Therapies
Cognitive behavioral therapy in Ohio
Structured, skills based therapy for the thoughts and habits that keep substance use and co-occurring depression or anxiety running. Taught in therapy group in partial hospitalization, intensive outpatient, outpatient and virtual IOP, with individual appointments alongside.
- Also called
- CBT
- Where
- Columbus, Dayton
- Admissions
- (614) 665-8878
The CBT method
Cognitive behavioral therapy treats thoughts as claims that can be checked against what happened. A thought like "I already ruined the week, so today does not count" feels like a report on reality. CBT calls those automatic thoughts, and catching them is the first skill taught. Sessions have an agenda and an endpoint: you and the clinician pick a target and work on it with specific tools. Childhood comes up only where it explains a pattern you are living in now.
CBT tools
Most of the work is written, and some of it is practiced out loud.
- Thought record, separating the event from the interpretation you put on it
- Behavioral experiment, testing a prediction you are certain about
- Functional analysis, mapping the hour before a drink and what the drink produced afterward
- Coping skills for stress and cravings, and refusal skills rehearsed in group
- Homework between sessions, where most of the change happens
A CBT group session
Group therapy is the main format here, so most CBT happens with other clients in the room. A session opens with a short check in, then a topic with a worksheet or a whiteboard. At some point you will be asked for a real example from your own week, which most people dislike at first. Communication skills for the conversations at home that tend to go badly are part of the same work.
Conditions CBT treats
CBT has a large research base, and Leora uses it in every outpatient program. The National Institute on Drug Abuse also reports that the skills people learn in CBT tend to last after treatment ends.
- Substance use disorders, listed by the National Institute on Drug Abuse as an evidence based behavioral treatment
- Depression and anxiety disorders, where the American Psychological Association lists CBT as evidence based
- Post traumatic stress disorder, where the American Psychological Association's treatment guideline recommends CBT
- A substance use disorder together with depression or anxiety, treated in one plan by one clinical team
Limits of CBT
CBT is not a cure and it is not fast for everyone. Response varies, and the emphasis that works for one person's drinking may be wrong for the next person's panic attacks. Someone in acute withdrawal or in the first days of severe depression usually gets little out of it, which is why stabilization comes first.
CBT at Leora
- Partial hospitalization
- 5 days a week, about 6 hours a day. 4 hours of therapy group, 1 hour of relapse prevention, 1 hour of nurse education, 1 to 2 individual sessions, lunch provided
- Intensive outpatient
- 3 to 5 days a week, 3 hours of group a day, 9 to 15 hours a week, plus 1 to 2 individual sessions
- Outpatient
- 1 to 2 days a week, 2 hours of group, individual appointments continuing
- Virtual intensive outpatient
- fully remote anywhere in Ohio, with morning, afternoon and evening sessions
- Medication review
- nurse practitioner weekly in partial hospitalization, every 2 to 3 weeks in intensive outpatient and outpatient
- Group leaders
- licensed clinicians holding LCDCIII, LICDC, LSW, LISW, LPC and LPCC credentials
- Getting started
- the assessment sets the level of care, and both facilities welcome walk-ins
Common questions
Is CBT done in a group or one to one at Leora?
Do I have to do homework?
Can CBT treat depression and a substance use disorder at the same time?
How long does CBT take to work?
Is CBT part of virtual IOP?
Where this is offered
Hope inspired
Talk to admissions about the right next step.
Outpatient addiction and mental health treatment in Columbus and Dayton, Ohio, from ambulatory detox to outpatient therapy groups. Walk-ins welcome. Call now, or leave your number and admissions will call you back.
