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Cognitive Behavioral Therapy (CBT)

Learn practical techniques to challenge unhelpful thoughts and build healthier patterns. These evidence-based tools help you develop skills for lasting recovery.

What is CBT?

Cognitive Behavioral Therapy is a practical, goal-oriented approach that helps you identify and change destructive thought patterns that negatively influence behavior and emotions. In addiction recovery, CBT helps you recognize triggers, develop coping strategies, and build healthier thinking patterns.

Identify

Recognize negative thoughts and behaviors that fuel addiction

Challenge

Question and reframe distorted thinking patterns

Replace

Develop healthier thoughts and coping strategies

Common Cognitive Distortions in Addiction
Recognizing these thinking patterns is the first step to changing them

All-or-Nothing Thinking

Seeing things in black and white categories. If your performance falls short of perfect, you see yourself as a total failure.

Example: "If I relapse once, I've completely failed at recovery."

Overgeneralization

Seeing a single negative event as a never-ending pattern of defeat.

Example: "I couldn't resist a craving today. I'll never be able to stay sober."

Mental Filter

Picking out a single negative detail and dwelling on it exclusively.

Example: "I had 29 good days this month, but all I can think about is the one bad day."

Disqualifying the Positive

Rejecting positive experiences by insisting they "don't count" for some reason.

Example: "I only stayed sober today because I was busy. It doesn't really count."

Jumping to Conclusions

Making negative interpretations without actual evidence. Includes mind reading and fortune telling.

Example: "Everyone at the meeting thinks I'm weak for relapsing."

Magnification or Minimization

Exaggerating the importance of negative things while minimizing positives.

Example: "My slip-up is catastrophic, but my six months of sobriety before that was nothing special."

CBT Exercises for Recovery

Thought Challenging Worksheet
Identify and challenge negative automatic thoughts that trigger cravings or negative emotions.
15-20 minutes
beginner

Category: Cognitive Restructuring

Activity Scheduling
Plan enjoyable and meaningful activities to improve mood and reduce idle time that could lead to cravings.
10-15 minutes
beginner

Category: Behavioral Activation

Pros and Cons Analysis
Weigh the advantages and disadvantages of using substances versus staying sober.
20-30 minutes
beginner

Category: Decision Making

Trigger Identification Map
Map out your personal triggers and develop coping strategies for each.
25-30 minutes
intermediate

Category: Relapse Prevention

Quick CBT Tips for Recovery
Thoughts

Your thoughts are not facts. They are mental events that you can observe and question.

Cravings

Cravings are temporary. Most peak within 20-30 minutes. You can outlast them.

Emotions

Emotions are like weather - they come and go. You don't have to act on every feeling.

Behavior

Action drives motivation, not the other way around. Start small and motivation will follow.

Recovery

Progress, not perfection. Every positive choice strengthens your recovery.

Relapse Prevention

A lapse doesn't have to become a relapse. Get back on track immediately.

Self-Talk

Talk to yourself like you would to a good friend - with compassion and encouragement.

Coping

HALT: Check if you're Hungry, Angry, Lonely, or Tired when cravings hit.

Learn More About CBT

Recommended Reading

  • • Feeling Good by David Burns
  • • Mind Over Mood by Greenberger & Padesky
  • • The CBT Workbook for Addiction
  • • Cognitive Therapy of Substance Abuse

Online Resources

  • • Beck Institute for Cognitive Therapy
  • • Association for Behavioral and Cognitive Therapies
  • • SMART Recovery (CBT-based program)
  • • Psychology Tools worksheets

Note: While these exercises are helpful, they work best when combined with professional therapy and a comprehensive recovery program. Consider working with a therapist trained in CBT for addiction.

Ready to Start?

Begin with a simple thought record to track your thinking patterns