Which modality is characterized by structured therapy that focuses on changing patterns of thinking and behavior?

• A. Motivational interviewing
• B. Cognitive-behavioral therapy
• C. Contingency management
• D. Medication-assisted treatment

Answer: (B)

Cognitive-behavioral therapy emphasizes structured, goal-directed work that targets how thoughts influence emotions and actions. It teaches you to identify automatic or distorted thoughts and challenge their accuracy, then replace them with more realistic interpretations. This cognitive work is paired with behavioral strategies—developing coping skills, practicing new actions, and doing homework between sessions—to change habits and reduce problematic patterns.

In substance use treatment, CBT helps you anticipate triggers, rehearse coping responses, and plan for relapse prevention by linking what you think with how you react and what you do. The emphasis is on actively reshaping thinking styles and corresponding behaviors through concrete techniques.

Other modalities approach change differently. Motivational interviewing focuses on exploring ambivalence and boosting intrinsic motivation to change. Contingency management uses rewards to reinforce desired behaviors. Medication-assisted treatment combines medications with counseling, addressing physiological aspects alongside therapy rather than concentrating on restructuring thought patterns and behaviors.