Certified Advanced Alcohol and Drug Counselor (CAADC) Practice Exam

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What is the focus of cognitive behavioral therapy during treatment?

Recognizing and changing distorted thought patterns
Avoiding emotional triggers
Setting long-term life goals
Understanding childhood experiences

The correct answer is: Recognizing and changing distorted thought patterns

Cognitive behavioral therapy (CBT) primarily focuses on recognizing and changing distorted thought patterns. This therapeutic approach operates on the premise that our thoughts, feelings, and behaviors are interconnected, and that altering negative or irrational thoughts can lead to changes in feelings and behaviors. In the treatment of substance use disorders, for instance, CBT helps clients identify the thoughts that lead to substance use and develop healthier thought patterns that support recovery. Through this process, clients learn to challenge and reframe negative thinking, understand the impact of their thoughts on their actions, and develop more balanced and constructive viewpoints. By focusing on cognitive restructuring, CBT equips clients with the tools to cope with triggers and stressors more effectively, which is critical for maintaining sobriety and improving overall mental health. The other choices, while relevant in different therapeutic contexts, do not encapsulate the core focus of CBT. Avoiding emotional triggers is more about behavioral strategies than cognitive restructuring. Setting long-term life goals pertains more to motivational interviewing and developmental psychology. Understanding childhood experiences belongs to psychodynamic therapy and is less relevant in the immediate cognitive restructuring emphasis of CBT.