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    North Edinburgh Drug and Alcohol Centre

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Therapies

Different types of therapies for people with substance misuse and mental health issues

What are the diferent types of therapies?


There are several types of therapy available for people dealing with substance use  and mental health issues. These therapies can be used alone or in combination, depending on the individual's needs and preferences. Here are some common types:


  • Cognitive Behavioral Therapy (CBT): CBT is a widely used therapeutic approach that helps individuals identify and change negative thought patterns and behaviors. It is effective for treating both substance use disorders and various mental health issues such as depression and anxiety.

  • Dialectical Behavior Therapy (DBT): DBT combines cognitive-behavioral techniques with concepts of mindfulness and acceptance. It is particularly helpful for individuals with co-occurring substance use and emotional regulation difficulties, such as borderline personality disorder.

  • Motivational Interviewing (MI): MI is a client-centered approach focused on exploring and resolving ambivalence about change. It is often used to enhance motivation for behavior change, including reducing substance use.

  • Contingency Management (CM): CM is a behavioral therapy that provides tangible rewards or incentives to reinforce positive behaviors, such as abstinence from drugs or attendance at therapy sessions.

  • 12-Step Facilitation Therapy: This approach is based on the principles of Alcoholics Anonymous (AA) and similar programs. It involves attending support group meetings and working through the 12 steps to achieve and maintain sobriety.

  • Family Therapy: Family therapy involves working with family members to address issues related to substance use and mental health within the family system. It can help improve communication, resolve conflicts, and provide support for recovery.

  • Medication-Assisted Treatment (MAT): MAT combines behavioral therapy with medications, such as methadone, buprenorphine, or naltrexone, to treat substance use disorders. These medications can help reduce cravings and withdrawal symptoms and support long-term recovery.

  • Trauma-Informed Therapy: Many individuals with substance use and mental health issues have experienced trauma. Trauma-informed therapy approaches recognize the impact of trauma on a person's life and incorporate strategies to address trauma-related symptoms and promote healing.

  • Holistic Therapies: These include techniques such as yoga, meditation, acupuncture, and art therapy, which can help individuals manage stress, regulate emotions, and improve overall well-being.

  • Peer Support Groups: Peer support groups, such as Alcoholics Anonymous (AA), Narcotics Anonymous (NA), or SMART Recovery, provide a supportive environment where individuals can share their experiences, receive encouragement, and learn from others who have similar struggles.

It's important for individuals with substance use and mental health issues to work with a qualified mental health professional to determine the most appropriate therapy or combination of therapies for their specific needs. Treatment plans should be tailored to address the underlying issues contributing to the person's difficulties and promote long-term recovery and well-being.

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