CBT diamond
thoughts, feelings, behaviors
Recognize situations, thoughts or emotions that trigger cravings or substance use
Identify triggers
Learn structured methods to tackle everyday problems
Problem solving skills
Promotes healthy routines and habits, helping individuals replace substance use with positive activities.
Behavior change
Your interpretation of a situation determines how you feel, not the situation itself
Thoughts shape emotions
Current problems and difficulties rather than focusing extensively on the past
Focus on the present
"I can't cope without using"
Unhelpful thoughts
Structured specific goals
Goal oriented
More aware of thought patterns and emotional triggers, gain better control over their behaviors and decisions.
Self-awareness and self-control
Your thoughts motivate of block action - avoidance.
Thoughts influence behaviors
Recognize and challenge distorted or automatic negative thoughts
Practice tools to manage cravings, stress, anxiety or depression w/o turning to substances
Building coping skills
Therapist and individual work together actively
Collaborative
Focusing on sustained change, creating resilience to manage future challenges without relapse.
Promotes long term recovery
Inaccurate interpretations - ANTs
Distorted thoughts
Teaches how to replace irrational or unhelpful thoughts
Cognitive Restructuring
Deeper problems like trauma, low self-esteem, or anxiety
Underlying issues
Practice outside of sessions - thought logs, behavior experiments, activity schedules
Homework assignments
Addiction coexisting with anxiety, depression, PTSD.
Co-occurring disorders
Changing how you think, your emotions become less intense, feel more in control.
Challenging thoughts
Encourages engagement to enjoyable or meaningful activities to improve mood
Behavior Activation
Learning strategies like urge surfing, problem solving, and refusal skills
Prevent relapse
Extensively researched and is effective for a wide range of mental health conditions
Evidence based practice
Rebuild confidence by setting small, achievable goals, reinforcing beliefs.
Self-Efficacy
What ate the 3Cs of CBT
Catch it, Check it, Change it