Book contents
- Frontmatter
- Contents
- List of contributors
- Preface
- Part I Introduction
- Part II Summary of treatment modalities in psychiatric disorders
- Part III Specific treatments
- 9 Delirium
- 10 Management of behavioural and psychological symptoms of dementia and acquired brain injury
- 11 Dementia: pharmacological and non-pharmacological treatments and guideline review
- 12 Pharmacological treatment of psychosis and depression in neurological disease in older adults
- 13 Psychological treatments of alcohol use disorders
- 14 Pharmacotherapy of alcohol misuse, dependence and withdrawal
- 15 Educational interventions for alcohol use disorders
- 16 Complex interventions for alcohol use disorders
- 17 Complementary and alternative medicine for alcohol misuse
- 18 Empirically validated psychological therapies for drug dependence
- 19 Treatment of stimulant dependence
- 20 Treatment of opioid dependence
- 21 Treatment of sedative-hypnotic dependence
- 22 Treatment of cannabis dependence
- 23 Treatment of nicotine dependence
- 24 Treatment of co-occurring psychiatric and substance use disorders
- 25 Pharmacological treatments for schizophrenia
- 26 Psychosocial and pharmacological treatments for schizophrenia
- 27 Psychopharmacology of mood disorders
- 28 Efficacy of brain stimulation and neurosurgical procedures for treatment of mood disorders
- 29 Psychotherapy for depression: current empirical status and future directions
- 30 Alternative therapies for mood disorders
- 31 Treatment of generalised anxiety and somatoform disorders
- 32 Panic disorder
- 33 Specific phobias and agoraphobia
- 34 Social phobia
- 35 Obsessive-compulsive disorder
- 36 Post-traumatic stress disorders and adjustment disorders
- 37 Psychopharmacology of eating disorders
- 38 Other somatic physical treatments and complex interventions for eating disorders
- 39 Psychological treatments for eating disorders
- 40 Educational interventions for eating disorders
- 41 Alternative treatments for eating disorders
- 42 Complex treatments for eating disorders
- 43 Personality disorder
- 44 Other treatments for persistent disturbances of behaviour
- 45 Effectiveness of treatments of sexual disorders
- 46 Disorders of gender identity
- 47 Psychological treatments for children and adolescents
- 48 Drugs and other physical treatments
- 49 Educational interventions and alternative treatments
- 50 Attachment insecurity and attachment disorder
- 51 Feeding and sleeping disorders in infancy and early childhood
- 52 Evaluating interventions for children with autism and intellectual disabilities
- 53 ADHD and hyperkinetic disorder
- 54 Oppositional defiant disorder and conduct disorder
- 55 Treatment of depressive disorders in children and adolescents
- 56 Treatment of psychoses in children and adolescents
- 57 Anxiety disorders
- 58 Treatment of eating disorders in children and adolescents
- Appendix I Summary of specific drugs having evidence of effectiveness in mental disorders
- Appendix II Key to effectiveness tables
- Index
- References
18 - Empirically validated psychological therapies for drug dependence
from Part III - Specific treatments
Published online by Cambridge University Press: 12 May 2010
- Frontmatter
- Contents
- List of contributors
- Preface
- Part I Introduction
- Part II Summary of treatment modalities in psychiatric disorders
- Part III Specific treatments
- 9 Delirium
- 10 Management of behavioural and psychological symptoms of dementia and acquired brain injury
- 11 Dementia: pharmacological and non-pharmacological treatments and guideline review
- 12 Pharmacological treatment of psychosis and depression in neurological disease in older adults
- 13 Psychological treatments of alcohol use disorders
- 14 Pharmacotherapy of alcohol misuse, dependence and withdrawal
- 15 Educational interventions for alcohol use disorders
- 16 Complex interventions for alcohol use disorders
- 17 Complementary and alternative medicine for alcohol misuse
- 18 Empirically validated psychological therapies for drug dependence
- 19 Treatment of stimulant dependence
- 20 Treatment of opioid dependence
- 21 Treatment of sedative-hypnotic dependence
- 22 Treatment of cannabis dependence
- 23 Treatment of nicotine dependence
- 24 Treatment of co-occurring psychiatric and substance use disorders
- 25 Pharmacological treatments for schizophrenia
- 26 Psychosocial and pharmacological treatments for schizophrenia
- 27 Psychopharmacology of mood disorders
- 28 Efficacy of brain stimulation and neurosurgical procedures for treatment of mood disorders
- 29 Psychotherapy for depression: current empirical status and future directions
- 30 Alternative therapies for mood disorders
- 31 Treatment of generalised anxiety and somatoform disorders
- 32 Panic disorder
- 33 Specific phobias and agoraphobia
- 34 Social phobia
- 35 Obsessive-compulsive disorder
- 36 Post-traumatic stress disorders and adjustment disorders
- 37 Psychopharmacology of eating disorders
- 38 Other somatic physical treatments and complex interventions for eating disorders
- 39 Psychological treatments for eating disorders
- 40 Educational interventions for eating disorders
- 41 Alternative treatments for eating disorders
- 42 Complex treatments for eating disorders
- 43 Personality disorder
- 44 Other treatments for persistent disturbances of behaviour
- 45 Effectiveness of treatments of sexual disorders
- 46 Disorders of gender identity
- 47 Psychological treatments for children and adolescents
- 48 Drugs and other physical treatments
- 49 Educational interventions and alternative treatments
- 50 Attachment insecurity and attachment disorder
- 51 Feeding and sleeping disorders in infancy and early childhood
- 52 Evaluating interventions for children with autism and intellectual disabilities
- 53 ADHD and hyperkinetic disorder
- 54 Oppositional defiant disorder and conduct disorder
- 55 Treatment of depressive disorders in children and adolescents
- 56 Treatment of psychoses in children and adolescents
- 57 Anxiety disorders
- 58 Treatment of eating disorders in children and adolescents
- Appendix I Summary of specific drugs having evidence of effectiveness in mental disorders
- Appendix II Key to effectiveness tables
- Index
- References
Summary
Editors' note
This chapter reviews empirically validated psychological therapies for adults with substance use problems. There is not a corresponding chapter in this section for psychopharmacologic treatment for substance dependence because psychopharmacology in these disorders is much more limited and may be substance class specific. Psychopharmacologic approaches are covered in the chapters on the specific disorders, while the psychological therapies, almost all of which fall into the broader psychological therapy categories, can extend across the classes of substances that are frequently misused. CBT, especially when accompanied by contingency management, is effective in cocaine and opioid dependence, while CBT alone is effective in cocaine and cannabis abuse. Contingency management with vouchers may also, by itself, be effective in cocaine and opioid abuse as well. Behavioral couples therapy appears to be effective in reducing opioid and cocaine use. Motivational interviewing appears effective in alcohol or cannabis misuse in adults. Other forms of psychological/psychosocial therapy may be effective for other types of substance misuse, but the empirical evidence is not as strong. Often these interventions are combined with some psychopharmacologic intervention that has been shown to reduce, in some instances, craving for the particular substance. Sections of this chapter are adapted from Carroll, 2000; Carroll & Onken, 2005, McGovern & Carroll, 2003, and Rounsaville & Carroll, 1997, and are used here with permission.
Introduction
During the past 10–15 years, tremendous gains have been made in the development of effective psychological therapies for drug abuse and dependence for adults.
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- Cambridge Textbook of Effective Treatments in Psychiatry , pp. 351 - 368Publisher: Cambridge University PressPrint publication year: 2008