What does cognitive-behavioral therapy (CBT) aim to change in addiction treatment?

Cognitive-behavioral therapy (CBT) is primarily focused on identifying and changing negative thought patterns and behaviors that contribute to addiction. This therapeutic approach operates on the premise that our thoughts influence our feelings and behaviors; therefore, by altering dysfunctional thinking, individuals can change their emotional responses and behavioral patterns regarding substance use.

In the context of addiction treatment, CBT helps clients recognize cognitive distortions—such as all-or-nothing thinking, overgeneralization, and catastrophizing—that may perpetuate their substance use. By teaching clients to challenge and reframe these negative thought patterns, CBT empowers them to develop healthier coping strategies and more adaptive behaviors, which can significantly reduce the likelihood of relapse.

While physical health symptoms, routine social habits, and family dynamics may influence or be impacted by addiction, CBT does not primarily target these areas. Instead, its core focus is on the interplay between cognition and behavior, making it an effective tool in addressing the psychological aspects of addiction.