Cognitive Behavioral Counseling Hilo HI

CBT views compulsive or addictive behaviors and certain negative moods as learned and not the result of a character defect. Because these behaviors are learned, they can be unlearned.

Local Treatment

Big Island Substance Abuse Council
School Based Program/Hilo HS
808-969-9994
556 Waianuenue Avenue
Services offered:
Substance abuse treatment, Individual counseling offered, Group counseling offered, Family counseling offered, Marital/couples counseling offered, Aftercare/continuing care, Comprehensive substance abuse assessment, Discharge Planning, Outreach to persons in the community, Substance abuse education, Screening for substance abuse, Social skills development, Case management, Health education services other than HIV/AIDS or hepatitis, Self-help groups, Consumer-run (peer-support) services, Smoking/tobacco cessation counselling, Interim services for clients, Do not treat opioid addiction, Employment counseling or training, Screening for tobacco use,
Big Island Substance Abuse Council
School Based Program/Hilo HS
808-969-9994
556 Waianuenue Avenue
Services offered:Substance abuse treatment, Individual counseling offered, Group counseling offered, Family counseling offered, Marital/couples counseling offered, Aftercare/continuing care, Comprehensive substance abuse assessment, Discharge Planning, Outreach to persons in the community, Substance abuse education, Screening for substance abuse, Social skills development, Case management, Health education services other than HIV/AIDS or hepatitis, Self-help groups, Consumer-run (peer-support) services, Smoking/tobacco cessation counselling, Interim services for clients, Do not treat opioid addiction, Employment counseling or training, Screening for tobacco use

Service Setting:Outpatient, Regular outpatient treatment

Insurance Accepted:Federal, or any government funding for substance abuse programs, No payment accepted

McKenna Recovery Center
Ke Ala Pono Hilo
808-969-7577
140 Puueo Street
Services offered:
Substance abuse treatment, Accepts clients on opioid medication, Individual counseling offered, Group counseling offered, Family counseling offered, Marital/couples counseling offered, Aftercare/continuing care, Assistance with obtaining social services, Comprehensive mental health assessment, Comprehensive substance abuse assessment, Discharge Planning, Mental health services, Substance abuse education, Screening for mental health disorders, Screening for substance abuse, Social skills development, Case management, Drug or alcohol urine screening, Medications for psychiatric disorders), Consumer-run (peer-support) services, Smoking/tobacco cessation counselling, Employment counseling or training, Housing services, Buprenorphine used in treatment, Domestic violence services - family or partner,
McKenna Recovery Center
Ke Ala Pono Hilo
808-969-7577
140 Puueo Street
Services offered:Substance abuse treatment, Accepts clients on opioid medication, Individual counseling offered, Group counseling offered, Family counseling offered, Marital/couples counseling offered, Aftercare/continuing care, Assistance with obtaining social services, Comprehensive mental health assessment, Comprehensive substance abuse assessment, Discharge Planning, Mental health services, Substance abuse education, Screening for mental health disorders, Screening for substance abuse, Social skills development, Case management, Drug or alcohol urine screening, Medications for psychiatric disorders), Consumer-run (peer-support) services, Smoking/tobacco cessation counselling, Employment counseling or training, Housing services, Buprenorphine used in treatment, Domestic violence services - family or partner

Service Setting:Outpatient, Intensive outpatient treatment, Regular outpatient treatment, Computerized treatment, Outpatient methadone/buprenorphine or naltrexone

Insurance Accepted:Cash or self-payment, Medicaid, State financed health insurance plan other than Medicaid, Private health insurance, Federal, or any government funding for substance abuse programs

Big Island Substance Abuse Council
Hilo Mens TLP 2
808-935-4927
1151 Hea uka Place
Services offered:
Substance abuse treatment, Individual counseling offered, Group counseling offered, Family counseling offered, Marital/couples counseling offered, Assistance with obtaining social services, Discharge Planning, Substance abuse education, Social skills development, Case management, Drug or alcohol urine screening, Self-help groups, Transportation assistance, Consumer-run (peer-support) services, Employment counseling or training, Breath analyzer or blood alcohol testing, Housing services, Do not use medication for opioid addiction,
Big Island Substance Abuse Council
Hilo Mens TLP 2
808-935-4927
1151 Hea uka Place
Services offered:Substance abuse treatment, Individual counseling offered, Group counseling offered, Family counseling offered, Marital/couples counseling offered, Assistance with obtaining social services, Discharge Planning, Substance abuse education, Social skills development, Case management, Drug or alcohol urine screening, Self-help groups, Transportation assistance, Consumer-run (peer-support) services, Employment counseling or training, Breath analyzer or blood alcohol testing, Housing services, Do not use medication for opioid addiction

Service Setting:Residential, Long-term residential

Insurance Accepted:Cash or self-payment, Medicaid, Medicare, State financed health insurance plan other than Medicaid, Private health insurance, Military insurance (e.g., TRICARE), Federal, or any government funding for substance abuse programs, Access to recovery (ATR) voucher, IHS/Tribal/Urban (ITU) funds

Big Island Substance Abuse Council
School Based Prog/Hilo Interm School
808-969-9994
587 Waianuenue Avenue
Services offered:
Substance abuse treatment, Individual counseling offered, Group counseling offered, Family counseling offered, Marital/couples counseling offered, Aftercare/continuing care, Comprehensive substance abuse assessment, Discharge Planning, Outreach to persons in the community, Substance abuse education, Screening for substance abuse, Social skills development, Case management, HIV or AIDS education, counseling, or support, Health education services other than HIV/AIDS or hepatitis, Transportation assistance, Hepatitis education, counseling, or support, Consumer-run (peer-support) services, Interim services for clients, Do not treat opioid addiction, Screening for tobacco use,
Big Island Substance Abuse Council
School Based Prog/Hilo Interm School
808-969-9994
587 Waianuenue Avenue
Services offered:Substance abuse treatment, Individual counseling offered, Group counseling offered, Family counseling offered, Marital/couples counseling offered, Aftercare/continuing care, Comprehensive substance abuse assessment, Discharge Planning, Outreach to persons in the community, Substance abuse education, Screening for substance abuse, Social skills development, Case management, HIV or AIDS education, counseling, or support, Health education services other than HIV/AIDS or hepatitis, Transportation assistance, Hepatitis education, counseling, or support, Consumer-run (peer-support) services, Interim services for clients, Do not treat opioid addiction, Screening for tobacco use

Service Setting:Outpatient, Regular outpatient treatment, Computerized treatment

Insurance Accepted:Federal, or any government funding for substance abuse programs, No payment accepted

Big Island Substance Abuse Council
EH OP Facility
808-935-4927
297 Waianuenue Avenue
Services offered:
Substance abuse treatment, Individual counseling offered, Group counseling offered, Family counseling offered, Marital/couples counseling offered, Aftercare/continuing care, Assistance with obtaining social services, Comprehensive mental health assessment, Comprehensive substance abuse assessment, Discharge Planning, Mental health services, Outreach to persons in the community, Substance abuse education, Screening for mental health disorders, Screening for substance abuse, Social skills development, Case management, Drug or alcohol urine screening, HIV or AIDS education, counseling, or support, Health education services other than HIV/AIDS or hepatitis, Hepatitis education, counseling, or support, Consumer-run (peer-support) services, Smoking/tobacco cessation counselling, Interim services for clients, Employment counseling or training, Screening for tobacco use, Breath analyzer or blood alcohol testing, Housing services, Do not use medication for opioid addiction,
Big Island Substance Abuse Council
EH OP Facility
808-935-4927
297 Waianuenue Avenue
Services offered:Substance abuse treatment, Individual counseling offered, Group counseling offered, Family counseling offered, Marital/couples counseling offered, Aftercare/continuing care, Assistance with obtaining social services, Comprehensive mental health assessment, Comprehensive substance abuse assessment, Discharge Planning, Mental health services, Outreach to persons in the community, Substance abuse education, Screening for mental health disorders, Screening for substance abuse, Social skills development, Case management, Drug or alcohol urine screening, HIV or AIDS education, counseling, or support, Health education services other than HIV/AIDS or hepatitis, Hepatitis education, counseling, or support, Consumer-run (peer-support) services, Smoking/tobacco cessation counselling, Interim services for clients, Employment counseling or training, Screening for tobacco use, Breath analyzer or blood alcohol testing, Housing services, Do not use medication for opioid addiction

Service Setting:Outpatient, Intensive outpatient treatment, Regular outpatient treatment

Insurance Accepted:Cash or self-payment, Medicaid, State financed health insurance plan other than Medicaid, Private health insurance, Federal, or any government funding for substance abuse programs

CARE Hawaii Inc
Hilo Care Dual IOP
808-930-2810
891 Ululani Street
Services offered:
Substance abuse treatment, Individual counseling offered, Group counseling offered, Family counseling offered, Marital/couples counseling offered, Aftercare/continuing care, Assistance with obtaining social services, Comprehensive mental health assessment, Comprehensive substance abuse assessment, Discharge Planning, Mental health services, Substance abuse education, Screening for mental health disorders, Screening for substance abuse, Social skills development, Case management, Drug or alcohol urine screening, HIV or AIDS education, counseling, or support, Hepatitis education, counseling, or support, Consumer-run (peer-support) services, Smoking/tobacco cessation counselling, Interim services for clients, Employment counseling or training, Screening for tobacco use, Housing services, Do not use medication for opioid addiction,
CARE Hawaii Inc
Hilo Care Dual IOP
808-930-2810
891 Ululani Street
Services offered:Substance abuse treatment, Individual counseling offered, Group counseling offered, Family counseling offered, Marital/couples counseling offered, Aftercare/continuing care, Assistance with obtaining social services, Comprehensive mental health assessment, Comprehensive substance abuse assessment, Discharge Planning, Mental health services, Substance abuse education, Screening for mental health disorders, Screening for substance abuse, Social skills development, Case management, Drug or alcohol urine screening, HIV or AIDS education, counseling, or support, Hepatitis education, counseling, or support, Consumer-run (peer-support) services, Smoking/tobacco cessation counselling, Interim services for clients, Employment counseling or training, Screening for tobacco use, Housing services, Do not use medication for opioid addiction

Service Setting:Outpatient, Intensive outpatient treatment, Regular outpatient treatment, Outpatient day treatment or partial hospitalization

Insurance Accepted:Cash or self-payment, Medicaid, State financed health insurance plan other than Medicaid, Private health insurance, Federal, or any government funding for substance abuse programs

Cynthia Fata LMHC
Counseling and Consulting LLC
808-854-0436
614 Kilauea Avenue
Suite 101-20
Services offered:
Substance abuse treatment, Accepts clients on opioid medication, Individual counseling offered, Family counseling offered, Marital/couples counseling offered, Aftercare/continuing care, Discharge Planning, Mental health services, Screening for mental health disorders, Social skills development, Treatment for gambling disorder, Treatment for non-substance abuse addiction disorder, Treatment for internet use disorder,
Cynthia Fata LMHC
Counseling and Consulting LLC
808-854-0436
614 Kilauea Avenue
Suite 101-20
Services offered:Substance abuse treatment, Accepts clients on opioid medication, Individual counseling offered, Family counseling offered, Marital/couples counseling offered, Aftercare/continuing care, Discharge Planning, Mental health services, Screening for mental health disorders, Social skills development, Treatment for gambling disorder, Treatment for non-substance abuse addiction disorder, Treatment for internet use disorder

Service Setting:Outpatient, Regular outpatient treatment

Insurance Accepted:Cash or self-payment, Medicaid, State financed health insurance plan other than Medicaid, Private health insurance

Lokahi Treatment Centers
Waiakea Villas
808-969-9292
400 Hualani Street
Building 10-195-B
Services offered:
Substance abuse treatment, Accepts clients on opioid medication, Individual counseling offered, Group counseling offered, Family counseling offered, Marital/couples counseling offered, Aftercare/continuing care, Assistance with obtaining social services, Comprehensive mental health assessment, Comprehensive substance abuse assessment, Discharge Planning, Mental health services, Substance abuse education, Screening for mental health disorders, Screening for substance abuse, Case management, Drug or alcohol urine screening, HIV or AIDS education, counseling, or support, Hepatitis education, counseling, or support, Interim services for clients, Employment counseling or training, Breath analyzer or blood alcohol testing, Housing services, Transitional housing or halfway house,
Lokahi Treatment Centers
Waiakea Villas
808-969-9292
400 Hualani Street
Building 10-195-B
Services offered:Substance abuse treatment, Accepts clients on opioid medication, Individual counseling offered, Group counseling offered, Family counseling offered, Marital/couples counseling offered, Aftercare/continuing care, Assistance with obtaining social services, Comprehensive mental health assessment, Comprehensive substance abuse assessment, Discharge Planning, Mental health services, Substance abuse education, Screening for mental health disorders, Screening for substance abuse, Case management, Drug or alcohol urine screening, HIV or AIDS education, counseling, or support, Hepatitis education, counseling, or support, Interim services for clients, Employment counseling or training, Breath analyzer or blood alcohol testing, Housing services, Transitional housing or halfway house

Service Setting:Outpatient, Intensive outpatient treatment, Regular outpatient treatment

Insurance Accepted:Cash or self-payment, Medicaid, Medicare, Private health insurance, Military insurance (e.g., TRICARE), Federal, or any government funding for substance abuse programs

Big Island Substance Abuse Council
School Based Program/Waiakea HS
808-969-9994
155 West Kawili Street
Services offered:
Substance abuse treatment, Individual counseling offered, Group counseling offered, Aftercare/continuing care, Comprehensive substance abuse assessment, Discharge Planning, Mental health services, Outreach to persons in the community, Substance abuse education, Screening for substance abuse, Social skills development, Case management, HIV or AIDS education, counseling, or support, Health education services other than HIV/AIDS or hepatitis, Self-help groups, Transportation assistance, Hepatitis education, counseling, or support, Consumer-run (peer-support) services, Smoking/tobacco cessation counselling, Interim services for clients, Do not treat opioid addiction, Employment counseling or training, Screening for tobacco use, Early intervention for HIV,
Big Island Substance Abuse Council
School Based Program/Waiakea HS
808-969-9994
155 West Kawili Street
Services offered:Substance abuse treatment, Individual counseling offered, Group counseling offered, Aftercare/continuing care, Comprehensive substance abuse assessment, Discharge Planning, Mental health services, Outreach to persons in the community, Substance abuse education, Screening for substance abuse, Social skills development, Case management, HIV or AIDS education, counseling, or support, Health education services other than HIV/AIDS or hepatitis, Self-help groups, Transportation assistance, Hepatitis education, counseling, or support, Consumer-run (peer-support) services, Smoking/tobacco cessation counselling, Interim services for clients, Do not treat opioid addiction, Employment counseling or training, Screening for tobacco use, Early intervention for HIV

Service Setting:Outpatient, Regular outpatient treatment

Insurance Accepted:Federal, or any government funding for substance abuse programs, No payment accepted

Big Island Substance Abuse Council
Waiakea Intermediate School
808-969-9994
200 West Puainako Street
Services offered:
Substance abuse treatment, Individual counseling offered, Group counseling offered, Family counseling offered, Marital/couples counseling offered, Aftercare/continuing care, Comprehensive substance abuse assessment, Discharge Planning, Mental health services, Outreach to persons in the community, Substance abuse education, Screening for substance abuse, Social skills development, Case management, HIV or AIDS education, counseling, or support, Health education services other than HIV/AIDS or hepatitis, Self-help groups, Transportation assistance, Hepatitis education, counseling, or support, Consumer-run (peer-support) services, Smoking/tobacco cessation counselling, Interim services for clients, Do not treat opioid addiction, Screening for tobacco use, Early intervention for HIV,
Big Island Substance Abuse Council
Waiakea Intermediate School
808-969-9994
200 West Puainako Street
Services offered:Substance abuse treatment, Individual counseling offered, Group counseling offered, Family counseling offered, Marital/couples counseling offered, Aftercare/continuing care, Comprehensive substance abuse assessment, Discharge Planning, Mental health services, Outreach to persons in the community, Substance abuse education, Screening for substance abuse, Social skills development, Case management, HIV or AIDS education, counseling, or support, Health education services other than HIV/AIDS or hepatitis, Self-help groups, Transportation assistance, Hepatitis education, counseling, or support, Consumer-run (peer-support) services, Smoking/tobacco cessation counselling, Interim services for clients, Do not treat opioid addiction, Screening for tobacco use, Early intervention for HIV

Service Setting:Outpatient, Regular outpatient treatment, Computerized treatment

Insurance Accepted:Federal, or any government funding for substance abuse programs, No payment accepted

Ku Aloha Ola Mau Inc
Hilo Office
808-961-6822 x15
900 Leilani Street
Services offered:
Substance abuse treatment, Individual counseling offered, Group counseling offered, Family counseling offered, Marital/couples counseling offered, Aftercare/continuing care, Assistance with obtaining social services, Comprehensive mental health assessment, Comprehensive substance abuse assessment, Discharge Planning, Mental health services, Outreach to persons in the community, Substance abuse education, Screening for mental health disorders, Screening for substance abuse, Social skills development, Case management, Drug or alcohol urine screening, HIV or AIDS education, counseling, or support, Health education services other than HIV/AIDS or hepatitis, Transportation assistance, Hepatitis education, counseling, or support, Consumer-run (peer-support) services, Smoking/tobacco cessation counselling, Detoxification, Methadone maintenance, Methadone detoxification, Methadone, All Clients in Opioid Treatment Program, SAMHSA-certified Opioid Treatment Program, Opioids Detoxification, Interim services for clients, TB screening, Child care for clients children, Screening for tobacco use, Breath analyzer or blood alcohol testing, Buprenorphine maintenance, Buprenorphine used in treatment, Early intervention for HIV, HIV testing, Screening for Hepatitis B, Screening for Hepatitis C, STD testing, Buprenorphine detoxification, Buprenorphine maintenance for predetermined time, Methadone maintenance for predetermined time,
Ku Aloha Ola Mau Inc
Hilo Office
808-961-6822 x15
900 Leilani Street
Services offered:Substance abuse treatment, Individual counseling offered, Group counseling offered, Family counseling offered, Marital/couples counseling offered, Aftercare/continuing care, Assistance with obtaining social services, Comprehensive mental health assessment, Comprehensive substance abuse assessment, Discharge Planning, Mental health services, Outreach to persons in the community, Substance abuse education, Screening for mental health disorders, Screening for substance abuse, Social skills development, Case management, Drug or alcohol urine screening, HIV or AIDS education, counseling, or support, Health education services other than HIV/AIDS or hepatitis, Transportation assistance, Hepatitis education, counseling, or support, Consumer-run (peer-support) services, Smoking/tobacco cessation counselling, Detoxification, Methadone maintenance, Methadone detoxification, Methadone, All Clients in Opioid Treatment Program, SAMHSA-certified Opioid Treatment Program, Opioids Detoxification, Interim services for clients, TB screening, Child care for clients children, Screening for tobacco use, Breath analyzer or blood alcohol testing, Buprenorphine maintenance, Buprenorphine used in treatment, Early intervention for HIV, HIV testing, Screening for Hepatitis B, Screening for Hepatitis C, STD testing, Buprenorphine detoxification, Buprenorphine maintenance for predetermined time, Methadone maintenance for predetermined time

Service Setting:Outpatient, Intensive outpatient treatment, Regular outpatient treatment, Outpatient methadone/buprenorphine or naltrexone, Outpatient detoxification

Insurance Accepted:Cash or self-payment, Medicaid, Medicare, State financed health insurance plan other than Medicaid, Private health insurance, Federal, or any government funding for substance abuse programs

Big Island Substance Abuse Council
Ke Ana Laahana
808-969-9994
160 Baker Avenue
Services offered:
Substance abuse treatment, Individual counseling offered, Group counseling offered, Family counseling offered, Marital/couples counseling offered, Aftercare/continuing care, Comprehensive substance abuse assessment, Discharge Planning, Outreach to persons in the community, Screening for substance abuse, Social skills development, Case management, Self-help groups, Consumer-run (peer-support) services, Smoking/tobacco cessation counselling, Interim services for clients, Do not treat opioid addiction, Screening for tobacco use,
Big Island Substance Abuse Council
Ke Ana Laahana
808-969-9994
160 Baker Avenue
Services offered:Substance abuse treatment, Individual counseling offered, Group counseling offered, Family counseling offered, Marital/couples counseling offered, Aftercare/continuing care, Comprehensive substance abuse assessment, Discharge Planning, Outreach to persons in the community, Screening for substance abuse, Social skills development, Case management, Self-help groups, Consumer-run (peer-support) services, Smoking/tobacco cessation counselling, Interim services for clients, Do not treat opioid addiction, Screening for tobacco use

Service Setting:Outpatient, Regular outpatient treatment, Computerized treatment

Insurance Accepted:Federal, or any government funding for substance abuse programs, No payment accepted

Big Island Substance Abuse Council
Ka Umeke Ka eo
808-969-9994
1500 Kalanianaole Avenue
Services offered:
Substance abuse treatment, Individual counseling offered, Group counseling offered, Family counseling offered, Marital/couples counseling offered, Aftercare/continuing care, Comprehensive substance abuse assessment, Discharge Planning, Substance abuse education, Screening for substance abuse, Social skills development, Case management, Consumer-run (peer-support) services, Smoking/tobacco cessation counselling, Interim services for clients, Do not treat opioid addiction, Screening for tobacco use,
Big Island Substance Abuse Council
Ka Umeke Ka eo
808-969-9994
1500 Kalanianaole Avenue
Services offered:Substance abuse treatment, Individual counseling offered, Group counseling offered, Family counseling offered, Marital/couples counseling offered, Aftercare/continuing care, Comprehensive substance abuse assessment, Discharge Planning, Substance abuse education, Screening for substance abuse, Social skills development, Case management, Consumer-run (peer-support) services, Smoking/tobacco cessation counselling, Interim services for clients, Do not treat opioid addiction, Screening for tobacco use

Service Setting:Outpatient, Regular outpatient treatment, Computerized treatment

Insurance Accepted:Federal, or any government funding for substance abuse programs, No payment accepted

Big Island Substance Abuse Council
(808) 969-9994
16-565 Keaau Pahoa Road
Keaau, HI
Services Provided
Substance abuse
Types of Care
Outpatient
Special Programs/Groups
Adolescents

Data Provided by:
Lokahi Treatment Centers
(808) 969-9292
400 Hualani Street
Hilo, HI
Services Provided
Substance abuse , Detoxification
Types of Care
Outpatient, Partial hospitalization/day treatment
Special Programs/Groups
Adolescents, Persons with co-occurring mental and substance abuse disorders, Women, Men, DUI/DWI offenders, Criminal justice clients

Data Provided by:
Big Island Substance Abuse Council
(808) 969-9994
200 West Puainako Street
Hilo, HI
Services Provided
Substance abuse
Types of Care
Outpatient
Special Programs/Groups
Adolescents

Data Provided by:
Big Island Substance Abuse Council
(808) 969-9994
27-330 Old Mamalahoa Highway
Papaikou, HI
Services Provided
Substance abuse
Types of Care
Outpatient
Special Programs/Groups
Adolescents, Persons with co-occurring mental and substance abuse disorders, Persons with HIV/AIDS, Gays and Lesbians, Criminal justice clients

Data Provided by:
Hui Ho''ola
(808) 982-9555
15-1926 Puakalo/30th Street
Keaau, HI
Services Provided
Substance abuse
Types of Care
Outpatient
Special Programs/Groups
Persons with HIV/AIDS, Pregnant/postpartum women, Women, Men, DUI/DWI offenders

Data Provided by:
Ku Aloha Ola Mau Inc
(808) 961-6822x15
900 Leilani Street
Hilo, HI
Services Provided
Substance abuse , Detoxification, Methadone Maintenance, Methadone Detoxification, Buprenorphine Services
Types of Care
Outpatient
Special Programs/Groups
Persons with HIV/AIDS, Pregnant/postpartum women, Criminal justice clients
Language Services
ASL or other assistance for hearing impaired

Data Provided by:
Big Island Substance Abuse Council
(808) 935-4927
15-3038 Puna Road
Pahoa, HI
Services Provided
Substance abuse
Types of Care
Outpatient
Special Programs/Groups
Adolescents

Data Provided by:
Hina Mauka-Teen Care
(808) 241-3200
4431 Nohou Street
Lihue, HI
Services Provided
Substance abuse
Types of Care
Outpatient
Special Programs/Groups
Adolescents

Data Provided by:
Big Island Substance Abuse Council
(808) 327-4300x460
74-5000 Puohulihuli Street
Kailua Kona, HI
Services Provided
Substance abuse
Types of Care
Outpatient
Special Programs/Groups
Adolescents, Persons with co-occurring mental and substance abuse disorders

Data Provided by:
Data Provided by:

Cognitive Behavioral Counseling

What Is Cognitive Behavioral Counseling?

A CBT social learning model focuses on teaching interpersonal and self-management skills (CSAT 1999 a ). CBT is a skill-building rather than a deficit-oriented approach. Marijuana dependence is considered a learned behavior that developed in response to external (e.g., environmental, relational) and internal (e.g., feelings, thoughts) conditions. A CBT perspective suggests that the addictive behavior has become a favored strategy because of its repeated associations with predictable outcomes. For example, someone uses marijuana when he or she is sad, angry, lonely, or upset; he or she feels less bad when smoking and associates marijuana use with feeling better (at least in the short term). Over time, marijuana may be selected more often as a strategy to escape negative feelings or thoughts.

CBT views compulsive or addictive behaviors and certain negative moods as learned and not the result of a character defect. Because these behaviors are learned, they can be unlearned. The unlearning occurs through learning new skills and enhancing the client’s capabilities. The client develops skills to identify and cope with high-risk internal states and external situations that increase the likelihood of a slip. The counselor assigns the client homework to practice using the new skills. The client’s participation and the counselor’s positive feedback enhance client confidence in managing situations and create long-lasting behavior ch...

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