A Cognitive-Behavioral Approach: Treating Cocaine Addiction


Cognitive-behavioral coping skills treatment (CBT) is a short-term, focused approach to helping cocaine-dependent individuals (In this manual, the term cocaine abuser or cocaine-dependent individual is used to refer to individuals who meet DSM-IV criteria for cocaine abuse or dependence.) become abstinent from cocaine and other substances. The underlying assumption is that learning processes play an important role in the development and continuation of cocaine abuse and dependence. These same learning processes can be used to help individuals reduce their drug use.

Very simply put, CBT attempts to help patients recognize, avoid, and cope. That is, RECOGNIZE the situations in which they are most likely to use cocaine, AVOID these situations when appropriate, and COPE more effectively with a range of problems and problematic behaviors associated with substance abuse.

Cognitive Therapy of Substance Abuse. "As pioneers in the field of cognitive therapy, Dr. Beck and his colleagues have applied their wealth of knowledge and experience with this modality to the treatment of substance abuse. The result is a well-written, lucid, thought-provoking book. Numerous case examples, filled with concrete recommendations regarding how to handle difficult situations, help make this book enormously valuable for clinicians working with substance abusers. Few books offer so much--a coherent theoretical framework, guidelines for conducting treatment, and a thoughtful analysis of the research literature. This is a much needed contribution to the field." --Roger D. Weiss, MD, McLean Hospital

"This book offers the reader some excellent support in working with those individuals who suffer from the disease of addiction. This book is both practical and helpful. Identifying and changing cognitive distortions common to drug and alcohol abusers both assists in obtaining a recovery program based on abstinence as well as maintaining sobriety. I particularly enjoyed the examples of specific sessions between client and therapist. They offer a clear and demonstrative view of how this material can be useful in almost any clinical setting." --Katie Evans, CADC NCACII, Addiction Counselor

"This is a wonderfully practical volume written in the classic style of Beck and collaborators. It sets forth masterful techniques in a clear straightforward fashion. The specific examples of therapy sessions are especially helpful for the beginning therapist. This book is much more than a manual because it deals with history and theory. However, in its role as a manual, it clearly tells the therapist "how to do it" in an interesting and readable fashion. I particularly like the coping with cravings section. The authors demonstrate their experience with substance abusers obtained during several controlled treatment studies involving cognitive therapy as one of the treatment modalities in drug dependent individuals. The cognitive behavioral techniques described for "coping and craving" show ingenuity and understanding of the problem. This book has nuggets of information even for experienced therapists, but it is a special gold mine for the novice." --Charles P. O'Brien, M.D., Ph.D., Chief of Psychiatry, VA Medical Center

"Aaron Beck, Fred Wright, Cory Newman, and Bruce Liese have written the definitive volume on cognitive therapy for substance abuse. From its detailed history of research and thinking about addiction, to its carefully outlined therapy sessions and testing material, to its specifics about concurrent treatment for anxiety, depression, and personality disorders, this book immediately becomes the primary reference in the field. Moreover, understanding the long history and success of Dr. Beck's pre-eminent therapeutic work for depression and anxiety gives readers inordinate confidence that the methods described here really work." --Stanton Peele, Ph.D., Author, The Truth About Addiction And Recovery

"This is a remarkable and valuable book! Dr. Beck's internationally heralded contributions to psychotherapy were first directed at disorders of mood and thought. He and his colleagues now apply his cognitive approach to substance abuse, with strong theoretical grounding, and with great clinical acumen. Because of its straightforward descriptions of technique, this book is of material value to both students and experienced clinicians alike." --Marc Galanter, M.D., Director, Division of Alcoholism and Drug Abuse and Professor of Psychiatry, New York University

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"Beck's cognitive approaches to psychotherapy have had a greater impact, than any other innovation, on the treatment of depression, personality disorders, and substance abuse, and are classics in the psychiatric literature. This long awaited textbook expands on and explicates Aaron Beck's applications of cognitive therapy of the addictions with lucid, useful integration and wise explanation of theory and practice. The book is full of case material, concrete suggestions, and practical advice on how to formulate treatment plans, change patient beliefs, educate patients, alter response to external and internal stimuli and feeling states which lead to relapse and to develop new tools in coping with craving and managing life problems. It is a landmark work that will be widely read and will inform the practice of all therapists. Anyone interested in clinical work with addicted patients will be richly rewarded by studying this treasure trove of wise and easy to apply techniques that enhance treatment results." --Richard J. Frances, Director, Department of Psychiatry, Hackensack Medical Center and Professor of CLinical Psychiatry, UMDNJ - New Jersey Medical School

"I will refer to and recommend this book as a bountiful clinical guide...Bolstered by outcome data, this wise and hopeful book will greatly advance integration of cognitive therapy into addiction treatment programs." --Contemporary Psychology

"This long-awaited textbook explicates and expands on Aaron Beck's applications of cognitive therapy to the addictions with lucid, uuseful integration and a wide explanation of theory and practice...A landmark work that will be widely read and will inform the practice of all therapists...The techniques recommended in this book need no be thought of as having to be applied in pure form and can easily be combined with other approaches...Perhaps what is most valuable is the distillation of clinical wisdom of Dr. Beck and his colleagues. The techniqes used are clearly described and can be used for treatment outcome research to validate the cognitive approach versus other approaches, and to look for subpopulations in which cognitive therapy makes special sense." --General Hospital Psychiatry

"The book is clearly written and contains numerous examples to assist the reader in understanding and applying the methods and procedures being discussed. The authors make use of many helpful diagrams and transcripts of therapeutic dialogues to further solidify the reader's conceptual and practical understanding. In addition, the text contains several appendices full of useful inventories, psychometric scales, checklists, and self-monitoring record forms... this book is expertly written, highly informative, easy to read and understand, scientifically sound, a valuable contribution to the field of substance abuse treatment." --Child & Family Behavior Therapy

"....A rich collection of ideas and discussion around key topics in addiction....An ideal companion for anybody learning about addiction and its clinical management....A stimulating source of ideas for the experienced clinician specializing in addiction." --Journal of Applied Toxicology

"This excellent practical guide marries cognitive therapy techniques and the treatment of substance abuse....this book provides welcome strategies that are user-friendly to the client and to both camps of clinicians." --Readings

"This book is an excellent treatment guide for any clinician....I highly recommend it." --The Behavior Therapist

"The format is well developed and laid out in a clear, sequential manner....The information in this book is well presented, accessible, easy to read and follow, and clinically practical. It is a valuable addition to the library of any clinician who is working with substance abusers. Each step in the therapeutic process is explained in detail and expanded on by clinical examples. The book is filled with pragmatic techniques that are concrete and easily applied. Dr. Beck's stamp is most definitely on this book. He brings a certain clarity to a direct, in-depth discussion of the use of cognitive therapy to treat substance abuse. This is a rich, utilitarian book for clinicians." --Journal of Psychoactive Drugs

"In Cognitive Theory of Substance Abuse, Beck and his colleagues...help us to understand the way the addicts' subjective interpretations of intrinsic and extrinsic stimuli lead to addictive behavior. They offer a carefully developed theoretical model, a sizable number of carefully structured therapeutic techniques, and illustrative examples of therapist-patient exchanges....One important aspect of this cognitive format is that its techniques can be combined with other therapeutic approaches to addiction, such as the use of AA, family supports, and social network supports....Practitioners of these modalities would do well to adapt the cognitive approach in their work. Such applications will indeed be of great value to an emerging body of substance abuse practitioners, whose techniques will inevitably be eclectic in nature." --American Journal of Psychiatry

"An important contribution that is likely to have significant impact on the cognitive research and clinical treatment of substance abuse. The strength of the authors' approach is exemplified by the clarity and concision of their writing, and by the operationalization of their constructs....constitutes a 'gold standard' for the field." --Journal of Cognitive Psychotherapy

"This volume was written with the intent of stimulating interest in the application of cognitive therapy to substance abuse treatment. The combined professional experience of the authors makes them eminently qualified for the task...The book is well organized, and easy to read, and its contents are presented clearly, concisely, and in a clinically pertinent way. " --Bulletin of the Menninger Clinic

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