DIAGNOSIS: Substance-Use Disorders

TREATMENT: Group Cognitive Behavioral Therapy for Methamphetamine Use Disorders


  • Basic premise: Cognitive-behavioral strategies are based on the theory that in the development of maladaptive behavioral patterns like substance abuse, learning processes play a critical role. Individuals in CBT learn to identify and correct problematic behaviors by applying a range of different skills that can be used to stop drug abuse and to address a range of other problems that often co-occur with it. CBT model asks the client to understand the role that substance abuse plays in the individual’s life, and teaches them relapse coping skills. Craving control is also central to CBT. Clients are taught to recognize the thoughts that are likely directed by substance abuse. It teaches that small decisions, like the decision to avoid certain social networks or environments, could have big implications. Clients are provided with tools to develop problem solving skills, and are taught ways to assertively say no to substances. In the clinical field of methamphetamine use, this approach has been found effective in increasing abstinence rates, as well as the self-efficacy of the client to discontinue use.


Harada, T., Tsutomi, H., Mori, R., & Wilson, D. B. (2018). Cognitive-behavioural treatment for amphetamine-type stimulants (ATS)-use disorders. The Cochrane database of systematic reviews12(12), CD011315.

Jaffe, A., Shoptaw, S., Stein, J., Reback, C.J., & Rotheram-Fuller, E. (2007). Depression ratings, reported sexual risk behaviors, and methamphetamine use: latent growth curve models of positive change among gay and bisexual men in an outpatient treatment program. Exp Clin Psychopharmacol., 15(3), 301–7.

Lee, N. K., & Rawson, R. A. (2008). A systematic review of cognitive and behavioural therapies for methamphetamine dependence. Drug and Alcohol Review, 27, 309-317.

Smout, M. F., Longo, M., Harrison, S., Minniti, R., Wickes, W., & White, J. M. (2010). Psychosocial treatment for methamphetamine use disorders: A preliminary randomized controlled trial of cognitive behavior therapy and acceptance and commitment therapy. Substance Abuse, 31, 98–107.