Cognitive Behavioral Therapy (CBT)2025-07-10T11:53:01+00:00

Cognitive Behavioral Therapy In St. Louis

Behavioral Therapy Interventions For Holistic Addiction Recovery

Therapy To Identify Harmful Patterns and Restore Healthy Functioning

Harmful behavior patterns start in the mind, where toxic thought patterns and emotional turmoil feed the chaos. With Cognitive Behavioral Therapy (CBT), you can learn to systematically dismantle those harmful patterns where they take root and before they take over your life, eaving disaster in their wake. CBT is also a core therapy for evidence-based addiction recovery here at Engage Wellness.

What is Cognitive Behavioral Therapy?

Cognitive Behavioral Therapy (CBT) is a type of psychotherapy or talk therapy with strong, documented outcomes for psychiatric disorders that range from depression, anxiety, substance abuse, personality disorders, and eating disorders, as well as bipolar disorder and schizophrenia.[1]

CBT can be administered in individual and group therapy sessions that last approximately one hour with a Licensed Clinical Health Worker (LCHW), therapist, clinician, or psychiatrist. At Engage Wellness, our cognitive behavioral health sessions take place at our modern and comfortable facility in Saint Louis.

Sometimes, we are our own worst enemy, and this is especially true when you or a loved one is in the process of recovery. We understand this dynamic of the human experience and offer holistic, effective treatment with CBT.

How (and Why) Cognitive Behavioral Therapy Works

Some forms of psychiatry and therapeutic mental health treatment focus on events of the past and dealing with the emotions and experiences that result from those events. Cognitive Behavioral Therapy is a more practical, hands-on approach and a common-sense model that explores the relationship between the mind, the emotions, and the resulting behaviors to improve overall well-being.[2]

One of the core principles of CBT for addiction is that toxic and addictive substances that carry a high potential for dependence reinforce these harmful patterns[3]. Other core elements of CBT include incentives and contingency management, coping skill building, and facilitating recreational and experiential activities.

At Engage Wellness, CBT is one of the many evidence-based treatments we offer as part of our outpatient treatment programs. After an initial evaluation, clients are prescribed an individualized treatment plan to determine what therapies are a good fit. In addition to cognitive behavioral therapy, treatment plans may include medication-assisted treatment, family therapy, 12-step programs, and more.

Signs of Adderall Dependency

Efficacy of Cognitive Behavioral Therapy For Addiction Treatment

A number of medical studies reveal the documented effectiveness of CBT, both for substance use disorder and other mental health conditions. So many that it is regarded as one of the top-researched therapeutic treatments in healthcare today.

CBT techniques start at the root of harmful patterns of substance use and psychological disorders and systematically break down those patterns, from the inside out. Some dysfunctional patterns addressed by CBT include cognitive distortions, catastrophizing, and underlying negative beliefs.[4] Additionally, one study shows that 58% of clients who receive CBT therapy fare better than those who don’t participate in those sessions.[5] It’s also been revealed that CBT is even more effective when paired with medication-assisted treatment.

What to Expect from Cognitive Behavioral Therapy In St. Louis

Your first CBT therapy session will be to determine your recovery goals and gain a foundation for independence in treatment. Ongoing sessions may vary slightly and are customized to individual needs, but are structured according to a distinct format. Most CBT sessions will follow the following format:[6]

  • Regular Check-Ins: The provider will check in with the client at the beginning of each session to assess their mindset and readiness to invest in the approach.

  • Progress Reviews: A review of previous sessions will be conducted to connect past progress to new work and overall recovery goals. You’ll also review any homework that was assigned.

  • Collaborative Methods: Clients and providers will collaborate using CBT methods to uncover and address any past or emerging negative thoughts and emotional patterns.

  • Homework: After these phases, parties will discuss new homework and a synopsis of the current session to connect the dots.

Cognitive Behavioral Therapy in St. Louis at Engage Wellness

Cognitive Behavioral Therapy sessions are offered as part of every level of care here at Engage Wellness. CBT can be administered in both individual and group therapy sessions, and its application will be prescribed based on individualized treatment plans. Treatment plans are assigned after an initial evaluation, proctored by our admissions team and our clinicians, to determine the best approach to treatment and prescribe CBT as part of the following treatment options:

Detox placement is a service we provide to connect clients with essential care in the earliest stages of recovery, when the system is eliminating harmful toxins. There is often some discomfort during this time, and dedicated care and monitoring are critical.

Our part-time, flexible IOP program is designed to be intensive and immersive. It offers holistic healing on a daily basis without sacrificing your typical work and home life rhythms.

Our outpatient program provides ongoing support following completion of higher levels of care. Clients will attend weekly group therapy sessions and will maintain access to other resources and support groups, including 12-step modalities as well as individual therapy or treatment as needed.

FDA-approved medications for substance use disorder can counteract the euphoric effects of some drugs and help reduce cravings and other withdrawal symptoms to help clients focus on treatment and recovery.

Frequently Asked Questions about Cognitive Behavioral Therapy In St. Louis

Where can I find cognitive behavioral therapy services in St. Louis?2025-06-04T16:12:22+00:00

Engage Wellness Missouri calls Saint Louis home and is equipped to treat a wide range of mental health, substance use, and co-occurring disorders. Connect with our admissions team to learn how to get started with the treatment you need.

What is CBT best for?2025-06-04T16:11:54+00:00

CBT is effective for treating a number of mental health disorders, including obsessive-compulsive disorder (OCD), attention deficit hyperactivity disorder (ADHD), anxiety disorders, mood disorders, post-traumatic stress disorder (PTSD), alcohol or substance use disorder, and more.

Is CBT therapy covered by insurance?2025-06-04T16:11:24+00:00

Yes, most insurance carriers will cover CBT for addiction as an essential health benefit. Engage Wellness works with all commercial insurance providers and is an in-network provider with riCare. To determine what your insurance covers, call our admissions team.

[1][2][4][6]Chand, S. P. (2023, May 23). Cognitive behavior therapy. StatPearls [Internet]. https://www.ncbi.nlm.nih.gov/books/NBK470241/ 

[3]McHugh, R. K., Hearon, B. A., & Otto, M. W. (2010, September). Cognitive behavioral therapy for Substance Use Disorders. The Psychiatric clinics of North America. https://pmc.ncbi.nlm.nih.gov/articles/PMC2897895/#S16 

[5]Carroll, K. M., & Kiluk, B. D. (2017, December). Cognitive behavioral interventions for alcohol and drug use disorders: Through the stage model and back again. Psychology of addictive behaviors : journal of the Society of Psychologists in Addictive Behaviors. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5714654/ 

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