EVIDENCE-BASED 
    PSYCHOTHERAPIES FOR SUD
    CBT for SUD
    Multiple manuals 
    Motivational Interviewing/Enhancement 
    Therapy
    Contingency Management
    12-step Facilitation
    Behavioral Couples Therapy
      TREATMENT OVERVIEW
     Cognitive-Behavioral theoretical 
      approach
     Short-term manual driven treatment
      Can be administered 1:1 or in group
     Each 1 hour session is focused on a 
      specific topic
     Treatment is education/skills based
      TREATMENT GOALS
     Help client identify why he or she uses 
     substances
     Help client master skills needed to maintain 
     abstinence (i.e., identify high risk situations 
     and how to deal with them)
     Abstinence is the goal, but relapse is learning 
     opportunity
     Patient may or may not be involved in AA or NA
     THERAPIST 
     REQUIREMENTS
     Therapist must skillfully select and 
     tailor CBT modules to clients
     Manualized Treatment is NOT a 
      cookbook
     Basic skills for psychotherapy are 
     extremely important (i.e., accurate 
     empathy, genuineness, and positive 
     regard) 
      THERAPIST 
      REQUIREMENTS (CONT.)
       Maintaining structure is crucial
       Different than supportive 
      psychotherapy
       Each treatment session has a pre-
      determined agenda
       Focus on necessary changes to reduce 
       chronic distress
       Modeling a systematic, non-impulsive 
       style