Cognitive Behavioral Therapy (CBT). CBT can be applied in the treatment of many different types of problematic substance use. People treated with CBT techniques learn to recognize and change their maladaptive behaviors. CBT can help people with coping skills, with identifying risky situations and what to do about them, and with preventing relapse. This approach is helpful because it can be paired with other techniques. The skills learned through CBT continue to be of benefit long after the initial therapy, and it can be used to treat co-occurring mental or physical health disorders as well.
Contingency Management (CM). CM may also be effective in treating several types of substance use disorder—for example, alcohol, opioids, marijuana, and stimulants—and is used to encourage or reinforce sobriety. This drug addiction treatment method provides material rewards as motivation for desirable behaviors, such as maintaining sobriety. A major benefit of CM is that it can result in a reduction in the two of the biggest treatment-related issues: dropping out and relapse.
Motivational Interviewing (MI). MI is a drug addiction treatment method of resolving ambivalence in recovering individuals to allow them to embrace their treatment efforts to best change their problematic substance use behavior. One benefit of MI is that, despite being facilitated by a therapist, those in recovery develop their own motivation and a plan for change over the course of several sessions, which can provide them with more of a sense of control over the course of their treatment.
Dialectal Behavioral Therapy (DBT). DBT can be adapted for many substance abuse cases, but mainly focuses on treating severe personality disorders, such as borderline personality disorder. DBT works to reduce cravings, help patients avoid situations or opportunities to relapse, assist in giving up actions that reinforce substance use, and learn healthy coping skills.
Rational Emotive Behavior Therapy (REBT). REBT helps patients understand their own thoughts and then helps to develop better habits and thinking in more positive and rational ways and gain healthier emotions. The base for REBT is the idea rational thinking comes from within; external situations are not what give one the feeling of happy or unhappy.
Matrix Model. The Matrix Model employs a combination of various therapeutic techniques and was originally developed for the treatment of individuals with stimulant addictions. Against this backdrop of various of techniques, therapists focus on rewarding good behaviors and teaching patients to believe in themselves; self-esteem, dignity, and self-worth. The National Institute on Drug Abuse describes the Matrix Model as mostly focused on “relapse prevention, family and group therapies, drug education, and self-help participation”.
12-Step Facilitation. 12-Step facilitation therapy aims to promote continued abstinence by engaging people in recovery with 12-Step peer support groups. Meetings are hosted by several different 12-Step fellowships varieties, including Alcoholics Anonymous and Narcotics Anonymous.