This course(Module) is the first of two courses based on a NIDA developed therapy
manual, CBA-1, for drug addiction. The course is intended for use by drug abuse treatment
practitioners, mental health professionals, and all others concerned with the
treatment of drug addiction.
Cognitive-Behavior coping skills treatment (CBT) is a short-term, focused approach
to helping cocaine-dependent individuals. This course presents an overview, basic
principles, structure and format of sessions, and an initial session of CBT.
Course Goals and Objectives
The goals/objectives of this course are for the student to understand:
• The components of CBT;
• The parameters of CBT;
• The active ingredients of CBT;
• CBT compared to other treatments;
• The basic principles of learned behavior;
• The basic principles of functional analysis;
• The basic principles of skill training;
• The 20/20/20 rule;
• The first, second, and final third of a session;
• How to integrate CBT and medication;
• The goals of the first session;
• The key interventions of the first session;
• How to enhance motivation;
• How to negotiate treatment goals;
• How to present the CBT model;
• How to establish ground rules;
• How to introduce functional analysis.
Cognitive-Behavioral therapy has been used for treatment of a wide variety of
psychological and substance use disorders. The effectiveness of the approach
is supported by hundreds of research studies and investigations. The current
course materials were produced in 1998, but the approach developed into the
“New Wave” of cognitive behavioral therapy and remains very current in its
application. Consequently, the student can remain confident in the efficacy of
the treatment approach in treating substance use disorders. Note the following
McHugh, R.K.(2010). Cognitive behavioral therapy for substance use disorders.
Psychiatric Clinics of North America, Vol 33, pp. 511-525.
Tolin, D.F. (2010). Is cognitive-behavior therapy more effective than other therapies?:
A meta-analytic review. Clinical Psychology Review, Vol 30, pp. 710-720.
Callaghan, R., Taylor, L., Victor, J.C. & Lentz, T. (2007). A case comparison of
readmission patterns between primary methamphetamine-using and primary cocaine-
using adolescents engaged in inpatient substance abuse treatment. Addictive
Behaviors, Vol 32, pp. 3101-3106.