This counseling style helps resolve ambivalence about change using a collaborative, person-centered approach.
What is Motivational Interviewing
In CBT for SUD, these include “people, places, and things” that increase risk for use.
What are Triggers?
This CBT recovery strategy helps individuals plan for high-risk situations before they occur.
What is recovery planning (formerly relapse prevention)?
This behavioral principle explains why rewards increase the likelihood of abstinence.
What is positive reinforcement?
This ACT principle helps guide behavior by identifying what truly matters to the client.
What are values?
This therapy focuses on identifying and changing negative thought patterns that contribute to substance use.
What is Cognitive Behavioral Therapy
This DBT skill helps clients tolerate distress without turning to substances.
What is distress tolerance?
These four MI processes guide change from relationship-building to action planning.
What are engaging, focusing, evoking, and planning?
This outcome is commonly improved through contingency management, especially in early SUD treatment.
What is treatment retention or engagement?
In ACT for substance use, clients are encouraged to tolerate cravings instead of avoiding them using this core skill.
What is acceptance (or willingness)?
This therapy emphasizes mindfulness and teaches skills to manage intense emotions.
What is Dialectical Behavioral Therapy
In this approach, a negative drug screen may result in receiving this type of reinforcement.
What is a reward or incentive (e.g., voucher, prize)?
This DBT concept encourages acceptance of reality as it is, reducing suffering tied to resistance.
What is radical acceptance?
In contingency management, rewards are only delivered when this type of evidence confirms behavior change.
What is objective evidence (e.g., drug test results or attendance records)?
This ACT process involves taking action toward goals even when uncomfortable thoughts or emotions are present.
What is committed action?
This approach uses rewards or incentives to reinforce nonuse and treatment participation.
What is Contingency Management
These four core skills guide MI conversations.
What is OARS: Open questions, Affirmations, Reflective listening, and Summarizing?
This CBT technique analyzes the relationship between thoughts, feelings, and behaviors related to substance use episodes - looking at short term benefits vs. long term consequences.
What is functional analysis?
This type of CM system allows clients to earn vouchers or prizes with monetary value in exchange for recovery behaviors.
What is voucher-based or prize-based reinforcement?
In ACT, this concept emphasizes that you are not your thoughts, but the observer of them.
What is self-as-context?
This therapy encourages clients to accept difficult thoughts while committing to value-driven behavior change.
What is Acceptance and Commitment Therapy
In ACT, this concept refers to noticing thoughts without getting “stuck” or controlled by them.
What is cognitive defusion?
This skill area focuses on building healthier relationships and setting boundaries.
What is interpersonal effectiveness?
In some programs, rewards increase progressively with continued abstinence—this is called this type of schedule.
What is an escalating reinforcement schedule?
The primary goal of ACT is increasing this ability to stay present and act in alignment with values, even with discomfort.
What is psychological flexibility?