Addiction Medicine Behavioral Therapies & Counseling Flashcards

Which behavioral therapy for addiction is based on the principle that substance use is a learned behavior that can be unlearned through conditioning techniques?

Answer: Cognitive behavioral therapy (CBT)

Cognitive Behavioral Therapy (CBT) is grounded in social learning theory, targeting maladaptive thoughts and learned behaviors that maintain substance use.

Which of the following is a core principle of Motivational Interviewing (MI)?

Answer: Expressing empathy and rolling with resistance

Motivational Interviewing uses empathic listening and 'rolling with resistance' rather than confrontation to help patients explore and resolve ambivalence about change.

Contingency management (CM) interventions in addiction treatment use which reinforcement strategy?

Answer: Positive reinforcement (e.g., vouchers) for abstinence

Contingency management uses tangible positive reinforcers such as vouchers or prizes to reward verified abstinence, increasing the likelihood of sustained drug-free behavior.

Which stage of the Transtheoretical Model (Stages of Change) describes a patient who is not yet considering changing their substance use?

Answer: Precontemplation

In the precontemplation stage, the individual is not aware of or not considering the need to change their substance use behavior.

The Community Reinforcement Approach (CRA) primarily focuses on which strategy to support abstinence?

Answer: Restructuring the patient's social environment to make abstinence more rewarding than use

CRA restructures the patient's environment and lifestyle so that natural rewards from relationships, work, and recreation become more reinforcing than substance use.

Which counseling approach is the evidence-based foundation of the Matrix Model used in stimulant use disorder treatment?

Answer: Cognitive behavioral therapy combined with family education and 12-step support

The Matrix Model integrates CBT, family education, individual counseling, and 12-step support into a structured outpatient approach, with the strongest evidence base for stimulant use disorders.