites this paper as [2]
Cognitive behavioral therapy has been shown to be effective as an integral part of treatment programs that aim to help prevent relapses.
“CBT has been shown to be effective as an integral part of treatment programs that aim to help prevent relapses (125).”
From Craving in Opioid Use Disorder: From Neurobiology to Clinical Practice (2019) · cites this paper as [125]
In substance use disorders, patients may benefit from a range of non-pharmacological interventions, such as cognitive behavioral therapy, motivational interventions, and contingency management.
“In substance use disorders, patients may benefit from a range of non-pharmacological interventions, such as cognitive behavioral therapy (CBT), motivational interventions, and contingency management (125).”
From Craving in Opioid Use Disorder: From Neurobiology to Clinical Practice (2019) · cites this paper as [125]
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- Authors
- McHugh, R. K., Hearon, B. A., & Otto, M. W.
- Affiliations
- Boston University (US)
- Corresponding author
- McHugh, R. Kathryn
- Venue
- Psychiatric Clinics of North America
- Publisher
- Elsevier BV
- Published
- 2010-09
- Volume
- 33
- Issue
- 3
- Pages
- 511-525
- ISSN
- 0193-953X (ISSN-L)
- PMC
- PMC2897895
- OpenAlex
- W2043687030
- Cited by
- 626
- References
- 83
- Citations by year
- 2026: 49 · 2025: 59 · 2024: 60 · 2023: 103 · 2022: 42 · 2021: 74 · 2020: 44 · 2019: 35 · 2018: 41 · 2017: 29 · 2016: 28 · 2015: 22 · 2014: 24 · 2013: 5 · 2012: 6
- FWCI
- 0.58
- Type
- journal article
- Language
- en
- Open access
- green
- www.ncbi.nlm.nih.gov
- Locations
- Psychiatric Clinics of North America (publishedVersion)
- PubMed (publishedVersion)
- Europe PMC (PubMed Central) (acceptedVersion)
- PubMed Central (acceptedVersion)
- Funders
- National Institute on Drug Abuse (DA017904, R01DA017904)
- Topics
- Health Sciences › Medicine › Epidemiology › Substance Abuse Treatment and Outcomes
- Social Sciences › Psychology › Experimental and Cognitive Psychology › Anxiety, Depression, Psychometrics, Treatment, Cognitive Processes
- Social Sciences › Psychology › Clinical Psychology › Psychotherapy Techniques and Applications
- Keywords
- cognitive behavioral therapy, substance use disorders, addiction treatment, combination therapy, motivation enhancement, treatment response, dissemination of evidence-based treatment
- MeSH terms
- Combined Modality Therapy, Humans, Psychotropic Drugs, Cognitive Behavioral Therapy, Substance-Related Disorders
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