APC: Cognitive Behavior Therapy (CBT): Donna Sudak, MD-Cognitive Behavior Therapy .PPT

Cognitive Behavior Therapy .PPT

Pdf Summary

The Addiction Psychiatry Advanced Psychotherapy Curriculum© AAAP 2022 focuses on CBT for Substance Use Disorders. The objectives of this curriculum are to define the CBT model for conceptualizing substance use disorder, illustrate the use of behavioral analysis for treatment planning, and discuss cognitive and behavioral strategies to employ with patients.<br /><br />CBT for SUD utilizes four basic strategies: assessing and fortifying motivation, understanding and managing cravings, mitigating the impact of thoughts, emotions, and behaviors, and developing alternatives to substances in daily life.<br /><br />The model of addiction in CBT is based on positive and negative reinforcement, with cognitions exerting a powerful effect on responding to craving. The curriculum highlights the basic principles of CBT, including its pragmatic, problem-solving approach, its adaptability to various conditions and applications, and its compatibility with pharmacotherapy and other approaches.<br /><br />Individual case formulation is a key component of CBT and involves synthesizing the patient's biopsychosocial history and understanding a specific psychological disorder. The curriculum introduces various treatment modalities used in CBT, such as psychoeducation, cognitive restructuring, behavioral activation, exposure, contingency management, stimulus control, and skill deficit remediation.<br /><br />CBT is adaptable for use in briefer sessions, and treatment plans and therapeutic alliance need to be solid. The curriculum emphasizes the importance of motivated enhancement, group-based support, education about SUD, and the development of coping strategies for high-risk situations and internal reactions.<br /><br />The curriculum also discusses the topic of reducing use vs. abstinence and provides recommendations for patients in terms of setting drinking goals, measuring drinks, and avoiding triggers like bars.<br /><br />Case examples are included in the curriculum to illustrate the application of CBT. These examples explore the formulation of a specific case, the development of treatment plans, the management of triggers and cravings, and the use of cognitive and behavioral strategies.<br /><br />Overall, the curriculum provides a comprehensive overview of CBT for Substance Use Disorders and offers practical guidance for clinicians in delivering effective treatment.

Keywords

Addiction Psychiatry Advanced Psychotherapy Curriculum

CBT for Substance Use Disorders

behavioral analysis

cognitive and behavioral strategies

motivation assessment

craving management

positive and negative reinforcement

individual case formulation

treatment modalities in CBT

reducing use vs. abstinence

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