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Exploring Behavioral Therapies
for SUD Treatment

Learn more about how we incorporate behavioral therapies for SUD into treatment at New Choices Treatment Center.

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The Role of Behavioral Therapies for SUD Recovery

Behavioral therapies have shown to be highly effective in treating substance use disorders (SUD), with numerous studies and research supporting their efficacy.

These therapies can be used in both individual and group settings. This depends on the needs and preferences of the person seeking treatment.

In this article, we will explore how behavioral therapies for SUD can support people in their journey to recovery. You will gain a better understanding of the different approaches used at New Choices Treatment Center (NCTC) and their potential impact on addiction treatment.

Behavioral Therapies for SUD

What Classifies as a Substance Use Disorder?

Substance use disorder is a condition where the use of drugs or alcohol leads to significant impairment or distress. It affects various aspects of a person’s life, from physical health to mental stability and social interactions.

Physical Impact of SUD

Physically, SUD can cause a range of health problems. Prolonged substance use can:1
  • Damage organs
  • Weaken the immune system
  • Lead to chronic conditions like liver disease, heart disease, and respiratory issues
These physical consequences highlight the importance of addressing SUD comprehensively.

Mental Impact of SUD

Mentally, SUD can alter the brain’s chemistry and functioning. Substances like alcohol and drugs interfere with neurotransmitters, leading to changes in mood, behavior, and cognition.
People might experience:
  • Anxiety
  • Depression
  • Other mental health disorders
These mental health issues often require integrated treatment approaches, including behavioral therapies for SUD, to address both the addiction and its psychological effects.

Social Impact of SUD

Socially, SUD can disrupt relationships, career, and daily life. It can lead to:
  • Conflicts with family and friends
  • Job loss
  • Legal problems
The social impact of SUD underscores the need for support systems that help people rebuild their lives and maintain sobriety.

Exploring the Brain's Response to Drugs and Alcohol

The brain’s reward system plays a key role in the development of addiction. This system involves neurotransmitters like dopamine, which are responsible for feelings of pleasure and reward.2
When people use drugs or alcohol, these substances increase the release of dopamine, creating a sense of euphoria. This pleasurable feeling reinforces the behavior, making people want to repeat it.

Development of Tolerance and Dependence

Over time, the brain begins to associate the substance with positive reinforcement, leading to repeated use. Eventually, people may need more of the substance to achieve the same effect, leading to tolerance and dependence.
Given the profound impact of substances on the brain, behavioral therapies for SUD are essential. These therapies help people understand the changes in the brain and develop strategies to cope.

Viewing Addiction as a Treatable Condition

Addiction shares many characteristics with other chronic diseases, such as diabetes or hypertension. It involves long-term patterns of behavior that are difficult to change and requires ongoing management.
Understanding it as a chronic condition rather than a moral failing or lack of willpower can help reduce stigma and promote effective treatment. It also means acknowledging that recovery is a lifelong process, and setbacks may occur.
However, with the right tools, resources, and support, it is possible to manage addiction and lead a fulfilling life in recovery.3

The Role of Behavioral Therapies for SUD Treatment

Behavioral therapies for SUD are grounded in the understanding that maladaptive behaviors and thought patterns drive addiction. These therapies aim to help people recognize, understand, and change these behaviors and thoughts.
These therapies equip people with the skills needed to:
  • Manage cravings
  • Avoid triggers
  • Develop healthier habits

Core Principle of Behavioral Therapies for SUD

The core principle of behavioral therapies is to empower people to take control of their behavior. This involves:
  • Identifying negative patterns
  • Understanding triggers
  • Learning new ways to respond
Through this process, people can develop healthier coping mechanisms and build a foundation for long-term recovery.

Types of Behavioral Therapies for SUD

Various types of behavioral therapies are used in SUD treatment. Each therapy has unique approaches and techniques designed to address specific aspects of addiction.
These therapies include:

Cognitive-Behavioral Therapy (CBT)

CBT is one of the most commonly used behavioral therapies for SUD treatment. It focuses on identifying and changing negative thought patterns that contribute to addictive behaviors.

In CBT, clients work with a therapist to challenge and reframe irrational thoughts and beliefs about drugs or alcohol. These might include thoughts like “I can’t have fun without using” or “I deserve to use after a hard day.”
Through CBT, clients learn to recognize these thoughts and replace them. This is accomplished through various techniques such as:

Cognitive Restructuring

This technique involves identifying and challenging distorted or negative thoughts.
For example, if someone thinks “I’m a failure,” CBT helps them examine the evidence for and against this thought and develop a more balanced perspective, such as “I have made mistakes, but I am learning and growing.”

Behavioral Experiments

In CBT, clients may be asked to test the validity of their beliefs through real-world experiments. For instance, if someone believes that they cannot handle social situations without alcohol, a therapist might encourage them to attend a social event sober and observe what happens.
This helps them gather evidence to counter their negative beliefs.

Skill Building

CBT also focuses on developing coping skills. These skills help people handle triggers and stressful situations without resorting to substance use.
Techniques might include:
  • Problem-solving skills
  • Stress management strategies
  • Assertiveness training

Dialectical Behavioral Therapy (DBT)

DBT is a type of therapy that combines elements of CBT with mindfulness and acceptance strategies. It was initially developed to treat borderline personality disorder but has been adapted for substance use disorders.

This approach helps people learn to tolerate and regulate difficult emotions without turning to drugs or alcohol.
DBT focuses on developing skills in four key areas:

Mindfulness

This involves learning to be fully present in the current moment without judgment or avoidance. It can help people become more aware of their thoughts, emotions, and urges without acting on them impulsively.

Distress Tolerance

DBT helps people learn how to cope with intense emotions without turning to drugs or alcohol. Techniques might include:
  • Distraction activities
  • Self-soothing strategies
  • Crisis survival skills

Interpersonal Effectiveness

This involves learning how to:
  • Communicate effectively with others
  • Set boundaries
  • Build healthy relationships
These skills can help reduce conflict and improve well-being.

Emotional Regulation

DBT teaches people how to identify and regulate their emotions in a healthy way. Clients will learn techniques for managing intense emotions, such as anger or sadness, without turning to substance use.

Experiential Therapy

Experiential therapy is a form of psychotherapy that involves engaging in different activities or experiences, rather than just talking.
This type of therapy can be beneficial for people struggling with SUD because it allows them to explore and process their emotions in a safe and supportive environment.

At NCTC, we offer a variety of experiential therapy options, including:

  • Art therapy: Through activities like drawing, painting, or sculpting, clients can explore feelings that might be difficult to articulate with words. This non-verbal expression can be a powerful way to process complex emotions.
  • Music therapy:  Music has the power to evoke emotions and memories. In music therapy, clients can use different instruments or their voices to create and express themselves in a therapeutic way.
  • Adventure therapy: This type of therapy incorporates outdoor activities such as hiking, camping, or team building exercises. These experiences can help build self-confidence and problem-solving skills while also providing a sense of accomplishment.

Research Supporting the Efficacy of Behavioral Therapies for SUD

Behavioral therapies for SUD are supported by extensive research demonstrating their effectiveness. Studies show that these therapies can significantly reduce substance use, improve mental health, and enhance functioning.
For example, research on CBT has consistently shown that it can help decrease the frequency and severity of substance use episodes.4

Similarly, studies on DBT have found that it can reduce substance use and improve emotional stability in individuals with SUD.5

Behavioral Therapies for SUD at NCTC

At NCTC, we prioritize evidence-based practices to ensure clients receive the highest quality of care.

Our treatment programs incorporate the latest research findings to provide effective and tailored interventions to each client’s needs. By integrating these proven behavioral therapies for SUD, we help people achieve lasting recovery and a fulfilling life free from substance use.

Integrating Behavioral Therapies for SUD with Other Treatment Modalities

At NCTC, we believe in combining various treatment methods. By leveraging the strengths of each modality, we can tailor treatment to meet each client’s specific needs.
To better understand this integration, let’s explore how behavioral therapies for SUD are complemented by other treatment approaches:

Medication-Assisted Treatment (MAT)

MAT is an approach that combines medications with behavioral therapies for SUD. This integration provides a comprehensive treatment plan that addresses both the physiological and psychological aspects of addiction.

MAT involves the use of medications such as:
  • Methadone to treat opioid use disorder
  • Buprenorphine to reduce cravings and withdrawal symptoms from opioids
  • Naltrexone to block the effects of opioids or alcohol

With the help of MAT, clients can better manage withdrawal symptoms and reduce the risk of relapse. This gives them a better condition to engage in behavioral therapy or other treatments.

At NCTC, our team of medical professionals work with each client to determine if MAT is the right option for their recovery journey. We closely monitor and adjust medications as needed to support their progress.

Family Therapy

Addiction often affects not just the individual but also their family. Family therapy aims to heal these relationships and create a supportive environment for recovery.

It helps family members:
  • Understand the nature of addiction
  • Learn how to support their loved one
  • Address any enabling behaviors

What to Expect from Family Therapy

Family therapy sessions may include activities such as:
  • Open communication about addiction and its effects on the family
  • Identifying and addressing any dysfunctional dynamics within the family
  • Setting boundaries and developing healthy coping mechanisms for all family members
  • Rebuilding trust and repairing relationships through forgiveness and understanding
Our compassionate therapists provide a safe and nonjudgmental space for families to work through these issues together. By involving family, we create a supportive environment that enhances recovery and strengthens family bonds.

Holistic Approaches

Holistic approaches in SUD treatment focus on healing the whole person, addressing physical, mental, and emotional well-being.
These approaches include:

Mind-Body Practices

Techniques such as mindfulness meditation, yoga or deep breathing help people connect their body and mind.
They can help:
  • Reduce stress
  • Improve self-awareness
  • Promote relaxation

Nutrition

Proper nutrition is crucial for repairing the body and brain after substance use. A balanced diet can improve mood, energy levels, and general health — both mental and physical.
Nutritional counseling can help people understand the importance of healthy eating and develop meal plans that support recovery.

Exercise

Regular physical activity has numerous benefits for those in recovery. Exercise releases endorphins, which improve mood and reduce stress. It also helps to rebuild physical strength and endurance.
At NCTC, we encourage activities such as walking, hiking, and strength training as part of a balanced recovery plan.
By incorporating holistic approaches into our treatment plans, we aim to address not just the addiction but also its underlying causes.

Implementing Behavioral Therapies for SUD in Treatment Settings

Every person’s experience with SUD is unique, so treatment plans must be personalized. Tailoring treatment plans involves assessing a client’s specific needs, preferences, and circumstances to create an intervention strategy that works best for them.
The process begins with a comprehensive assessment that includes:
  • Addiction history: Understanding the type, severity, and duration of substance use.
  • Mental health evaluation: Underlying mental health issues such as depression, anxiety, or trauma can contribute to substance use and must be addressed in treatment.
  • Medical assessment: Evaluating physical health, including any potential medication needs for detox and managing any chronic conditions.
  • Social and environmental factors: identifying social support systems, living situation, employment status, and any environmental factors that may impact treatment.
This information helps us understand the full scope of a person’s condition. Based on the assessment, our team of experts will design a customized treatment plan that may include evidence-based behavioral therapies for SUD and various holistic modalities.

Therapist Training and Supervision

The effectiveness of behavioral therapies for SUD heavily relies on the competence and skill of the therapists. Proper training and supervision are essential for therapists to provide effective treatment and support their clients’ recovery journey.
At NCTC, all therapists undergo rigorous training programs to learn the principles and techniques of behavioral therapies. These programs cover various aspects, from theoretical foundations to practical skills.
Continuous education and training updates keep therapists informed about the latest research and best practices.

Ongoing Supervision

Ongoing supervision is essential for maintaining high standards of care. Experienced supervisors provide guidance, support, and feedback to therapists. This helps them refine their skills and address any challenges they encounter.
Our therapists also take part in regular peer group sessions, where they can share experiences and knowledge with their colleagues. This collaborative approach enriches our therapists’ skills and helps them provide compassionate and effective care to our clients.

Monitoring Progress

Monitoring progress is a critical aspect of implementing behavioral therapies for SUD. It involves using outcome measures to track client improvement and adjust interventions as needed. Outcome measures are tools and methods used to assess your progress during treatment.
They might include:
  • Self-report questionnaires to measure symptoms and functioning
  • Biological measures such as drug screenings or physiological tests
  • Observational assessments by therapists or support staff
Outcome measures provide objective data that helps therapists understand the effectiveness of their interventions. They also provide valuable information for clients, showing them their progress and motivating them to continue working towards recovery.

Treatment Adjustment

Based on these outcomes, therapists will adjust interventions as needed. If certain interventions are not yielding the desired results, they can be modified or replaced with different approaches.
This iterative process ensures that clients receive the most effective care tailored to their evolving needs.

Our Approach to Behavioral Therapies for SUD Treatment

At NCTC, our commitment to behavioral therapies for SUD treatment means providing evidence-based, individualized care, and ensuring that our clients feel supported and empowered throughout their recovery journey.

Incorporating Best Practices for Optimal Treatment Outcomes

Incorporating evidence-based practices into our treatment programs ensures that clients receive the highest standard of care. This approach involves using therapies and techniques that have been rigorously tested and proven effective through scientific research.

Behavioral therapies for SUD, such as CBT, DBT, and experiential therapy, are key components of our treatment programs. These therapies are selected based on their demonstrated efficacy in helping people overcome addiction.

We stay updated with the latest research and advancements in addiction treatment. Our team regularly reviews new studies and integrates relevant findings into our treatment protocols. This commitment ensures that our clients benefit from the most current and effective approaches.

Individualized Care

We understand that no two people are the same. Therefore, we tailor our behavioral interventions to match each client’s specific needs, preferences, and goals. Our team works closely with each client to develop a personalized treatment plan that addresses their unique challenges and circumstances.

Understanding Client Goals

Understanding client goals is important. During the assessment, we discuss what clients hope to achieve through treatment.
Their goals might include:
  • Reducing or stopping substance use
  • Improving relationships with family and friends
  • Managing co-occurring mental health conditions
  • Developing healthy coping skills for dealing with triggers and cravings
These goals guide the treatment process and help us measure progress. As clients progress in their recovery, their needs and goals may evolve.

Regular Reviews and Adjustments

Regular reviews and adjustments to treatment plans ensures that it remains relevant and effective. This flexibility allows us to provide the most supportive and responsive care possible.
If new challenges arise, such as increased stress or changes in a client’s personal life, we can adapt the interventions to address these issues.

Empowering Recovery

Our goal at NCTC is to empower people to transform their lives through behavioral change. We believe that recovery is not just about abstaining from substances but about developing the skills and mindset needed for a fulfilling and sober life.

Through behavioral therapies for SUD, clients learn essential skills for:
  • Managing cravings
  • Coping with stress
  • Avoiding relapse
These skills help people navigate daily challenges and maintain sobriety.

Supportive Environment

We provide a supportive and non-judgmental environment where clients can explore their thoughts and feelings openly. This safe space encourages people to take an active role in their recovery and build confidence in their ability to change.
Our commitment to behavioral therapies for SUD extends beyond initial treatment. We also offer ongoing support and resources to help clients sustain recovery over the long term. This includes:
  • Follow-up sessions
  • Support groups
  • Access to additional services as needed
Behavioral Therapies for SUD

Building Foundations for Lasting Recovery

Behavioral therapies for SUD play a pivotal role in the journey to recovery. They provide people with the tools and strategies needed to address the underlying psychological aspects of addiction.
At New Choices Treatment Center, we integrate these therapies into our comprehensive treatment programs to ensure that every client receives personalized, effective care.

Benefits of Behavioral Therapies for SUD

Behavioral therapies help you:
  • Understand your addiction
  • Manage triggers
  • Develop healthier coping mechanisms
These therapies are tailored to your unique needs and goals, ensuring that the treatment is relevant and impactful.

Our Approach

Our approach is rooted in:
  • Evidence-based practices
  • Continuous improvement
  • Individualized care
We believe that by focusing on your specific circumstances and aspirations, we can empower you to make lasting changes.

Empower a Healthier Tomorrow With New Choices

If you or a loved one is struggling with substance use disorder, taking the first step toward recovery can be challenging. We understand the courage it takes to seek help and we are here to support you every step of the way.

Our San Antonio team is dedicated to helping you break free from addiction and build a fulfilling life in recovery.

With our comprehensive approach, we provide a safe, supportive environment where you can address the root causes of your addiction and develop coping skills for lasting recovery. Together, let’s harness the power of behavioral therapies for SUD to build a solid foundation for long-term success in your journey toward healing.
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Resources

  1. https://www.medicalnewstoday.com/articles/effects-of-drug-abuse
  2. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC80880/
  3. https://nida.nih.gov/publications/drugs-brains-behavior-science-addiction/treatment-recovery
  4. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5714654/
  5. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2797106