The aspect of using drugs and substance use



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Table of Contents

Introduction. 2

CBT theory (justification). 2

Conclusion on CBT. 2

Reflection. 2

Reference List. 3





The present assessment would attempt to consider the behavioural disorder of using drugs and illicit substances something that has been considerably ruining the health of individuals and impacting the physical and as well as the mental health of individuals. Use of CBT or cognitive behavioural therapy would be showcased with its effective application and the study would also attempt to assess how the application of CBT is able to provide psychotherapeutic treatments to effectively help the affected individuals to identify the recurring behavioural patterns and change them accordingly (Tovote et al. 2015). The aspect of negative impacts of the behavioural habits and its effect on their emotions and how detrimental it could possibly be are some of the most relevant aspect of the overall discussion (Shah et al. 2013). CBT primarily focuses on altering the automatic negative thoughts and how it could possibly contribute to the developments of depression, anxiety and difficulties and how the spontaneous flow of all these emotions could be so effective and detrimental to the overall mental and physical health of the affected individuals are an essential section of the study assessment. Use of 5P’s model of formulations would be the most suitable in implementing CBT to effectively break the behavioural patterns of drugs or substance abuse effectively (Reggente et al. 2018).

CBT theory (justification)

Centring on identifying and changing that distorted thinking patterns, CBT is able to recognise emotional responses and emotionally driven behaviours and then bring effective changes accordingly. By identifying the thoughts patterns effectively, CBT is able to have a concentrated focus on a wide state of strategies to help the effected individuals with substance abuse behavioural disorders to overcome the thoughts that perpetuate hat actions (Munder et al. 2019). The thinking pattern that orchestrates the overall development of bad behavioural pattern and also acting on the same would be recognised with the involvement of the CBT and that would help improve the state of developments efficiently. Several roles that are usually being played in the developments of the CBT, use of relaxation techniques, and also mental distractions that are being developed with the essential improvements as well (Hartmann et al. 2017). The aspect if introspecting the bad behavioural pattern is difficult for especially those who are in fact affected by it, therefore self-discovery becomes easier with the involvement of CBT and with that the maladaptive behaviours could also possibly be altered. The aspect of self-discovery is generally the last destination where the involvement of CBT brings the effected individuals to and with that it allows them to have useful insights, something that functions as an essential aspect of the overall treatment process (Grave et al. 2013). Developing the ability of practicing new skills could be useful for instance for someone who is struggling with substance or drug abuse could possibly use new coping skills and rehearse to avoid any social situations that could possibly trigger them into relapses.

Having goal-setting could possibly help the person recovering have some significant changes in their lives. Having pre-determined goals generally works as a guideline something that help the person to get monitored and guided by (Chopin et al. 2016). By identifying the goals while learning how to distinguish between short and long-term goals, therapist could help the effected individuals to achieve those goals one by one and motivate them to set some new goals to eventually have better outcomes than they have received previously (Brettschneider et al. 2015). With the involvements of CBT, the aspect of problem-solving skills could possibly be beneficial and with that the effected individuals with the disorder could possibly entity the problems and solve team accordingly, something that would result in the reduction of the negative impacts that it generally used to have (Schmidt et al. 2015).

Conclusion on CBT

The aspect of using drugs and substance use is generally a recurring behavioural problem that affect the health of the individuals, especially amongst the youths. Involvement of the CBT could possibly be effective as it helps build as overall developments and would also help build certain aspects of self-discovery that leads the affected individuals toward a self-introspecting development and potentially help them self-monitor efficiently (Blease, 2015). With the aspect of gaining new insights, it allows the individuals to effectively deal with their future relapses and with the skills like goals setting and problem-solving skills they get to develop the habit of avoiding  maladaptive behaviours and also possibly get to avoid situations that could possibly bring them back to where they were before they started with the treatments (Yoshinaga et al. 2016). Use of 5P’s of formulation would help them conceptualise their problems, especially for the therapist and then effectively look into their problems with much more depth. The 5P’s model of formulation have five elements and they are presenting problems, redisposing factors, precipitating factors, perpetuating factors and protective factors. With the 5P’s model of formulation, the aspect of CBT would be able to include the environmental consideration and the presentation of the problems become possibly convenient (Wise, 2017). The precipitating factors are generally the use and misuse and the overall resulting difficulties with the aspect of substance abuse become much revealed to the therapist and use of perpetuating factors such as reinforcing client’s substance used and their misuse impact where the involvement systematic and clear approach of the 5P’s of formulation framework provide. A wide range of opportunities in terms of inventions and strategies (Tutus et al. 2017).

The different set of interventions and the strategies that have been targeted to these specific patients/clients who are affected with the habit if substance or drugs abuse receive a wide range of possible insights and acquires opportunities with the involvement of the CBT (Tovote et al. 2015). Variation of substances, the levels of usages and functional impairments that could possibly an outcome of the mentioned action, or even co-occurrence with the mental disorders, the ideographically based framework such as the 5P’s model of formulations could possibly be an ideal to way to conduct the assessment for the involvement of CBT. A simultaneous assessment and interventions become possible with the involvement of 5Ps and also allows the client to acquire individualisation and different use of strategies and varied methods and assessments become much easier with the current framework (Shah et al. 2013). Looking at the clients individually and holistically allows the therapist to really get invested into the client in an improved manner, something that makes the framework much ideographical and that way that use of formulation could possibly be much more useful and effective especially in the complicated areas. The systematic approach while allowing the therapist and the clients to be much more flexible and as well as creative allows for the outpatient to use the framework other than just the inpatient, or patients in residential setting or even could possibly be used in aftercare programs (Reggente et al. 2018).


CBT allows both the therapist and the client to effectively identify the recurring negative behavioural thinking pattern, something that allows the patient to effectively identify and then bring changes accordingly (Munder et al. 2019). It also allows the patient to have an effective comprehension overall and get an overwhelming amount of insights something that allows the patient to effectively create an overall development to create a better and developmental analysis of their behavioural developments that have been recognised to be detrimental to both their physical and as well as their mental health (Hartmann et al. 2017). By focusing on altering the automatic negative thoughts and CBT could possibly contribute to the developments of depression, anxiety and difficulties and how the spontaneous flow of all these emotions could be so effective and detrimental to the overall mental and physical health of the affected individuals are an essential section of the study assessment (Grave et al. 2013).

In terms of the future practices, using some other methods as the primary interventions and then conducting CBT as the secondary interventions could possibly be executed to effectively analyse how that could change the overall understanding of the behavioural developments and how CBT could be affective as the secondary interventions method instead of being the primary. The formulation framework has not been empirically tested, therefore doing the same could possibly bring out better outcomes (Chopin et al. 2016). These clients use and misuse could possibly be complicated and therefore, the aspect of reducing the complications of the 5P’s formulations model and its implementation with CBT treatments could help the overall therapeutic treatment to get effectively improved and have better outcomes. Some clients could possibly not be ready to discuss all the aspects of the 5Ps and therefore having an effective involvement of the clients and then not having to use CBT as the primary intervention method could reduce the stressful aspect of the treatments overfill (Brettschneider et al. 2015).

Use of therapy is good, but a combination of therapy could possibly be an effective use of providing better treatments something that is responsible for an overall improved sense of treatments. For instances family therapy or self-help group therapies or even CBT- use of these as a combination could possibly be utilised to have an effective outcome (Schmidt et al. 2015). Use of variety settings such as primary care clinic, inpatient or even residential treatment centres or even community mental health agencies could possibly be used and therefore have a much better health outcome, accordingly. Use of holistic frameworks such as the 5Ps would help even the novice clinicians and despite them having a limited repertoire of strategies they could possibly be improving their overall treatment and therapy process to have consistently better health outcomes (Blease, 2015).

Reference List

Blease, C. 2015. Talking more about talking cures: Cognitive behavioural therapy and informed consent. Journal of Medical Ethics, 41(9), 750-755. Moschen, R., Riedl, D., Schmidt, A., Kumnig, M., Bliem, H., and Rumpold, G. 2015. The Development of Acceptance of Chronic Tinnitus in the Course of a Cognitive-Behavioral Group Therapy. Zeitschrift Für Psychosomatische Medizin Und Psychotherapie, 61(3), 238-246.

Brettschneider, C., Djadran, H., Härter, M., Löwe, B., Riedel-Heller, S., and König, H. 2015. Cost-Utility Analyses of Cognitive-Behavioural Therapy of Depression: A Systematic Review. Psychotherapy and Psychosomatics, 84(1), 6-21.

Chopin, M., Peretti, C., Gisquet-Verrier, P., Hoffmann, C., Belaïd, A., and Chouinard, G. 2016. Cocaine Use Disorder Treated with Specific Cognitive Behavioral Therapy and Adjunctive Propranolol. Psychotherapy and Psychosomatics, 85(1), 61-63.

Grave, R., Calugi, S., Conti, M., Doll, H., and Fairburn, C. 2013. Inpatient Cognitive Behaviour Therapy for Anorexia Nervosa: A Randomized Controlled Trial. Psychotherapy and Psychosomatics, 82(6), 390-398.

Hartmann, J., McGorry, P., Schmidt, S., Amminger, G., Yuen, H., Markulev, C., . . . Nelson, B. 2017. Opening the Black Box of Cognitive-Behavioural Case Management in Clients with Ultra-High Risk for Psychosis. Psychotherapy and Psychosomatics, 86(5), 292-299.

Munder, T., Karcher, A., Yadikar, Ö, Szeles, T., and Gumz, A. 2019. Focusing on Patients’ Existing Resources and Strengths in Cognitive-Behavioral Therapy and Psychodynamic Therapy: A Systematic Review and Meta-Analysis. Zeitschrift Für Psychosomatische Medizin Und Psychotherapie, 65(2), 144-161.

Reggente, N., Moody, T., Morfini, F., Sheen, C., Rissman, J., O’Neill, J., and Feusner, J. 2018. Multivariate resting-state functional connectivity predicts response to cognitive behavioral therapy in obsessive–compulsive disorder. Proceedings of the National Academy of Sciences of the United States of America, 115(9), 2222-2227.

Shah, A., Scogin, F., Presnell, A., Morthland, M., and Kaufman, A. 2013. Social Workers as Research Psychotherapists in an Investigation of Cognitive-Behavioral Therapy among Rural Older Adults. Social Work Research, 37(2), 137-145.

Tovote, K., Schroevers, M., Snippe, E., Sanderman, R., Links, T., Emmelkamp, P., and Fleer, J. 2015. Long-Term Effects of Individual Mindfulness-Based Cognitive Therapy and Cognitive Behavior Therapy for Depressive Symptoms in Patients with Diabetes: A Randomized Trial. Psychotherapy and Psychosomatics, 84(3), 186-187.

Tutus, D., Pfeiffer, E., Rosner, R., Sachser, C., and Goldbeck, L. 2017. Sustainability of Treatment Effects of Trauma-Focused Cognitive-Behavioral Therapy for Children and Adolescents: Findings from 6- and 12-Month Follow-Ups. Psychotherapy and Psychosomatics, 86(6), 379-381.

Wise, J. 2017. CBT can benefit patients with severe depression, say researchers. BMJ: British Medical Journal, 356.

Yoshinaga, N., Matsuki, S., Niitsu, T., Sato, Y., Tanaka, M., Ibuki, H., . . . Shimizu, E. 2016. Cognitive Behavioral Therapy for Patients with Social Anxiety Disorder Who Remain Symptomatic following Antidepressant Treatment: A Randomized, Assessor-Blinded, Controlled Trial. Psychotherapy and Psychosomatics, 85(4), 208-217.


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