CBT vs. DBT

Cognitive-behavioral therapy and dialectical behavior therapy are forms of talk therapy that help you address the root causes of your addiction. Doctors use these treatments to help you manage any mental disorders you have. Although there are several similarities, there are also differences between CBT vs. DBT that distinguish each type of therapy.

 Let’s take a closer look at cognitive behavioral therapy vs dialectical behavior therapy and how they benefit you in addiction recovery. 

Cognitive Behavioral Therapy (CBT)

Your addiction is a result of negative thoughts and behavior patterns that create a vicious mental cycle. Your therapist uses CBT in Austin Texas to help you identify these negative thoughts. Once you know why you are addicted to drugs or alcohol, you can restructure self-defeating thoughts and replace them with positive and healthy thoughts.

This shift in thought will also create a change in behavior. Granted, it takes time for this shift to take place; however, with ongoing therapy and other forms of treatment, you will notice an improvement in your mindset.

Core principles of CBT include:

  • Exploring your negative thoughts and behaviors
  • Making the connection between your thoughts and your addiction
  • Retraining your mind to embrace positive thoughts and beliefs
  • Creating positive behaviors that replace negative behaviors 

Cognitive behavioral therapy can be implemented in both individual and group therapy settings. 

Dialectical Behavior Therapy (DBT)

One of the main differences in CBT vs. DBT is that cognitive-behavioral therapy focuses more on changing your mindset by identifying the root of your negativity. Dialectical behavior therapy focuses more on controlling your emotions and how you react to situations or circumstances. You start by accepting your feelings and receiving validation for those feelings from your therapist. 

Learning to accept the way you feel about your life is a significant first step toward recovery. In essence, your emotional walls come down.

Core principles in DBT include:

  • Accepting that your feelings are real and valid
  • Learning to control your emotions in particular situations
  • Developing problem-solving skills to cope with your disorder

How CBT vs. DBT Works in Addiction Treatment

Both cognitive behavioral therapy vs dialectical behavior therapy are useful during the initial stage of your recovery. Since they are both short-term treatment methods, your therapist uses either to ‘break the ice.’ Once you learn to identify and accept what is going on inside of you, then you are free to move on to more advanced therapy.

Keep in mind that both CBT vs. DBT does not work the same for everyone. How you respond to this type of therapy will determine whether it is successful. The key is to make a connection between your mental state and your addiction. Your therapist guides you along as you come into a greater awareness of what is in your mind.

Contact Promises Austin to Start Your Treatment

To find out more about CBT vs. DBT, contact Promises Austin today. We offer cognitive behavioral therapy and dialectical behavior therapy as a part of our addiction treatment program. To get started with your treatment, call us at 1.844.768.0238.


promises austin logo Promises Austin, a part of the Promises Treatment Centers network, provides mental health and addiction treatment at our treatment center in Austin, Texas. Promises Austin is Joint Commission accredited and provides compassionate treatment for drug and alcohol addiction and a full spectrum of mental health disorders. Learn more about Promises Austin here.

Emotional Effects of Alcohol

Although legal, alcohol is one of the most highly addictive psychoactive substances in the world. Like other psychoactive substances, alcohol can lead to physical and psychological dependence. The emotional effects of alcohol can also be damaging. Since alcohol lowers your inhibitions, intoxication can cause you to argue and fight with others. In fact, drinking also increases your risk of experiencing or perpetrating acts of domestic violence.

Abusing alcohol can also lead to severe liver and heart damage, which is magnified if you have certain underlying medical conditions. If you have a mental health disorder, the emotional effects of alcohol can destabilize your mental health and worsen your symptoms. Because alcohol carries the risk of addiction, abusing it regularly can ultimately lead to alcoholism.

The Emotional Effects of Alcohol

Alcohol is a neurotransmitter inhibitor that causes your brain to release more neurotransmitters than it should. When you drink, the pleasurable effects of intoxication are caused by the sudden increase in GABA. GABA can create feelings of relaxation and happiness. However, drinking too much can lead to mood, personality, and behavioral changes. Alcohol can also intensify feelings of depression and anger. This means that the emotional effects of alcohol can cause you to feel excessively angry or confrontational, which can create a strain on your relationships.

Other emotional effects of alcohol include that it makes you more prone to making risky or dangerous decisions. Because intoxication lowers your inhibitions, it can lead to bad and irrational choices. And since alcohol abuse and alcoholism is a family disease, the emotional effects of alcohol can also hurt your family. If you stay out late to drink or neglect your family obligations because you’re intoxicated, it can make your family, children, and spouse feel neglected.

If you have an underlying mental health disorder, the emotional effects of alcohol can aggravate your symptoms and lead to drastic mood changes. When you abuse alcohol, neurotransmitter imbalances occur which can cause depleted and depressed moods and intense cravings.

Alcoholism and Treatment Options

Alcoholism causes you to lose control of your drinking. When you develop alcoholism, you’ll continue to drink excessively even if drinking damages multiple areas of your life or you want to become sober. Common signs and symptoms of alcoholism include:

  • Drinking as soon as you wake up
  • Experiencing detox symptoms when you stop drinking
  • Feeling guilt, shame, or remorse about your drinking
  • Drinking in dangerous or inappropriate situations
  • Showing up to work, school, or social functions drunk
  • Spending the majority of your time drinking or thinking about drinking

Your brain and body both become dependent on alcohol in order to function during alcoholism, which is why early treatment is essential to recovery. When you are exposed to triggers, which are people, places, or things that remind you of alcohol, you can deal with powerful cravings that make it hard to remain sober. Evidence-based and holistic therapies, like cognitive behavioral therapy, teach you how to combat cravings and manage triggers.

Another important reason to complete treatment when you are struggling with alcoholism or a drinking problem is that it can take weeks for your body and mind to recover. Your brain has to learn how to properly release neurotransmitters, which is a process. Since nutritional deficiencies are common among those struggling with alcoholism, treatment can ensure that you receive the proper vitamins and minerals needed to heal.

Finding Treatment and Help Today

The emotional effects of alcohol can cause damage to your relationships, mental health, and overall wellbeing. Alcoholism can make you feel isolated, alone and hopeless but recovery is always possible. Contact us today at 1.844.768.1161 to learn more about alcoholism and how to achieve sobriety.


the right step dfw logoThe Right Step Dallas provides mental health treatment and treatment programs for drug and alcohol addiction at their center located in the Dallas-Fort Worth metro area. At The Right Step Dallas, each individual receives a care program designed around their needs, so that they can be provided with the skills and tools for lasting recovery. Programs at the Right Step Dallas include the full continuum of care and provide support at any stage of recovery. Learn more here.

Opioid Crisis in America

The opioid crisis in America is a serious issue that needs to be addressed and talked about. When you are looking for help for yourself or a loved one, reach out to an opioid addiction treatment center that can help. Learn more about the opioid crisis in America and how to find help below.

Opioid Crisis in America

There is an epidemic going on that involves the abuse of pharmaceutical drugs. The opioid crisis in America has been overlooked for too long, especially since it has affected so many people.

How Many People Use Opioids in the US?

According to the 2019 National Survey on Drug Use and Health, over 130 people die from opioid-related overdoses every day. A little over 10 million people abused opioids in 2018. Also in 2018, 2 million were said to have an opioid use disorder. Many opioid users also end up using heroin. A large percentage of people who use heroin started by first abusing prescription opioids. There is also an increase in the abuse of opioids in large cities, along with Midwestern states.

How many people use opioids in the US? Too many. These are huge numbers, to say the least. Where did this problem originate from and how did it start?

Opioid Abuse Origins

Pharmaceutical companies are to blame. In the late 1990s, these companies put medical doctors and specialists at ease by telling them that patients could not become addicted to opioid-based pain killers. This caused medical practitioners to prescribe more of these painkillers in larger numbers than before. When it became obvious that opioids were highly addictive, people were already abusing them, both non-prescription and prescription opioids.

Solutions to the Problem

The National Institutes of Health (NIH) and the U.S. Department of Health and Human Services (HHS) are trying to combat this problem in several ways. The U.S. Department of Health and Human Services is focusing on improving public health surveillance so that the public has a better understanding of the opioid crisis, improve the need for recovery services and better treatment, improving practices for pain management, promoting drugs that can reverse overdoses, and allowing more opportunities for research on addiction and pain.

The National Institutes of Health is a part of the U.S. Department of Health and Human Services. The National Institutes of Health is the head of medical research to find a solution to the opioid crisis. They met with academic research centers and pharmaceutical companies to talk about ways to solve this major public issue. So far, finding ways to prevent overdose, managing chronic pain in safe and non-addictive ways, and using specific medications have been discussed.

Additionally, many drug addiction treatment centers have opened their doors to people struggling with opioid addiction. Detox protocols help each person cleanse their body of opioids safely. Then, evidence-based and holistic addiction therapies help them navigate the roots of addiction. Therapists and counselors help each individual find long-term coping strategies they will need for their recovery. Comprehensive and compassionate support can help to fight the opioid crisis in America.

Getting Professional Help For the Opioid Crisis in America

Lucida Treatment Center, located in beautiful Lantana, Florida, offers many programs and therapies as part of their comprehensive addiction treatment. At Lucida, each individual receives a customized care protocol for their specific needs. Therapies and programs at Lucida Treatment Center include:

You do not have to let addiction control your life any longer. Let us at Lucida Treatment Center in Lantana, Florida help. Contact us at 1.866.947.7299 so that we can get you started on one of our treatment programs.


Substance Use among Young Tourists Contributing to Rise in Violence

For years, industry experts have questioned the relationship between drugs and alcohol and violence. Some suggest that one leads to the other, while opponents argue that drugs merely highlight those attributes an individual already has. A recent Science Daily report examines a new study that shows that high levels of drug and alcohol consumption are responsible for the growth in violence among young tourists.

Spain is one of the most popular tourist destinations for young Europeans, with Mallorca and Ibiza being especially popular. For this reason, three teams of researchers studied the link between the consumption of alcohol and other drugs and violent behavior in recreational tourist areas there. They found that 5 percent of tourists visiting these areas became involved in some kind of violence during their stay. Ecstasy proved to be the only drug consumed that scientists have not linked to violent acts.

“Young people increase their consumption of alcohol and other drugs during the holidays—and violence rises in line with this,” said Montse Juan, researcher at the European Institute of Studies of Prevention (IREFREA) and one of the study’s authors. “Despite this, very few studies exist to inform us about this, particularly within the tourism context, where this predominates.”

To gauge the relationship between substance use and tourists, researchers compared the violent behavior of 3,003 British, German, and Spanish tourists between the ages of 16 and 35 visiting the islands of Mallorca and Ibiza between 2007 and 2008.

Among the respondents, 32.4 percent reported that they had witnessed violent episodes from time to time during their vacation. Another 5.7 percent had witnessed such incidents frequently. In 4.6 percent of cases, tourists claimed they had seen violence every time they ventured out at night.

More than half of the study participants claimed that they got drunk more than twice per week over the course of their vacation. Illegal drug consumption was also present, with the greatest among British and Spanish tourists in Ibiza.

“Cocaine users were almost three times more likely to become involved in a fight than people who did not take it,” said Amador Calafat, the report’s other Spanish author. “Tourists who got drunk five or more days per week were 2.5 times more likely to get into a fight than those who didn’t drink during their holidays.”

High School Students in New Jersey Being Held Accountable for Summer Drinking

Students returning to public schools in Morris County, New Jersey, are being held accountable for their behavior over the summer. County school districts are increasingly putting students—especially athletes—on notice that their actions outside of school, even during the summer, can result in consequences.

The Daily Record reports that last September, some Roxbury High School students were disciplined when school officials saw photos on Facebook of what looked like underage drinking during a party over the summer. In October, West Morris Mendham High School students who were charged with underage drinking after police busted a Saturday night party were also held accountable by school officials. Recently, Morristown High School students charged with underage drinking when police stopped an after-prom party bus were required to meet with substance abuse counselors in school.

In some cases, the students were athletes who had signed contracts pledging to abstain from drugs, alcohol, and tobacco. These students faced additional penalties related to their participation on a team, as Morris County high school usually hold student athletes to a stricter code of conduct.

Five of Morris County’s high schools require that student athletes sign a code of conduct that holds them accountable for their actions outside of school year-round, and nearly two-thirds of the county’s 39 school districts also warn all students that school officials have the right to impose consequences for off-campus conduct.

“I think as a society we have become more aware of our collective responsibility to keep our kids safe,” said Roxbury Superintendent Michael Rossi, who said he stands by the district’s decision in the Facebook case to discipline the students.

“I think this is a critically important contribution we can make,” Rossi added. “We can suspend a student from a club and that’s better than not doing anything, which could come back and cost them a college acceptance, a job or their life,” Rossi said.

State law says schools have the authority to take action for conduct off school grounds when “it is reasonably necessary” for the student’s, other students’ or staff’s “physical or emotional safety, security, and well-being.” The precedent was set in a 1970 case when a school suspended a student who stabbed another student off school grounds.

Kinnelon Superintendent James Opiekun said he knows this all sounds Orwellian and like “Big Brother,” but there is a real risk of losing kids who abuse drugs and alcohol. If a student is smoking pot on the weekends, it could impact the student’s performance on a physics test Monday morning.

“If a student got beaten up at night outside of school and we found out, I would be negligent for not reporting it,” Opiekun said. “But if they abuse themselves physically I’m supposed to ignore it?”

Some parents object to school officials disciplining students for smoking or drinking on weekends or during the summer. “They want to raise a perfect society,” said Monique Zing, a mother of two in Denville. “You can’t. I think it’s a violation of privacy. If a student is arrested in the summer, that’s a family issue.”

Carrie Kirtchner, a Lake Hopatcong mother of two, said she think it’s the parents’ job to discipline their children. “Schools have enough responsibilities during the school day,” she said. “If something happens on a weekend or night, it’s not affecting the operation of the school.”

Two Roxbury graduates who recently graduated said the only message the Facebook incident sent was to stop posting pictures online. “All it did was have kids stop taking pictures,” said Jesse Wright, 18, who played on the school’s soccer team. “Kids were just more secretive about it.”

Kyle Chowhan, 18, a pole-vaulter for the school, agreed. “It is high school, it is going to happen; now students are just being more careful to keep it quiet,” Chowhan said.

Chowhan said an educational program called “Every 15 Minutes” had more impact on students. The two-day event at school simulated a student injured in a drunk-driving accident being airlifted from school, followed by a mock funeral.

“My friends freaked out; it changed their minds about drinking,” Chowhan said. “It hit harder than the penalization. It made kids think they could die if they drink.”

Drug Use, Alcohol, Tobacco Among Factors Related to Sexual Dysfunction

Results of a study are shedding new light on the reasons some men suffer sexual dysfunction. Poor diet and an unhealthy lifestyle may have a more significant impact on men’s sexual function than previously thought.

With study results published in The Journal of Sexual Medicine, a recent Digital Journal article addresses the possible causes for why 50 percent of men in the U.K. in the 40- to 70-year age bracket have episodes of erectile dysfunction. Some are believed to have the problem occasionally; others for long periods of time. Erectile dysfunction can refer to being unable to reach a state of erection or to keep an erection during sexual activity.

Being overweight, using tobacco and drinking alcohol excessively are factors that study researcher Morten Frisch suggested can lead to erectile dysfunction. Drug use is also among the factors. Cocaine carried an especially high risk of erectile dysfunction, with researchers suggesting use of the drug may give men an 800 percent higher than normal chance of developing the condition.

Results also indicated that men who are in committed relationships and make poor health choices had an increased risk of 78 percent of experiencing erectile dysfunction. For men who were married and overweight, the risk was 71 percent.

Researchers hope the study will encourage men who are experiencing sexual dysfunction to address the problem from an overall lifestyle perspective, rather than avoiding treatment. The article also addressed a stereotypical belief that men must remain virile to be considered strong, an attitude which may prevent some from getting help for erectile dysfunction or other sexual problems.

One serious consequence of this belief is that men are seeking erectile dysfunction medications illegally or from illegitimate sources, such as overseas. In these cases, the ingredients and potency are unknown and could lead to dangerous health effects.

No Level of Alcohol Consumption Safe During Pregnancy

The message for alcohol and pregnancy is clear: no amount is safe, when it comes to protecting the health of the mother and the unborn child. In the U.S., statistics indicate that one out of every eight expectant mothers uses alcohol, and one out of every 30 will participate in a binge drinking episode during pregnancy.

Referred to as Fetal Alcohol Spectrum Disorders, or FASDs, the health problems resulting from a mother consuming alcohol during pregnancy are preventable but can span the child’s lifetime. Developmental and physical delays are possible, as well as heart problems, brain problems and damage to the baby’s organs. Many of the side effects of alcohol consumption during pregnancy can affect the child well into their adult years, especially those that impact the way the baby looks and develops or interfere with behavior.

A myth expectant mothers may believe concerning alcohol is that a small amount will not cause harm, especially if she is past the first trimester. Experts such as the Centers for Disease Control and Prevention say one can of beer contains an equivalent amount of alcohol as an average glass of wine, and that no amount of alcohol is considered safe for the child. There is also no “safe” time to consume alcohol, as its harmful effects can occur at any stage of the pregnancy.

The Centers for Disease Control and Prevention offers resource materials and guides for physicians and patients designed to help prevent alcohol consumption during pregnancy. Unlike other disorders, there is no blood test that can clearly determine if a child has been exposed to alcohol during development. Symptoms may occur at birth or be seen later as the child encounters developmental delays or difficulties.

Symptoms of FASD can include facial irregularities or abnormalities, such as in the area between the upper lip and the nose, or lower than expected weight or height. Some children who have experienced damage related to alcohol use during pregnancy may have a smaller than normal head size or show difficulties paying attention or with activities related to coordination.

While there is no cure for damage caused by a mother’s exposure to alcohol during pregnancy, certain therapies and behavioral interventions may help the child develop more normally. Children who are diagnosed with FASD prior to turning six years old may have some additional protection from the long-term effects, as well as those who live in homes without violence.

Any woman who is planning to become pregnant or is pregnant should stop consuming all alcohol or seek immediate help from a physician, as each alcoholic beverage reaches the fetus through the placenta. The damage caused by alcohol to an unborn baby – often irreversible throughout the child’s life – is completely preventable. By abstaining from alcohol, an expectant mother can help ensure a healthy start to her child’s physical and mental development.

Methamphetamine and Pregnancy

In Hawaii, at least 50 percent of methamphetamine abusers and addicts are women. It’s believed that the drug’s side effects, which include reduced hunger and weight loss, helps explain why so many women abuse the drug.

Most women who use methamphetamine are in their child-bearing years, which can result in meth-affected pregnancies. Using methamphetamine during pregnancy poses a significant risk to the mother and fetus.

Some of the risks to the infant include premature or early delivery of the infant as well as deformities such as club foot and limb abnormalities. Pre-natal meth exposure causes babies to be born with low birth weight, and it can cause the infant to have a stroke or bleeding in the brain.

Babies exposed to meth may also suffer neurological problems such as intolerance to light and touch, tremors, muscle coordination problems, and sleep and irritability problems. There is also an increased risk for these babies to be born with HIV, Hepatitis B, and Hepatitis C.

The developmental risks of infants exposed to meth include learning disabilities and growth and development delays. These babies also have higher rates of attention deficit and attention deficit hyperactive disorders. They also have higher rates for rage disorder and a greater risk of sudden infant death syndrome in infants—and even in children up to 7 years old.

Seeking treatment for drug addiction during a woman’s reproductive years can reduce the potential for harm to both the mother and child.

An Old Drug Revived

An old drug deemed as the “miracle drug” for weight loss was taken out of circulation a few years ago, but researchers have found that an altered form may be their best bet to reviving the pill.

According to a recent article with details of a recent study, scientists have found a modification to the drug, Rimonabant that may not cause the depression problems that were found in 2008 prior to final approval by the Food and Drug Administration (FDA).

The drug once touted as the option for overweight smokers to be able to kick their habit while losing weight was sidelined when links to severe depression were found. Now that the drug is being revived, researchers believe this may be the answer to weight loss problems. Studies have showed the results in lab rats, so they are hoping with the changes, the pill can be made available to the general public.

For those individuals who are extremely obese and are desperate to lose weight because of a life or death illness caused by the extra pounds, this pill could provide an option to help them lose the weight they need. However, one cannot maintain a healthy lifestyle without making some drastic changes and those changes can’t necessarily come in the form of a pill.

Weight loss is something that nearly every person is interested in, but a change in lifestyle is a bit more difficult. Side effects for any medication are always possible no matter how many studies are conducted, but an increase in good nutrition and exercise usually always ends positively.

Arkansas Attorney Arrested on Methamphetamine Charges

An attorney from Berryville, Arkansas, was arrested Friday night on multiple drug charges after she allegedly sold methamphetamine to a confidential informant. Cindy Baker, 36, is facing several felony counts, including delivery of a controlled substance (meth) and possession of drugs and firearms, possession of a controlled substance, delivery of a controlled substance near certain facilities, possession of drug paraphernalia, and conspiracy.

A bond hearing was held Monday at the Carroll County jail with Judge Marianne McBeth setting Baker’s bond at $100,000. Baker is currently in Memphis, Tennessee, undergoing drug and alcohol rehabilitation.

Baker made headlines in 2005 when the Berryville courthouse was evacuated after she introduced what was believed to be a bomb during the trial of Mike Koster of Green Forest. Baker stated that the device was a commercially-available firecracker, but Circuit Judge Alan Epley ordered it to be removed. In the meantime, law enforcement evacuated the building, resulting in a mistrial with Epley threatening to jail her for six months for contempt of court.

A different jury trial of Koster followed and Koster was convicted on some charges. Baker asked the state Supreme Court to throw out the case, claiming double jeopardy, but the court refused.

Baker landed in jail on Friday after authorities arrested her at her residence and office in Berryville. According to Carroll County Sheriff Bob Grudek, an arrest and search warrant were executed based on information gathered during an ongoing investigation.

Grudek said in a press release that on Oct. 28 a confidential informant made a controlled buy of one gram of a substance believed to be meth from Baker for $200 at her home and office.

Later that day, a “buy bust” was made by Mynor Jimmy Aleman-Gonzalez, 24, of Green Forest, who was suspected of being a meth supplier. Authorities seized $1,000 from him, which included bills that were paid to Baker for buying meth earlier in the day.

On Friday, the same confidential informant made a controlled buy of one-half gram of a substance believed to be meth for $50 from Baker, again at her home and office, with the informant giving Baker a $100 bill and receiving $50 in change.

Based on that information, Grudek said, the warrants were issued. At about 7 p.m. Baker was arrested, and confiscated from her person was the $100 bill used to purchase meth earlier in the day.

Confiscated from her home and office were additional substances believed to be meth, along with drug paraphernalia and weapons. The sheriff said additional charges are being considered. Arraignment on the charges is tentatively slated for Nov. 23.

Baker was a candidate for prosecuting attorney in 2006, losing the Democratic primary to current Prosecutor Tony Rogers by 53 votes. She has served on the boards of Carroll Regional Medical Center and Turpentine Creek Wildlife Refuge, and was named Volunteer Attorney of the Year in 2005 by the Carroll County Bar Association. She also served on a committee to establish the 19th Judicial District Drug Court.