When applied in alcohol addiction and drug addiction treatment, CBT follows a six-phase model that goes as follows:
Phase 1 – Assessment
The assessment phase involves gathering comprehensive information about the individual’s addiction history, patterns of substance use, triggers, and any co-occurring mental health issues.
The therapist and individual work together to identify specific goals for treatment and areas of focus based on the assessment findings.
Phase 2 – Reconceptualisation
In this phase, the individual’s thoughts, beliefs, and attitudes related to addiction are examined and challenged.
The therapist helps the individual reframe their understanding of addiction and its underlying causes, shifting from a mindset of helplessness to one of empowerment and change.
Phase 3 – Skills Acquisition
Skills acquisition involves teaching the individual practical coping skills and strategies to manage cravings, triggers, and high-risk situations for relapse.
The individual learns techniques such as problem-solving, emotion regulation, assertiveness, and refusal skills to cope effectively with challenges encountered during recovery.
Phase 4 – Application Training
During this phase, the individual practices and applies the coping skills learned in therapy to real-life situations.
Role-playing exercises, behavioural experiments, and exposure techniques may be used to simulate challenging situations and reinforce the application of newly acquired skills.
Phase 5 – Generalisation and Maintenance
The focus of this phase is on generalising the skills learned in therapy to a variety of contexts and maintaining progress over time.
The individual continues to practise and refine their coping skills in different situations, building confidence and resilience in their ability to manage cravings and avoid relapse.
Phase 6 – Post-treatment Follow-Up
In the post-treatment follow-up phase, the individual receives ongoing support and monitoring to prevent relapse and maintain long-term recovery.
Follow-up sessions, check-ins, or booster sessions may be scheduled as needed to address any remaining challenges and provide additional support during the transition out of therapy.