Cognitive-Behavioural Therapy in the Treatment of Addiction: A Treatment Planner for Clinicians

All opioids have the potential for dependence, although heroin carries the highest risk. In the UK, there are approximately 250,000 opioid dependent drug users, with around 160,000 in treatment at some point during the course of a year. Cognitive-Behavioural Therapy in the Treatment of Addiction is a treatment manual that can be used by clinicians who have little experience of CBT, for treating their clients. The first two chapters explain how the manual can be used and review the evidence base for CBT as a psychological intervention. Chapter 3 introduces CBT techniques, Chapter 4 outlines assessment and case formulation and Chapter 5 suggests ways of setting up and structuring clinical sessions. Chapter 6 examines core topics such as problem solving and lifestyle changes, while Chapter 7 looks at elective topics such as anger and impulse control and relationship problems. The appendices include therapy worksheets, the daily thought record and drug refusal strategies. * Aimed at clinicians with little experience in CBT * Offers specific guidelines on how to structure sessions and deliver treatment * Topical - NICE guidelines on psychosocial approaches to drug misuse expected late 2008

Christos Kouimtsidis, MBBS, MSc, MRCPsych, is Consultant Psychiatrist at NWHerts Community Drug and Alcohol Team, Hertfordshire Partnership NHS Trust and Honorary Senior Lecturer at Section of Addictive Behaviour, St George's, University of London since 2003. He was Specialist Registrar and later Clinical Lecturer in Addiction Psychiatry at St George's from 1998.His MSc dissertation in 1996 was on CBT in substance misuse.His doctorate is an investigation of the role of expectancies and schemas in treatment and relapse of substance misuse. He has been involved in quantitative and qualitative research including epidemiology research in general hospital, co-morbidity and psychological approaches in addiction, staff and services users' experiences of treatment provision. He is a tutor for the postgraduate courses at St George's, and he has also led a number of seminars and workshops on CBT in substance misuse.His clinical team provides services for drugs and alcohol in a large geographical area in Hertfordshire consisting of small urban and rural settlements.

Martina Reynolds, MA, PhD, is a Senior Lecturer at the School of Social Sciences of Brunel University. Prior to this she was research lecturer in Addiction at St George's, University of London, where she developed her interest in the topic. She obtained her BA/MA in Psychology from the University of Oxford and her PhD from the University of London. She has extensive research experience and has published in the fields of substance use, trauma, post-traumatic stress disorders and depression. She has also convened and taught both undergraduate and postgraduate modules on addiction and related areas.

Colin Drummond, MBChB, MD, FRCPsych, is Professor of Addiction Psychiatry and Consultant Psychiatrist at St George's Hospital Medical School and South West London and Head of Addiction Behaviour at St George's NHS Trust, where he has been since 1993. Before that he was Lecturer and later Senior Lecturer in Addiction Behaviour at the Medical Research Council Addiction Research Unit, National Addiction Centre, Institute of Psychiatry from 1987.His doctorate was on the subject of alcohol and public health. He is Principal Investigator on several research grants including the Department ofHealth funded national alcohol needs assessment project and a new national research programme on screening and brief alcohol intervention, also funded by the Department of Health. Professor Drummond is also Assistant Editor of the journal Addiction.He has published papers on a wide range of topics including epidemiology, clinical trials, drug and alcohol policy and theories of craving. He leads the alcohol treatment service in South West London providing inpatient and community-based interventions. He has been closely involved in providing advice to government on alcohol and drug misuse strategy. He is a member of the Models of Care working group which has produced a national framework for drug and alcohol services in England. He is a member of the Faculty of Substance Misuse of the Royal College of Psychiatrists and served as the Academic Secretary. He is also the Director of the Specialist Clinical Addiction Network based at the National Treatment Agency. He is a member of the American Psychiatric Association/World Health Organization Substance Use Disorders Working Group on the fifth revision of the Diagnostic and Statistical Manual. He is also a member of the WHO Expert Committee on Drug Dependence and Alcohol Problems.

Paul Davis has worked in the NHS for over 30 years, the majority of which has been as a specialist clinician in alcohol and drug work. He is Consultant Clinical Psychologist and Honorary Senior Lecturer at University College London, and Camden and Islington Mental Health and Social Care Trust, London, where he is also Head of Substance Misuse Psychology Services. His clinical interests include the practice and development of cognitive and behavioural therapies with complex cases, and psychological assessment and management of patients with a dual diagnosis. His main areas of research have focused on evaluating the efficacy and effectiveness of NHS interventions in clinical settings, outcome monitoring, prevention outcome evaluation, forensic aspects of drug abuse and neuropsychological changes in people with drug addiction. Dr Davis is a practitioner and trainer in CBT and he has presented over 100 invited workshops in CBT and motivational interviewing (MI) applied in the field of substance misuse. He provides supervision and consultation in MI and CBT to health professionals from a number of NHS Trusts. He has co-authored and contributed to treatment research manuals in this field and has conducted treatment outcome trials on psychological interventions with problem drug and alcohol users. Dr Davis has served on the British Psychological Society Faculty of Addiction Committee for over 10 years and was Chair for several years. He is a National Assessor for Consultant Psychology posts in the NHS and has served on numerous national committees on substance misuse, most recently on the National Institute for Health and Clinical Excellence Guidance Development Groups in substance misuse.

Nicholas Tarrier is Professor of Clinical Psychology, Head of the Division of Clinical Psychology and Research Director of the School of Psychological Sciences, University of Manchester, UK, and Honorary Consultant Clinical Psychologist in the Manchester Mental Health and Social Care NHS Trust. He has held academic posts at universities in Brazil and Australia.He has a long-standing interest in the practice and evaluation of Cognitive-Behaviour Therapy and its application to a wide range of disorders.