Can cognitive behavioural therapy help with addiction, substance abuse?

New Delhi: Addiction affects a large amount of individuals all across the globe. The cycle of dependence not only affects the person struggling with substance use but also their near and dear ones. Addiction was traditionally observed as a mere physical dependency on substances, however, we now understand it as a complex disease that intertwines physical, psychological, as well as emotional factors. We need to acknowledge that addiction to substances is not just a matter of willpower or morality. It can be influenced by genetic predispositions, environmental stressors, past traumas, as well as untreated mental health issues. Oftentimes, substance use begins as a way to cope with underlying issues, such as ongoing stress, anxiety, depression, or post-traumatic stress disorder (PTSD) etc. Substances tend to provide temporary relief, but in the long run, they ultimately exacerbate issues, creating a self-perpetuating cycle of dependence and significant emotional struggle.

In an interaction with News9Live, Ashi Tomar, Senior Psychologist, at Veda Rehabilitation & Wellness, spoke about the importance of therapy for patients of addiction, and substance abuse.

Many individuals who battle addiction experience shame, guilt, and self-criticism, which can deepen feelings of isolation and drive them further into substance use. Effective addiction treatment thus requires a compassionate approach that addresses both the physical cravings and the emotional and mental struggles that individuals experience with substance abuse.

Mental health therapy can play a significant role in providing mental health support for addiction. Evidence-based therapies, such as Cognitive Behavioral Therapy (CBT) and Dialectical Behavioral Therapy (DBT), are useful in addiction recovery by helping individuals recognise, understand, and challenge negative thought patterns that contribute to their substance use.

  1. Cognitive Behavioral Therapy (CBT): CBT works by helping individuals identify triggers that may be contributing toward substance use, recognize harmful thoughts, and replace them with healthier alternatives.
  2. Dialectical Behavioral Therapy (DBT): DBT is particularly effective for people who experience intense emotions or engage in self-destructive behaviors, as it focuses on emotional regulation, distress tolerance, mindfulness, and interpersonal skills.

In addition to traditional therapies, more addiction recovery programs are incorporating holistic and alternative therapies, such as art therapy, sound therapy, mindfulness practices, yoga, reiki, etc. These methods are employed by luxury rehabilitation centers to help individuals reconnect with themselves, rebuild self-confidence, and discover healthier ways to cope with emotions and break the cycle of addiction and dependence. A team of professionals such as Psychiatrists, Psychologists, and Alternative Therapists can collaboratively provide effective positive support for addiction recovery.

Often individuals struggling with substance use also experience co-occurring mental health issues, such as depression, anxiety, traumas, etc. In cases of Dual diagnosis – where both addiction and a mental health disorder are present, treatment is most effective when it also addresses these co-occurring disorders. Untreated mental health issues can increase the risk of relapsing and falling into the cycle of substance use.

Apart from professional support, a person with addiction may benefit from strong social support. Family members, friends, and community support can play a vital role in their recovery. Programs that include family therapy and psychoeducation help loved ones understand the nature of addiction, address their emotional responses, and learn how to best support their family member in recovery.

Many people hesitate to reach out for support due to fears of judgment or rejection as addiction may be viewed as a moral failing. Public awareness campaigns, education, awareness through social media platforms, and open conversations about addiction are essential to shift societal views and reduce stigma. By creating a more compassionate and accepting environment, society can encourage more people to seek the help they need without feeling ashamed.

Technology has made addiction treatment and mental health support more accessible than ever. Virtual platforms, apps, and telemedicine options provide people with immediate access to counseling, therapy, and support networks, which can be invaluable for those in remote areas or for those who prefer the privacy of online treatment.

Breaking free from addiction is challenging, but with compassionate, comprehensive mental health support, it is entirely possible. With the growing acceptance of mental health support for addiction and the advent of new technologies making help more accessible, there is hope for anyone struggling with substance use to find a pathway to recovery, reclaim their life, and reconnect with a healthier, more fulfilling future.

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