SELF-GUIDED THERAPIES
Self-help therapies guided by written, programmed, or Internet-based instruction have been shown to be effective for heavy users of legal substances (i.e., alcohol, nicotine) who do not meet criteria for a substance use disorder. The target population for such approaches typically includes students or general medical patients rather than individuals who are seeking treatment for a substance use disorder.
Self-help manuals and behavioral self-control training teach patients how to 1) set goals for substance reduction or cessation, 2) monitor progress toward achievement of these goals, 3) reward oneself for progress, 4) learn new coping skills that will facilitate substance reduction or abstinence, and 5) perform functional analysis of behaviors associated with substance use. These therapies are available as manual-guided self-help programs, manual-guided therapies with a clinician, and computer-guided programs. They are therefore available for home use as well as office- and clinic-based use.
Although these approaches are sometimes helpful for those at high risk for developing a substance use disorder or substance-related medical consequences, such minimal therapies may not be sufficient for treatment-seeking patients who already have a substance use disorder.
Self-guided therapy or self help is one of the most widespread and standard forms of help sought by residents of Los Angeles and Orange County residents with substance abuse problems.
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