Exhibit 8-3. Common Strategies for Psychotherapy in MAT

• Devote part of each session to addressing patients' most recent successes and failures regarding their substance use.
• Adopt a more active therapist role than typically required for co-occurring disorders.
• Strengthen patients' resolve to stop substance use (help them visualize or recall life without drugs to replace memories of enjoyable drug use).
• Teach patients to recognize warning signs of relapse and develop coping skills.
• Support patients' rearranging priorities so that they are not preoccupied with substance use. This might involve their acquiring job skills, developing hobbies, or rebuilding relationships.
• Assist patients in managing painful affects. (From a psychodynamic approach, this involves exploring the causes of such feelings.)
• Help patients enhance interpersonal functioning and social supports so that the rewards of friendship and relationships replace those of substance use.
• Use psychotherapy only after a strong therapeutic alliance has developed with the patient or other supportive structures are in place to guard against relapse.

From: Chapter 8. Approaches to Providing Comprehensive Care and Maximizing Patient Retention

Cover of Medication-Assisted Treatment for Opioid Addiction in Opioid Treatment Programs
Medication-Assisted Treatment for Opioid Addiction in Opioid Treatment Programs.
Treatment Improvement Protocol (TIP) Series, No. 43.
Center for Substance Abuse Treatment.

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