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Individual Therapy for Personalized Addiction Recovery

Personalized one-on-one support that helps you understand, heal, and build a stronger foundation for recovery.

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 — 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.

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.

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.

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.

FAQ

What is the difference between individual therapy and group therapy?

What types of individual therapy are used for addiction?

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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