Objectives for Today
    We’re going to do these things this afternoon:
    •Discuss the history and underlying theory behind CBT.
    •Learn and practice specific CBT skills for use with persons 
    with a substance use disorder.
    •Review shortcomings of a CBT-based approach.
    •Make a plan for future training and refinement of these 
    skills.
        CBT: Where’d it come from?
                      • Aaron Beck (the 
                       1960s)
                      • Experiments on 
                       depression
                      • “Automatic 
                       Thoughts”
                      • CT became CBT!
               CBT: What is it?
        If you heard me say “You feel the way 
        you think”, what would that mean to 
        you?
        “A psycho-social intervention that aims to 
        improve mental health and…focuses on 
        challenging and changing cognitive distortions 
        and behaviors, improving emotional 
        regulation, and the development of personal 
        coping strategies.” (APA)
          Breaking down the CBT definition:
               •   Cognitive: mental processes.
               •   Behavior: everything you do.
               •   Therapy: how we try to address an 
                   issue.