Therapy at Crestview
Cognitive behavioral therapy (CBT) in Portland, Oregon
CBT is an evidence-based approach that looks at how thoughts, feelings and actions affect one another, then builds skills to change patterns that keep you stuck. It is often delivered over a relatively short period.
Talk with Garrett, Tuni or another member of our admissions team.
Medically reviewed by Medical Director Dave Cundiff, MD, MPH, FASAM · Updated
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How it works
Two core parts
CBT rests on the idea that what we do is shaped by how we think and feel. Your therapist works with you on both.
Functional analysis
Examines the causes and effects of negative thinking and behavior, so you can see what sets patterns off.
Skills training
Replaces unhelpful habits with coping routines you can use day to day.
Practice
You may practice exercises such as journaling or exposure work between sessions.
Who it's for
Conditions CBT is used for
CBT is most commonly used for anxiety and depression, and it is also used for other mental health conditions. It is common in dual diagnosis care.
In addiction care, CBT aims to help you maintain sobriety, reduce the risk of relapse and build coping skills for cravings and triggers.
Delivery
One-on-one or in a group
CBT can be given in individual sessions or in group therapy. At Crestview, sessions typically last about 45 to 55 minutes. Length and frequency depend on your plan.
CBT is often combined with dialectical behavior therapy and individual therapy.
Coverage
Check your coverage
Coverage varies by insurer and plan. Our insurance verification explains what your plan covers before you start.
How it works
How CBT works in addiction treatment
Functional analysis: you and your counselor look at the thoughts, feelings and situations before and after substance use, so you can see what drives it.
Skills training: you practice handling triggers, such as a plan for what to do when cravings hit or how to leave a risky situation.
Challenging all-or-nothing thinking: one mistake does not erase progress. CBT helps you respond to setbacks without giving up.
Goals of CBT
What CBT helps you build
The aim is practical skills you keep using after treatment ends.
Coping skills
Healthier ways to handle stress, cravings and difficult emotions.
Trigger awareness
Recognizing the people, places and feelings that lead to use.
Balanced thinking
Spotting distorted thoughts and replacing them with more accurate ones.
Relapse prevention
A clear plan for high-risk situations before they happen.
Problem solving
Breaking problems into steps instead of reaching for a substance.
Confidence
Trust that you can handle challenges without using.
Questions
Common questions about CBT
Admissions can answer anything that isn't here.
Still have a question?
Garrett, Tuni and the admissions team can answer anything that is not here. Confidential, no obligation.
Call (866) 262-0531Is CBT an evidence-based treatment?
Yes. CBT is one of the evidence-based approaches we use. Your clinician will explain how it fits your plan.
Which conditions does CBT work best for?
It is most commonly used for anxiety and depression, and it is used for other conditions as well, including PTSD and OCD.
Can I practice CBT on my own?
Some exercises can be practiced between sessions. Your clinician will tell you which ones fit your situation.
Is CBT covered by insurance?
It depends on your insurer and plan. Verify your benefits before you start.
How long does CBT take?
CBT is usually time-limited, often weeks to a few months, depending on your goals and level of care. Your therapist reviews progress with you along the way.
Is CBT used for anxiety and depression too?
Yes. CBT is most widely used for anxiety and depression, which is why it fits dual diagnosis care well.
Not sure which level of care fits?
Talk it through with Garrett, Tuni or another member of our admissions team. The call is free and confidential, and there is no obligation.
Talk with admissions about CBT
A confidential call. We'll listen, check your insurance and explain how CBT fits into your plan. No obligation.