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Evidence-based Treatment for Addictions

Review the video "Introduction to Motivational Interviewing," from the Unit 4 study activities. Each scenario provides examples of how a motivational interviewing approach opens the dialog for change. As our text points out (Lewis, 2014, p. 6), MI is likely a better fit for clients who are still early in the treatment process. Select one of the other treatment approaches covered in this unit, cognitive behavioral theory (CBT) or relapse prevention (RP), and apply this approach to one of the scenarios from the video. Assume that treatment has progressed to the point that the client is transitioning to abstinence. How would CBT or RP help guide a counselor to address the concerns and challenges of the client attempting abstinence?

I have attached a transcript of the video.


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Cognitive Behavioral Therapy (CBT) is focused on key concepts such as (1) changing distorted thoughts and beliefs, (2) changing negative schema, (3) Reaching reasonable conclusion, (4) Considering alternate possibilities, and (5) nor placing too much attention on particular events (Corey, 2005). A distinguishing theme within the cognitive approach from other approaches (e.g., behaviorist and humanistic views) is the emphasis on feedback with the major feedback coming in the form of responses to the environment (Cunia, 2005). For example, Corey (2005) outlines the goals of CBT, and recommends after an initial session focused on the assumption that the client's beliefs are contributing to the majority of his problems that the therapist work with the client to help him establish more constructive. For instance, Connor tells Dr. Schere that he recognizes the danger associated with his smoking, and wishes to change; and adapt a healthier lifestyle. However, Connor is finding it difficult to quit smoking. Up to this point in the therapeutic process, based on a CBT intervention the client leans what would lead to the necessary changes to be made.

Based on the Case scenario, Conner feels as if he is strong enough to quit smoking whenever he chooses. He prides himself on always being healthy and in control. However, Conner does not recognize the addiction potential of smoking cigarettes. Research is presented to suggest that the danger of cigarette smoking may be viewed in which certain behaviors are lacking (e.g., self-control). Self-control is needed to overcome the lapses that can occur between the smoking of a cigarette and the immediate gratification that comes with the smoking of another cigarette (Pinel, 2006). Thus, according to Corey (2005) therapeutic procedures include open-ended questions to guide Connor in understanding ways to detect distorted ways of thinking and reason, and to form alternative replacements for the faulty assumptions.

For instance, given the faulty assumption ...

Solution Summary

This solution discusses a cognitive behavioral approach to therapy as an evidence-based intervention to stop smoking.