Module 3

Question 1

There are four ways in which medication can help treat addictions. What are they?

Answer 1

1. Helping detoxification.
2. Aversive drugs.
3. Anti-craving medication.
4. Preservation treatment.

Question 2

What are core assumptions of all CBTs?

Answer 2

1. Behavior is learned and can be unlearned.
2. Therapeutic alliance: necessary but not enough for change.
3. Focus on the present.
4. Client becomes therapist
5. Guided discovery.
6. Scientist practitioner: hypothesis testing

Question 3

What are common elements in Relapse Prevention?

Answer 3

Developing skills, identifying and preparing for high risk situations, self-efficacy, craving, coping.

Question 4

Cognitive therapy focuses on two types of factors. Which ones?

Answer 4

1. Proximal situational factors: immediate triggers for use.
2. Distal background factors: vulnerability providers.

Question 5

What are variations of CBT used for SUD, that keep in consideration that SUD patients might be unable to undergo intensive treatment right away?

Answer 5

Brief CBT (focused on RP and coping skills) and low intensity CBT.

Question 6

There are three modalities of though- and belief-based interventions. What are they?

Answer 6

1. Analyzing approach: identifying thoughts/beliefs
2. Challenging approach: challenging unhelpful thoughts/beliefs
3. Accepting approach: acceptance of certain thoughts/beliefs without further action.

Question 7

How does a cost-benefit balance fit into MI?

Answer 7

Asking open questions about benefits of change and disadvantages of continuation.

Question 8

What are the components of MI?

Answer 8

1. Engaging: forming a collaborative alliance
2. Focusing: discussion of goals.
3. Evoking: eliciting client’s reasons for change.
4. Planning: steps towards change.

Question 9

What is decisional balance and how does it differ from MI?

Answer 9

Decisional balance is an interviewing style that explores the reasons for change. Less directive and ambivalence-evoking than MI.

Question 10

What is Acceptance and Commitment Therapy?

Answer 10

A combination of CBT with mindfulness, teaching people to accept urges and substance abuse symptoms.

Question 11

The client’s goals should be formulated SMART. What is that?

Answer 11

Specific, Measurable, Achievable, Realistic, Timely.

Question 12

What are types of self-control measures formulated once goals are set?

Answer 12

1. Stimulus control: avoiding triggers.
2. Stimulus-response prevention: alternative behaviors for risky situations.
3. Response consequences: rewards and ‘punishments’

Question 13

What is the abstinence violation effect?

Answer 13

The tendency to react with guilt and shame to a slip/relapse, which in turn leads to continued use.

Question 14

What are some ways to deal with cravings?

Answer 14

1. Urge surfing.
2. Distraction.
3. Seeking support.
4. Altering thoughts.
5. Practicing substance refusal.
6. Registering use.