Nonpharmacologic Office-Based Interventions: Cognitive-Behavioral Therapy and Motivational Interviewing


There are myriad nonpharmacologic interventions that are used in traditional addiction treatment, ranging from individual and group psychotherapies, to self-control and social skills training, to aversion therapies. However, despite the vast array of treatment strategies, the literature suggests that when it comes to treating substance addiction, no one modality is superior to any other (1). Rather, there are a variety of treatments, and combinations of treatments, that can be helpful for the addicted patient. Unfortunately, for the majority of primary care physicians, obstacles such as limited time and lack of training in this area make the implementation of traditional interventions unfeasible. This chapter gives the physician an overview of two well-known and well-studied brief nonpharmacologic interventions—cognitive-behavioral therapy (CBT) and motivational interviewing (MI)—that can be administered by the physician in an office-based setting.


Family Therapy Motivational Interview Nonpharmacologic Intervention Cognitive Restructuring Motivational Interview 


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