Cognitive-Behavioural Therapy in the Treatment of Addiction: A Treatment Planner for Clinicians

Cognitive-Behavioural Therapy in the Treatment of Addiction......Page 2
Contents......Page 6
About the Authors......Page 8
Foreword......Page 10
Preface......Page 12
Acknowledgements......Page 14
  Who was this book written for?......Page 16
  How to use the book......Page 17
  Addictions addressed in this book......Page 20
  Introduction to cognitive-behaviour therapy......Page 21
Relapse prevention model (Marlatt and Gordon, 1985)......Page 26
The cognitive model of substance abuse (Beck et al., 1993)......Page 28
Example......Page 31
Alcohol......Page 33
Stimulants......Page 34
Opioids......Page 35
Conclusions......Page 37
  Proposed model of cognitive-behaviour therapy in addiction......Page 38
  Use of the proposed model with different substances and treatment populations......Page 40
Stimulants......Page 41
Opioids......Page 42
Misuse of medication for pain control......Page 44
  Use of model as an opportunistic intervention in nonspecialist centres......Page 47
  Group therapy......Page 48
  Introduction......Page 49
Addressing ambivalence and enhancing motivation......Page 51
Summary of motivational interviewing......Page 52
Example......Page 53
Summary of Socratic method......Page 54
What is it useful for – topics/problems for which the technique might be used......Page 55
Distraction......Page 56
Problems – types of problems/things that go wrong and techniques/solutions......Page 57
What is it useful for – topics/problems for which the technique might be used......Page 58
Summary of advantages/disadvantages analysis......Page 59
Problems – types of problems/things that go wrong and techniques/solutions......Page 60
Downward arrow exercise......Page 61
Summary of downward arrow technique......Page 62
Imagery......Page 63
Therapist:......Page 64
Summary of imagery......Page 65
Problems – types of problems/things that go wrong and techniques/solutions......Page 66
What is it useful for – topics/problems for which the technique might be used......Page 67
Example......Page 68
Behavioural experiments......Page 69
Example......Page 70
Summary of behavioural experiments......Page 71
Contingency management......Page 72
Summary of contingency management......Page 73
Topic and session......Page 75
The importance of structure......Page 76
How to structure the session......Page 77
Review of previous sessions......Page 78
Third part......Page 79
Summary......Page 80
  Summary of treatment sessions and treatment structure......Page 81
Example......Page 82
Current pattern of drug use and associated lifestyle problems......Page 83
Functional analysis......Page 85
How to do it......Page 86
Out-of-session practice assignment......Page 87
Substance use history and developmental pro.le......Page 88
Case formulation......Page 89
Example......Page 90
Education in the cognitive-behavioural model......Page 91
Getting ready to start therapy......Page 92
Introduction......Page 94
Example......Page 95
Recapitulation......Page 96
Arriving at a plan......Page 97
Introduction......Page 98
What are the stimulus conditions/high-risk situations?......Page 99
Rows......Page 100
Coping with a lapse......Page 101
Coping with craving (see also next core topic)......Page 102
Out-of-session practise for this topic......Page 103
Outline of the topic content and the techniques used......Page 104
Positive self-statements......Page 105
Recalling negative consequences......Page 106
Introduction......Page 107
Discussion of what is meant by being ‘Assertive’......Page 108
Assessment of client’s network support for not misusing substance......Page 109
Techniques of assertion (Learning and practising refusal skills and handling confrontations) Saying no to Unreasonable Requests......Page 110
Additional techniques......Page 111
Out-of-session practise for this topic......Page 112
Examples of relapse scenarios involving chains of potential choice points Peter’s Shopping......Page 113
Outline of the topic content and the techniques used......Page 114
Practise safe decision making......Page 115
Out-of-session practise for this topic......Page 116
Example......Page 117
Introduction......Page 119
Developing a drug/alcohol-free lifestyle......Page 120
Out-of-session practise for this topic......Page 121
The problem......Page 122
Activity schedules......Page 123
Thought blocks to becoming more active......Page 127
Explore and develop the client’s capacity to tolerate boredom and emptiness......Page 128
Aims of the topic......Page 129
Client’s feedback......Page 130
Out-of-session practise for this topic......Page 131
How to choose the elective topics required......Page 132
Example......Page 133
How to use elective topics......Page 134
Assessment and formulation......Page 135
Intervention......Page 136
Assessment and formulation......Page 138
Intervention......Page 139
Cognitive-behavioural model of low self-esteem......Page 140
Intervention......Page 141
Cognitive-behavioural model for anger, aggression and impulse control......Page 142
Intervention......Page 143
Cognitive-behavioural model of trauma and abuse......Page 144
Intervention......Page 145
Introduction......Page 146
Assessment and formulation......Page 147
With couples......Page 148
Example......Page 149
Assessment and formulation......Page 150
Intervention......Page 151
Intervention......Page 152
Assessment and formulation......Page 153
Introduction......Page 154
Intervention......Page 155
  Training......Page 158
  Supervision......Page 160
Rating of therapists......Page 162
Rating scale......Page 163
Peer supervision......Page 164
Example......Page 166
Pay-off or decision-balance matrix......Page 168
Rational decision-taking chart......Page 169
Steps of problem solving......Page 170
Weekly activity schedule......Page 171
References......Page 173
Index......Page 179