Everlast Recovery Centers

Know Your Therapies:CBT VS. DBT VS. REBT

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Most Popular Behavioral Therapies

More than 70,000 people in the United States died from drug overdose in 2017.​​​1 Many different approaches are needed to help people break free from the addictions that lead to overdoses. Behavioral therapy is one method.  The three main psychotherapies are CBT, DBT and REBT.

Behavioral therapy comes in different forms. Three main therapies are:

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Cognitive Behavioral Therapy (CBT)

A psychotherapy treatment that uses a hands-on approach. The goals are to understand how thoughts impact behaviors and emotions

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Dialectical Behavioral Therapy (DBT)

Aims to tone down the intensity of a person’s reactions, especially within close relationships.

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Rational Emotive Behavioral Therapy (REBT)

Focuses on changing the ways a person reacts. This is done by examining the beliefs that lead to these reactions.

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Similarities

All these therapies are considered psychotherapies. That’s because all these therapies are “talk therapies.” Psychotherapy is where the person and the counselor build a trusting relationship. Within this relationship, they work through various issues by talking through them.

Another similarity is that CBT, DBT, and REBT are all used to treat behavioral and mental health disorders. This includes SUDs (substance use disorders) as well as mental health disorders, such as anxiety or depression.

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Differences

The major differences in CBT, DBT and REBT are the approaches these therapies take.

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CBT

CBT maintains that thoughts, feelings and behaviors are all linked together. When negative thoughts happen, they cause changes in behaviors and emotions. The person learns to identify and understand negative thoughts and behaviors. The goal is to replace negative thoughts with alternate positive ones to reduce distress.

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DBT

DBT focuses on the social and emotional aspects of daily life. Besides one-on-one counseling sessions, there are also DBT group therapy sessions to help build social skills. To reduce highly intense reactions, DBT provides skills training for people to:

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Accept who they are

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Regulate their emotions

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Raise awareness of their behaviors to recognize when changes are needed

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REBT

REBT maintains that there are three components to address:

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(A) an activating event

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(B) belief

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(C) consequence (the emotional and behavioral distress that follows)

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Many people believe that the events that happen cause their reactions (A then C). REBT holds that it is their beliefs about the events that cause their reactions (A then B then C. REBT uses a set of guided choices to change negative reactions into positive ones.

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Recover From Addiction with Psychotherapy

Addiction disrupts almost every aspect of your emotions, thoughts and behaviors. A variety of therapies can help you identify underlying issues and develop healthy coping skills in different ways. The more tools (therapies and skills) you have in your recovery toolbox, the more effective your recovery can be.

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Resources

  1. https://www.drugabuse.gov/related-topics/trends-statistics/overdose-death-rates
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