Cognitive-Behavioral Therapy

Cognitive-behavioral therapy, or CBT, is one of the most trusted and widely studied forms of therapy in the world. It is built on a straightforward idea: the way we think affects how we feel, and how we feel influences how we act. When thoughts are distorted or negative, they can drive harmful emotions and behaviors. By identifying those patterns and replacing them with healthier ways of thinking, patients can learn new coping skills and break cycles that have held them back.

At Juniper Grove Recovery in Indianapolis, CBT is a cornerstone of our therapy programs. We use it to help patients overcome addiction, manage stress, and address mental health challenges that often accompany substance use.

Evidence-based therapy for substance use and co-occurring disorders

Decades of research show CBT is effective in treating both substance use disorders and mental health conditions. It is especially useful for:

Substance use disorders: Including alcohol, opioids, and stimulants

Anxiety disorders: Panic attacks, generalized anxiety, and phobias

Depression: From mild cases to major depressive episodes

Obsessive-compulsive disorder (OCD) and related conditions

Addiction and mental health challenges often occur together. Someone using substances may also struggle with depression or anxiety, which worsens cravings and makes recovery harder. CBT addresses both sides of the equation. By teaching practical strategies, it not only reduces substance use but also improves overall mental health.

How CBT reframes thoughts and behaviors to support recovery

CBT focuses on three main areas:

  • Thoughts: Identifying negative patterns, such as “I’ll never get better” or “I need to drink to cope.”
  • Emotions: Recognizing how those thoughts drive feelings like hopelessness, shame, or anxiety.
  • Behaviors: Learning new actions to replace harmful habits.

For example, a patient might notice they feel the urge to use substances after conflict at home. In CBT, they learn to challenge the thought “I can’t handle this without using” and replace it with “I have tools to calm myself and get support.” They then practice a new behavior, such as calling a supportive friend or using a relaxation technique. Over time, these small but consistent changes create new patterns that support long-term recovery.

How CBT reframes thoughts and behaviors to support recovery

CBT focuses on three main areas:

Thoughts

Identifying negative patterns, such as “I’ll never get better” or “I need to drink to cope.”

Emotions

Recognizing how those thoughts drive feelings like hopelessness, shame, or anxiety.

Behaviors

Learning new actions to replace harmful habits.

For example, a patient might notice they feel the urge to use substances after conflict at home. In CBT, they learn to challenge the thought “I can’t handle this without using” and replace it with “I have tools to calm myself and get support.” They then practice a new behavior, such as calling a supportive friend or using a relaxation technique. Over time, these small but consistent changes create new patterns that support long-term recovery.

CBT and relapse prevention

Relapse is a common concern in addiction recovery. CBT is especially powerful in preventing relapse because it equips patients with strategies for high-risk situations. In therapy, you’ll:

  • Learn to identify triggers such as stress, certain environments, or specific people.
  • Practice coping skills like grounding techniques, journaling, or mindful breathing.
  • Role-play challenging scenarios to prepare for real-world situations.
  • Develop a personalized relapse prevention plan that includes warning signs and action steps.

By practicing these strategies in therapy, patients gain confidence to use them when cravings arise. This preparation makes relapse less likely and helps patients recover more quickly if it does happen.

CBT for co-occurring conditions

Many people in recovery also live with depression, anxiety, or OCD. These conditions can worsen substance use, making treatment more complex. CBT is highly adaptable and can target both addiction and mental health conditions at the same time.

  • Anxiety: CBT helps patients identify catastrophic thinking and replace it with more balanced perspectives, reducing panic and worry.
  • Depression: Therapy focuses on challenging hopeless thoughts and encouraging activities that bring structure and joy back into daily life.
  • OCD: Patients learn to recognize intrusive thoughts and resist compulsive behaviors, gradually reducing anxiety and regaining control.

By addressing these conditions alongside addiction, CBT provides comprehensive support. Patients not only recover from substance use but also experience relief from the mental health challenges that contribute to it.

Why choose CBT for addiction treatment in Indianapolis

CBT is one of the most versatile and practical therapies available. Patients often choose CBT because it:

  • Provides real-world tools that can be used immediately
  • Offers a structured, goal-oriented approach to recovery
  • Helps manage cravings, stress, and relapse risks
  • Supports co-occurring mental health conditions
  • Encourages active participation and accountability

Unlike therapies that are purely exploratory, CBT emphasizes action. Each session gives you something to practice in your daily life. Many patients appreciate this hands-on approach because it builds confidence and shows progress quickly.

Local, accessible care: In-person and telehealth options in Indianapolis

Accessibility matters. At Juniper Grove Recovery, we make it easy to participate in CBT through both in-person and telehealth options.

In-person Therapy

In-person therapy offers face-to-face connection and a structured setting that some patients find motivating.

Telehealth therapy

Telehealth therapy provides flexibility, allowing you to attend sessions from home, which is especially helpful for those balancing work, childcare, or transportation challenges.

Both formats are delivered by licensed clinicians who specialize in CBT and addiction recovery. Whether you sit across from your therapist or connect virtually, you’ll receive the same compassionate, evidence-based care.

CBT vs. other modalities: When CBT is the better fit

Juniper Grove Recovery offers a range of therapies, because recovery is not one-size-fits-all. While CBT is one of our most effective methods, other approaches may be more suitable depending on your needs.

  • Dialectical behavior therapy (DBT): Best for patients who need support managing intense emotions and improving relationships.
  • 12-step programs: Provide peer support and accountability through group-based recovery.
  • Medication-assisted treatment (MAT): Uses FDA-approved medications alongside therapy for opioid and alcohol addiction.

CBT is often the best fit when patients want structured, skills-based therapy that can be applied right away. It can also be combined with these other approaches for a more comprehensive treatment plan.

Personalized plans for alcohol, opioids, stimulants, and more

Every addiction story is unique. That’s why CBT at Juniper Grove is tailored to the specific substance and the personal circumstances of each patient.

  • Alcohol addiction: Therapy helps patients understand the role of alcohol in social and emotional life, then build healthier coping strategies.
  • Opioid addiction: CBT addresses thoughts related to pain, relief, and dependence, while supporting long-term recovery plans.
  • Stimulant addiction: Focus is placed on managing energy levels, mood swings, and stress without substances.
  • Polysubstance use: For patients using more than one substance, CBT targets overlapping triggers and complex patterns of thought.

No matter the substance, the goal is the same: to give patients tools to live healthier, more fulfilling lives.

What to expect in CBT sessions

CBT is collaborative. You and your therapist work together to identify goals and track progress. Sessions are structured but personalized to your needs. You can expect to:

  • Set short-term and long-term goals for recovery
  • Identify thought patterns that drive cravings or negative emotions
  • Practice coping strategies in session and apply them at home
  • Build relapse prevention skills tailored to your triggers
  • Receive feedback and encouragement as you progress

Homework is often part of CBT. This may include journaling, practicing a new coping skill, or tracking triggers throughout the week. These exercises help reinforce progress and make therapy more effective.

Most patients meet once or twice per week, but schedules are flexible. As you progress, sessions may become less frequent while still offering ongoing support.

Long-term benefits of CBT

One of the strengths of CBT is that the benefits last well beyond therapy sessions. Patients often report that CBT skills stay with them for life. Long-term benefits include:

  • Greater confidence in managing stress and setbacks
  • Improved relationships through healthier communication
  • Reduced symptoms of depression and anxiety
  • Stronger relapse prevention and recovery stability
  • A more balanced and positive outlook on life

These benefits create a foundation for lasting recovery, not just temporary relief.

The Juniper Grove Recovery difference

Choosing CBT at Juniper Grove means choosing care that goes beyond therapy sessions.

  • Expert clinicians: Our therapists are highly trained in CBT and experienced in treating both addiction and co-occurring conditions.
  • Whole-person approach: We recognize that recovery involves mind, body, and relationships, and we integrate care across all areas.
  • Accessible options: With both in-person and telehealth sessions, therapy fits into your life.
  • Compassionate environment: Every patient is welcomed without judgment and supported with dignity.
  • Evidence-based outcomes: Our use of CBT and other proven therapies ensures treatment is backed by research and clinical results.

The Juniper Grove Recovery difference is about more than techniques — it’s about a partnership. We walk beside you as you build a healthier, more hopeful future.

Take the next step

Addiction and mental health challenges don’t have to define your future. Cognitive-behavioral therapy provides tools to change thoughts, manage emotions, and build new behaviors that support lasting recovery.

At Juniper Grove Recovery in Indianapolis, our CBT program is designed to meet you where you are and help you move forward with strength and support.

Reach out today to begin your journey. With evidence-based care, compassionate professionals, and flexible options, you can take the next step toward a life that feels steady, hopeful, and fulfilling.