The Role of Therapy in Recovery


In This Article
Addiction recovery can feel like a never-ending struggle, but there’s hope. Therapy can be a powerful tool that can be your guide on the road to recovery.
Therapy provides a non-judgmental and safe space where you can understand your addiction, develop healthy coping mechanisms, and build a support system to keep you from going back to old habits.
What is the Role of Therapy in Recovery?
Therapy goes beyond just talking. It recognizes the significant connection between your mind and body.
Support groups like Narcotics Anonymous (NA) or Self Management and Recovery Training (SMART) Recovery offer invaluable connections, and therapy can help you get the most out of them.
Let's explore how therapy can empower you to build a life free from addiction.
Mental Benefits of Therapy
Addiction thrives on negative beliefs like "I'm broken" or "This won't ever get better." Therapy helps you spot those lies and replace them with truth.
It also helps you recognize your triggers and develop a plan to manage them. After all, everyone has things that worsen cravings—stress, bad memories, even certain places.
Therapy also helps you address conditions like depression or anxiety, which exist along with addiction. Treating the underlying condition along with addiction is key to lasting recovery.
Emotional Benefits of Recovery
Therapy teaches you to feel difficult emotions and how to let them pass without needing substances to numb out. You may learn mindfulness techniques to stay present, preventing them from controlling you.
Trauma is also a huge risk factor for addiction. Specialized therapies can help you process things from the past that could be sabotaging recovery.
We encourage you to find a therapist you feel comfortable with. They should make you feel safe, even when tackling tough challenges.
Practical Benefits of Recovery
Everyone needs ways to handle stress that doesn't harm them. Therapy helps you find what works for you, like journaling, exercising, or saying, "Hold on a minute" before reacting.
Therapists help you break down overwhelming goals into manageable steps, keeping motivation high. They can also help you plan for tough days so one bad decision doesn't derail everything.
Therapy can also address family dynamics, whether mending relationships or developing healthier communication skills. This can be crucial, as reducing stress is a key factor in preventing relapse.
What Are the Therapeutic Approaches to Recovery?
There are many effective therapies to support recovery. If you’re having trouble finding one that works for you, don’t give up. Keep working with your therapist until you find one or a combination of approaches that work for you.
Finding the right fit is like finding the right hiking boots—different ones work better on different terrain. Here's a guide to some therapeutic approaches to discuss with your therapist:
- Cognitive-Behavioral Therapy (CBT): Psychotherapy (talk therapy) technique that can help you identify the link among thought patterns, feelings, actions, and addiction
- Dialectical Behavior Therapy (DBT): Combines CBT, mindfulness, and intense emotional skills training to help you focus on acceptance and change
- Motivation Interviewing (MI): Focuses on your inner drive to change, which increases engagement in treatment and following behavioral improvements
- Medication-Assisted Treatment (MAT): Sometimes, medication can be a powerful tool in recovery, so your therapist may combine it with therapy for a complete treatment plan
- Contingency Management (CM): This technique uses tangible rewards to reinforce positive behaviors such as abstinence
- Experiential Therapy: From art therapy to adventure therapy, these hands-on approaches offer creative outlets for recovery
- Holistic Therapy: Takes a whole-body view of recovery, using practices like yoga, meditation, and acupuncture
- Family Counseling: Repair relationships and build a strong support system at home
- Biofeedback, and Eye Movement Desensitization and Reprocessing (EMDR): Biofeedback uses sensors to provide real-time feedback on your body's responses, and EMDR helps process traumatic experiences
- VR Therapy: Helps with exposure therapy and relapse prevention
- Neurofeedback Therapy: Uses real-time brainwave feedback to improve self-control and brain function
Which Therapy Approach is the Best?
It depends on your situation and needs. A good therapist tailors the approach to you.
Sometimes you may start with CBT to address immediate problems, then add other techniques. Your therapist may also use DBT upfront if your emotions are your core struggle.
Only a trusted therapist can assess your needs and customize a treatment plan that’s right for you. Be as honest as possible when talking to your therapist.
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The Importance of Family and Couples Therapy in Recovery
Recovery is about the entire family. Your whole support system can be affected, and that system can have a massive impact on your success.
By learning about addiction and recovery, your loved ones can move from feeling helpless to becoming active partners in healing.
Therapy can give everyone tools to listen supportively, express needs clearly, and navigate conflicts constructively.
A compassionate and understanding environment is necessary for your recovery. When your loved ones are informed and supportive, it reduces shame and blame, allowing you to feel safe opening up and facing challenges head-on.
What Are the Benefits of These Therapies?
Family and couples therapy can be incredibly beneficial in the recovery process. It teaches your family how to provide support during recovery, making you more resilient in the face of setbacks.
Therapy can also help break cycles of mental health issues within families, protecting future generations. By addressing mental health openly, therapy works to reduce the stigma surrounding these issues.
This makes it easier for you and your family to ask for help when needed. A therapist specialized in recovery can help you decide if family or couples therapy is the best fit for your situation.
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Why Does Mental Health Matter in Recovery?
Addiction and mental health conditions like depression, anxiety, or PTSD often go hand-in-hand. That’s why it's important to address both for a successful recovery.
Sometimes mental health issues can lead to using substances to cope. Untreated mental health issues can also be a trigger for going back to substance use.
When you address mental health and addiction, you open a world of possibilities. You'll have the tools to manage your emotions, build healthy relationships, and thrive.
You might hesitate to seek help because of stigma. However, addressing mental health issues with therapy helps break down those barriers and get you the support you deserve.
What's Next?
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- McHugh et. al. “Cognitive-Behavioral Therapy for Substance Use Disorders.” National Library of Medicine, 2011.
- Dimeff et. al. “Dialectical Behavior Therapy for Substance Abusers.” National Library of Medicine, 2008.
- Alavi et. al. “Behavioral Addiction versus Substance Addiction: Correspondence of Psychiatric and Psychological Views.” National Library of Medicine, 2012.
- “How Might Dialectical Behavior Therapy Work for Individuals With Addictive Behaviors?” Recovery Research Institute.
- Cavicchioli et. al. “Dialectical Behaviour Therapy Skills Training for the Treatment of Addictive Behaviours Among Individuals With Alcohol Use Disorder: The Effect of Emotion Regulation and Experiential Avoidance.” American Journal of Drug and Alcohol Abuse, 2020.
- “Mental Health and Substance Use Co-Occurring Disorders.” Substance Abuse and Mental Health Services Administration (SAMHSA).
- Roll et. al. “Contingency Management as a Behavioral Approach in Addiction Treatment.” Textbook of Addiction Treatment, 2020.
- “The Role of the Substance Abuse Counselor in Addiction Recovery.” Wake Forest University.
- “Counseling and Substance Use Disorders.” WebMD

