Recovery is unique to each person. What shaped your relationship with drugs and alcohol, what emotions drive you to use, what behavior patterns have kept you stuck — these belong to you, not to anyone else.
And while group therapy, peer support, and being part of a supportive community are significant aspects of the recovery journey, there are parts of healing that can only happen in a private, one-on-one therapist-client relationship. This is what individual therapy provides, and this is an important part of our addiction treatment at Agape Detox Center.
Individual Therapy for Personalized Addiction Recovery
Personalized one-on-one support that helps you understand, heal, and build a stronger foundation for recovery.
What Is Individual Therapy?
Individual therapy — also called individual counseling or one-on-one therapy — is a type of psychotherapy where a client meets with a licensed professional individually in regularly scheduled therapy sessions.[1] During addiction treatment, individual therapy allows time to examine past experiences, identify the sources of your substance use, work through difficult emotions, and develop the self-awareness and coping strategies necessary to maintain sobriety.
Typically, one-on-one therapy sessions range from 45 to 60 minutes, depending on the needs of the patient. Many patients meet with their therapist multiple times weekly during inpatient treatment, then reduce frequency as they move into lower levels of care. Regardless of the level of care, all therapy sessions are conducted by licensed therapists, clinical social workers, or mental health counselors specializing in addiction and dual diagnosis treatment.
At Agape Detox Center, we use one-on-one therapy as the base of each patient’s treatment plan. Each of our staff members is trained in numerous evidence-based therapies, including cognitive behavioral therapy (CBT), dialectical behavioral therapy (DBT), motivational interviewing, EMDR, and trauma-informed care, and selects the therapeutic approaches best fitting each patient’s unique experience, history, and recovery goals.
How Individual Therapy Works
In addiction treatment, one-on-one therapy establishes a trusting relationship that allows for honest interaction between client and therapist.
Individual therapy typically involves the following steps:
- Assessment and Treatment Planning: In initial therapy sessions, the therapist seeks to understand the full scope of the client — substance use history, mental health, traumatic experiences, family dynamics, and goals. The data collected from these assessments create the client’s individualized treatment plan, which guides future therapy.
- Exploration and Insight: As the therapeutic relationship continues to grow, the client begins to investigate the underlying factors contributing to their addiction, such as unprocessed trauma, mental health disorders, and behavior patterns that lead to their substance use. Through exploring these elements, the client becomes increasingly self-aware and develops insight into their own thoughts, actions, and behaviors.
- Skills Development: Individual therapy is where coping skills, strategies, and relapse prevention techniques are developed and practiced. Therapists instruct clients in evidence-based methods — cognitive restructuring, distress tolerance, and communication skills — help clients practice those methods in realistic situations, and help them plan for how to apply them to real-life situations to protect their sobriety.
- Continuing Evaluation and Adjustments: As clients progress through their treatment program, individual therapy serves as a consistent opportunity for the client to evaluate their progress, reflect on difficulties encountered along the way, and make adjustments to their treatment plan if needed.
Who Is Individual Therapy Right For?
Anyone looking for treatment for addiction can benefit from having one-on-one therapy as part of their overall treatment plan. However, individual therapy is particularly effective for people who:
- Have a history of trauma that is contributing to their substance use and require a private setting to process their experiences.
- Are seeking treatment for both addiction and a co-occurring mental health condition like anxiety, depression, post-traumatic stress disorder, borderline personality disorder, or bipolar disorder.
- Have difficulty opening up in a group format and need a more private setting to recover.
- Are working through deeply personal issues such as grief, identity, or relationship patterns that are not suited for a group format
- Have unique relapse prevention requirements that would greatly benefit from an individualized plan and access to one-on-one therapy.
Efficacy of Individual Therapy for Substance Abuse
There is a large body of evidence on the effectiveness of one-on-one counseling for addiction. According to the National Institute on Drug Abuse (NIDA), individual counseling is an important aspect of successful drug treatment.[2]
Other key findings are listed below:
- Research has consistently found that the quality of the therapeutic relationship is associated with better treatment engagement and improved clinical outcomes.[3]
- Multiple studies on multiple forms of therapy modalities have shown significant reductions in substance use, improved mental health functioning, and better long-term success rates compared to treatment without individual therapy.[4]
- Motivational interviewing, delivered in individual sessions, was shown to significantly increase treatment adherence and reduce substance use.[5]
- One type of individual therapy known as eye movement desensitization and reprocessing (EMDR) has been supported by research to treat post-traumatic stress disorder (PTSD), a common contributor to addiction.[6]
- Cognitive behavioral therapy (CBT) and dialectical behavior therapy (DBT), two primary types of therapy applicable to both individual and group settings, have the largest body of evidence supporting them for addiction and co-occurring disorders treated within one-on-one counseling.[7] [8]
- The benefits of CBT therapy last even after formal treatment has ended.[9] People can continue to draw on the awareness, coping mechanisms, and prevention techniques developed while attending individualized therapy to help in maintaining sobriety.
The evidence overwhelmingly shows that DBT provides valuable and powerful tools for persons with emotional dysregulation that feeds addiction and provides individuals with the ability to build a life of wellness and stability.
What to Expect From Individual Therapy
Individual therapy sessions can differ greatly depending on the therapist, therapy approach used, topics discussed, and topic choice. But, if you have never had a therapy session before and aren’t sure what to expect, below is a general outline:
01
A consistent therapeutic relationship
You will work with the same therapist, building consistency and a trusting relationship that allows for deeper levels of therapeutic work.
02
A safe space for honesty
You will be able to be completely open and honest about your feelings, thoughts, goals, and concerns without others being present.
03
A personalized approach
You’ll receive therapy based on your unique needs, background, and goals. No two clients receive the same exact approach.
04
Practical skill-building
Sessions aren’t just reflective; they are active too. You’ll develop concrete coping skills, relapse prevention strategies, and communication skills that apply directly to your life and recovery.
05
Evolving focus
The focus of one-on-one counseling changes as treatment progresses. Initially, the focus is on stabilizing and exploring. As treatment nears completion, the focus begins to shift toward solidifying skills and developing plans for transitioning back into daily life.
Agape Wide Range of Treatment
Individual Therapy at Agape Detox Center
At Agape Detox Center, individual therapy is the core and central aspect of our treatment programs.
All new admissions are matched with a single licensed clinician who remains their designated counselor. The individual therapist participates in creating an agenda for each session based on the client’s needs and incorporates other therapies or interventions as necessary. Many of our therapists have received training in multiple forms of evidence-based therapies and bring both compassion and clinical expertise to each session. For many of our clients, the therapeutic relationship established through individual therapy provides much of the support needed in their ongoing recovery efforts.
Your Recovery Deserves Dedicated Attention
There is no substitute for a therapeutic relationship built around you — your history, your needs, your recovery. If you are ready to take your life back from addiction, reach out today. At Agape Detox Center, our admissions team is available around the clock to answer your questions and help you take the first step.
Frequently Asked Questions About Individual Therapy for Addiction
What is the difference between individual therapy and group therapy?
Individual therapy is private one-on-one sessions with a licensed therapist. Group therapy involves working within a group setting, with guidance provided by a licensed therapist. Although both forms of therapy can be beneficial for people seeking help, they serve different purposes. Individual therapy allows for deeper exploration into personal experiences while providing confidentiality. Group therapy offers the opportunity for connecting with peers and receiving support and accountability.
What types of individual therapy are used for addiction?
There are several forms of evidence-based therapies that can be utilized in individual settings commonly used for addiction, including cognitive behavioral therapy (CBT), dialectical behavior therapy (DBT), motivational interviewing (MI), eye movement desensitization and reprocessing (EMDR), and trauma-informed care. The combination of these therapies depends on the client’s substance use history, their mental health status, and their specific treatment goals.
Is individual therapy effective for anxiety alongside addiction?
Yes. When a person has both an anxiety disorder and an addiction, research supports using evidence-based treatments such as CBT and DBT, which are first-line treatments for anxiety disorders. These treatments have also been shown to be effective when combined with addiction treatment in a dual diagnosis program. Anxiety disorders and addiction are generally better treated simultaneously in an integrated treatment plan.
How often does individual therapy take place during treatment?
During inpatient treatment, clients may attend individual therapy sessions multiple times per week. After transitioning out of inpatient care into less intensive programs, session frequency may vary depending on clinical need and the client’s overall progress toward their recovery.
Does insurance cover individual therapy for addiction?
Most major medical insurance providers offer coverage for individual therapy when treating addiction. Before starting treatment, our admissions team will verify your insurance and discuss your benefit options.
Sources
[1] National Institute of Mental Health. (n.d.). Psychotherapies. https://www.nimh.nih.gov/health/topics/psychotherapies
[2] National Institute on Drug Abuse. (2020). Treatment approaches for drug addiction. National Institutes of Health. https://nida.nih.gov/publications/drugfacts/treatment-approaches-drug-addiction
[3] American Psychological Association. (2019). The therapeutic relationship. https://www.apa.org/monitor/2019/11/ce-corner-relationships
[4] Dutra, L., Stathopoulou, G., Basden, S. L., Leyro, T. M., Powers, M. B., & Otto, M. W. (2008). A meta-analytic review of psychosocial interventions for substance use disorders. American Journal of Psychiatry, 165(2), 179–187. https://psychiatryonline.org/doi/10.1176/appi.ajp.2007.06111851
[5] Substance Abuse and Mental Health Services Administration. (2019). Enhancing motivation for change in substance use disorder treatment (Treatment Improvement Protocol 35). https://www.ncbi.nlm.nih.gov/books/NBK571072/
[6] Perez-Dandieu, B., & Tapia, G. (2014). Treating trauma in addiction with EMDR: A pilot study. Journal of Psychoactive Drugs, 46(4), 303–309. https://doi.org/10.1080/02791072.2014.921744
[7] [9] McHugh, R. K., Hearon, B. A., & Otto, M. W. (2010). Cognitive behavioral therapy for substance use disorders. The Psychiatric Clinics of North America, 33(3), 511–525. https://pmc.ncbi.nlm.nih.gov/articles/PMC2897895/
[8] Linehan, M. M., Schmidt, H., Dimeff, L. A., Craft, J. C., Kanter, J., & Comtois, K. A. (1999). Dialectical behavior therapy for patients with borderline personality disorder and drug-dependence. American Journal on Addictions, 8(4), 279–292. https://doi.org/10.1080/105504999305686