These therapies are most commonly used to treat individuals with substance use disorders.
Learn about the different medications used to help treat addiction.
Learn the benefits of therapy and how a personalized approach can identify the right treatment option for you.
What is therapy?
Once you have recognized that you have a problem with drugs or alcohol, you may choose from many forms of therapy to begin the process of recovery. Each therapy can be more or less effective than others, depending on the substance you are using and the severity of your drug or alcohol problem. Other factors can improve the effectiveness of therapy, too, like having a stable living situation or the ability to count on support from family members and friends.
Your choice of therapy is personal, but a physician or specialists at an inpatient or outpatient treatment facility can help you determine which therapy — or combination of therapies — is right for you.
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Behavioral therapy is the most commonly used method for treating substance misuse. It helps patients change their behaviors that accompany or trigger their use of drugs or alcohol. It also helps people develop a healthy lifestyle and follow through on other forms of treatment, such as taking prescribed medication. Behavioral therapy is provided on a regular schedule in both inpatient and outpatient settings. There are several common types:
The community reinforcement approach aims to make a lifestyle without drugs more appealing than continuing substance use, helping people stop using drugs long enough to develop life skills that support quitting altogether. Counselors offer guidance on improving family relationships, finding ways to avoid drug use, and developing new social networks and activities. Patients who have problems with alcohol receive Antabuse drug therapy, which causes side effects, such as headache and nausea, when combined with alcohol in the body. Patients who have a cocaine addiction regularly submit urine samples and earn incentive vouchers for drug-free test results.
Rather than treating one individual, family therapy focuses on how a patient interacts with his or her family members, in both positive and negative ways. In treating substance misuse, family therapy aims to improve the interactions among a patient’s entire family to create a productive environment for everyone. It taps the family’s strengths and resources to help its members develop ways to live without drugs or alcohol, while reducing the effects of substance misuse on the patient and the family as a whole. The therapist leads the whole family in discussions and problem-solving sessions, and sometimes works with select family members, to strengthen and develop positive relationships.
Brief therapy involves a series of counseling sessions to assess and engage people with substance use problems and then give them tools to quickly change their attitudes and handle the issues that led to or worsened their substance misuse. Unlike longer-term therapies, brief therapy focuses more on the present than the past, emphasizes using treatment tools in a shorter time, and stresses a specific behavior change rather than large-scale changes in the patient’s life.
Studies show that brief therapy can be particularly effective for people who are functioning in society, like holding down jobs or attending school, and who have strong ties to their family, work, and community. This therapy also can be adapted for long-term treatment, dealing with one challenge at a time.
This type of therapy aims to increase a patient’s likelihood of becoming involved in a 12-step self-help group, which offers support for long-term recovery from drug or alcohol misuse. The approach focuses on realizing and accepting that one’s substance use disorder is a chronic disease that will keep getting worse without treatment, and that willpower alone is not enough to overcome the problem. It stresses the importance of seeking the fellowship and support of other people in substance use recovery, following the 12-step program, and actively participating in the meetings and related activities. Twelve-step programs have proven effective in treating alcohol dependence and show promise for helping those who misuse other substances.
Pharmacotherapies use prescription medication to support other therapies. Commonly used medications include the following:
These various therapy options can be tailored to the specific needs and behaviors of a person with a drug or alcohol problem. They also can be combined or phased in to increase their effect at different stages of recovery, and they may be provided through outpatient or inpatient programs that accommodate the patient’s schedule.
Be sure to work with a physician to identify the right treatment option. Again, your needs and the severity of your drug or alcohol problem will help determine which type of therapy will work best to help you start your recovery.