Substance and Non Substance Related Addiction Disorders: Diagnosis and Treatment

Cognitive-Behavioral Therapy and Other Psychosocial Interventions for Substance Use Disorders

Author(s): Aly Hassan, Shashi K. Bhatia and Subhash C. Bhatia

Pp: 227-242 (16)

DOI: 10.2174/9781681083438117010023

* (Excluding Mailing and Handling)

Abstract

The effectiveness of psychosocial evidenced-based behavioral interventions for substance and non-substance related disorders are comparable to their effectiveness for other psychiatric disorders . Cognitive behavioral therapy addresses the negative and dysfunctional thoughts and emotions related to these disorders and their reinforcing effects. This also helps develop cognitive skills to deal with cue driven craving leading to reengagement in addictive behaviors. Contingency management uses tangible rewards to support addiction free life style evidenced by negative drug screen participation in individual and group therapy. Behavioral self-control promotes goal setting and self-monitoring for harm reduction. Self-help 12-step programs promote acceptance, surrender to a higher power and self-governance through utilization of support from AA fellowship community. Motivational enhancement therapy is to help individuals to move higher on stages of change and to promote self-efficacy. Solutionbased therapy helps patients find solutions while reinforcing their successes in solving those problems. All these therapies with or without pharmacotherapy have value in achieving addiction free life style.


Keywords: AA, Behavioral self-control training (BSCT), CA, Cognitive- Behavioral Therapy (CBT), Contingency management (CM), GA, Motivational Enhancement Therapy (MET), NA, Relapse Prevention (RP), Voucher-based reinforcement (VBR).

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      • 11. app/Models/ContentAccess.php:647
      • 12. app/Http/Controllers/ChapterController.php:1465
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      • 11. app/Models/ContentAccess.php:647
      • 12. app/Http/Controllers/ChapterController.php:1478
      • 13. vendor/laravel/framework/src/Illuminate/Routing/Controller.php:54
      • 14. vendor/laravel/framework/src/Illuminate/Routing/ControllerDispatcher.php:43
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      • 13. app/Models/UserAccess/UserAccess.php:1266
      • 14. app/Http/Controllers/ChapterController.php:1518
      • 15. vendor/laravel/framework/src/Illuminate/Routing/Controller.php:54
      • 16. vendor/laravel/framework/src/Illuminate/Routing/ControllerDispatcher.php:43
      • 17. vendor/laravel/framework/src/Illuminate/Routing/Route.php:260
    • (select j.user_access_id,j.volume_id,j.user_id,j.from_ip,j.to_ip,j.type,j.track,"Trial Access" as access_base_text, CASE j.type WHEN 111 THEN true ELSE false END as terms_popup, "S" as content_download_type, null as restricted_user_access_key, null as restricted_user_access_type, CASE j.track WHEN 0 THEN false ELSE true END as tracksAccessByVolume,"chapter" as access_level, j.chapter_id from `user_access_chapter_trail` as `j` inner join `user_access_info` as `info` on `j`.`user_access_id` = `info`.`user_access_id` where ((j.from_ip <= 221938058 and j.to_ip >=221938058 )) and ((j.from_date <= 1739834387 and j.to_date >= 1739834387 and j.perpetual= 0) or (j.from_date is null and j.to_date is null and j.perpetual= 1)) and j.chapter_id = 9912) union (select j.user_access_id,j.volume_id,j.user_id,j.from_ip,j.to_ip,j.type,j.track,"Subscribed" as access_base_text, false as terms_popup, "S" as content_download_type, null as restricted_user_access_key, null as restricted_user_access_type, CASE j.track WHEN 0 THEN false ELSE true END as tracksAccessByVolume,"chapter" as access_level, j.chapter_id from `user_access_chapter_corporate` as `j` inner join `user_access_info` as `info` on `j`.`user_access_id` = `info`.`user_access_id` where ((j.from_ip <= 221938058 and j.to_ip >=221938058 )) and ((j.from_date <= 1739834387 and j.to_date >= 1739834387 and j.perpetual= 0) or (j.from_date is null and j.to_date is null and j.perpetual= 1)) and j.chapter_id = 9912) union (select j.user_access_id,j.volume_id,j.user_id,j.from_ip,j.to_ip,j.type,j.track,"Token Based Access" as access_base_text, false as terms_popup, "R" as content_download_type, j.uc_id as restricted_user_access_key, "v" as restricted_user_access_type, CASE j.track WHEN 0 THEN false ELSE true END as tracksAccessByVolume,"chapter" as access_level, j.chapter_id from `user_access_chapter_token` as `j` inner join `user_access_info` as `info` on `j`.`user_access_id` = `info`.`user_access_id` where ((j.from_ip <= 221938058 and j.to_ip >=221938058 )) and ((j.from_date <= 1739834387 and j.to_date >= 1739834387 and j.perpetual= 0) or (j.from_date is null and j.to_date is null and j.perpetual= 1)) and j.chapter_id = 9912)
      630μsalphaeurekaselec_live_10_06_2022UserAccess.php#1266
      Backtrace
      • 13. app/Models/UserAccess/UserAccess.php:1266
      • 14. app/Http/Controllers/ChapterController.php:1549
      • 15. vendor/laravel/framework/src/Illuminate/Routing/Controller.php:54
      • 16. vendor/laravel/framework/src/Illuminate/Routing/ControllerDispatcher.php:43
      • 17. vendor/laravel/framework/src/Illuminate/Routing/Route.php:260
    • select b.banner_link, b.banner_name, b.banner_script, b.banner_remarks, b.banner_file_name, b.banner_placement, bd.content_type, bd.content_id from `tbl_banner` as `b` inner join `tbl_banner_detail` as `bd` on `bd`.`banner_id` = `b`.`banner_id` inner join `users` as `u` on `u`.`id` = `b`.`updated_by` where `b`.`banner_ebook` = 1 and `bd`.`content_type` = 'B' and `bd`.`content_id` = 1945 and `b`.`banner_from_date` <= 1739834387 and `b`.`banner_to_date` >= 1739834387 and `b`.`banner_status` = 'A' order by `b`.`banner_id` desc
      1.1msalphaeurekaselec_live_10_06_2022Banner.php#95
      Bindings
      • 0: 1
      • 1: B
      • 2: 1945
      • 3: 1739834387
      • 4: 1739834387
      • 5: A
      Backtrace
      • 13. app/Models/Banner.php:95
      • 14. app/Http/helpers.php:404
      • 17. vendor/laravel/framework/src/Illuminate/Filesystem/Filesystem.php:124
      • 18. vendor/laravel/framework/src/Illuminate/View/Engines/PhpEngine.php:58
      • 19. vendor/laravel/framework/src/Illuminate/View/Engines/CompilerEngine.php:73
    • select count(*) as aggregate from `uc_cart_products` where cart_id='944e7fbe7c6d2eef2a3d826adbe74156'
      330μsalphaeurekaselec_live_10_06_2022Cart.php#271
      Backtrace
      • 15. app/Models/Cart.php:271
      • 16. view::layouts._header:260
      • 18. vendor/laravel/framework/src/Illuminate/Filesystem/Filesystem.php:124
      • 19. vendor/laravel/framework/src/Illuminate/View/Engines/PhpEngine.php:58
      • 20. vendor/laravel/framework/src/Illuminate/View/Engines/CompilerEngine.php:73
    App\Models\Keywords
    10Keywords.php#?
    App\Models\Chapter
    1Chapter.php#?
    App\Models\Ebook
    1Ebook.php#?
        _token
        fAym6F5dY1V72zH07UIKzKZpXpdzMs2pavFX3yV9
        uc_cart_id
        944e7fbe7c6d2eef2a3d826adbe74156
        _previous
        array:1 [ "url" => "https://alpha.eurekaselect.com/chapter/9912" ]
        _flash
        array:2 [ "old" => [] "new" => [] ]
        PHPDEBUGBAR_STACK_DATA
        []
        path_info
        /chapter/9912
        status_code
        200
        
        status_text
        OK
        format
        html
        content_type
        text/html; charset=UTF-8
        request_query
        []
        
        request_request
        []
        
        request_headers
        0 of 0
        array:17 [ "x-https" => array:1 [ 0 => "1" ] "host" => array:1 [ 0 => "alpha.eurekaselect.com" ] "priority" => array:1 [ 0 => "u=0, i" ] "cookie" => array:1 [ 0 => "wayfindertarget=eyJpdiI6IjFXaURVQytUNDBxY3hXaS9WbXhQanc9PSIsInZhbHVlIjoiTEg2aXdBZWE0bndHczVwSSt2UGYxbUcxK2c1T3JsVEZwTGxNdjlHcytFQT0iLCJtYWMiOiI5OTQ1ZmJmYWY4OTEwM2JjYjIyNmQ2ZWQ5NTg5NTNjNjMyOWI3N2M3ZWQxMWY4YjNkM2VhMGFhMDk5NjIwOWE4IiwidGFnIjoiIn0%3D; XSRF-TOKEN=eyJpdiI6IkZTRkE0QzhmcFpSWGtHSmY5V1Jkdnc9PSIsInZhbHVlIjoiWm1kRU9raGxuMHR6MlViVzlPUms1dEliZDdIVmZQaVhGVW0zdTcwRXpDN3RNTGg5QTQwQ29ZSEhTOHNVSGpTcEFOekdZWkRPditybTEwNUgwM1RGS0l1aVp1dDVnQ3IrVDJzMjg5bGU1cFJtU0g5N3JYWFBsL3QxMUNBSjZBS3IiLCJtYWMiOiJhN2FiMmEyZWU1YTA5MDU3MTBlNzg0YzI1MmUzMmMzMmRkYzk2MGQ2NWU3ZTQ5MzJiZDFmNTk2ODRmMGUxYzE5IiwidGFnIjoiIn0%3D; alphaeurekaselectnet_session=eyJpdiI6IkJmc3BhQzZIR1MrZDFUcGp5MHVHcHc9PSIsInZhbHVlIjoiSTByWU42WUVTRzBGVmRCVE9qSEVwWGFIYUFic2pOTzNCRnMvQUFVdGdzOUx0UGVPTU8yQUhONzJvdWNCRHRvblc2SXJ2aytIbzU2emFYMDVjMmRqT3R0R2c1Zjc5cUszT2ZZSXVqTlU3NTk3MmdoUWVhY01DS2xwa0I2R3NuVFEiLCJtYWMiOiJmZTg2ZDRhZWRjMzMwN2ExMTI4MjVkZDBlMzVlNDAwNjE2YWJmNjI4Mzk4ZTQxNjdjMGMxNTg1NTlkZmVkNjc4IiwidGFnIjoiIn0%3Dwayfindertarget=eyJpdiI6IjFXaURVQytUNDBxY3hXaS9WbXhQanc9PSIsInZhbHVlIjoiTEg2aXdBZWE0bndHczVwSSt2UGYxbUcxK2c1T3JsVEZwTGxNdjlHcytFQT0iLCJtYWMiOiI5OTQ1ZmJmYWY4OTEw" ] "accept-encoding" => array:1 [ 0 => "gzip, deflate, br, zstd" ] "sec-fetch-dest" => array:1 [ 0 => "document" ] "sec-fetch-user" => array:1 [ 0 => "?1" ] "sec-fetch-mode" => array:1 [ 0 => "navigate" ] "sec-fetch-site" => array:1 [ 0 => "none" ] "accept" => array:1 [ 0 => "text/html,application/xhtml+xml,application/xml;q=0.9,image/avif,image/webp,image/apng,*/*;q=0.8,application/signed-exchange;v=b3;q=0.7" ] "user-agent" => array:1 [ 0 => "Mozilla/5.0 AppleWebKit/537.36 (KHTML, like Gecko; compatible; ClaudeBot/1.0; +claudebot@anthropic.com)" ] "upgrade-insecure-requests" => array:1 [ 0 => "1" ] "sec-ch-ua-platform" => array:1 [ 0 => ""Windows"" ] "sec-ch-ua-mobile" => array:1 [ 0 => "?0" ] "sec-ch-ua" => array:1 [ 0 => ""HeadlessChrome";v="129", "Not=A?Brand";v="8", "Chromium";v="129"" ] "cache-control" => array:1 [ 0 => "no-cache" ] "pragma" => array:1 [ 0 => "no-cache" ] ]
        request_cookies
        0 of 0
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        response_headers
        0 of 0
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        session_attributes
        0 of 0
        array:5 [ "_token" => "fAym6F5dY1V72zH07UIKzKZpXpdzMs2pavFX3yV9" "uc_cart_id" => "944e7fbe7c6d2eef2a3d826adbe74156" "_previous" => array:1 [ "url" => "https://alpha.eurekaselect.com/chapter/9912" ] "_flash" => array:2 [ "old" => [] "new" => [] ] "PHPDEBUGBAR_STACK_DATA" => [] ]
        ClearShow all
        Date ↕MethodURLData
        #12025-02-17 23:19:47GET/chapter/99121121912