Question by Nik: What are some of the similarities and differences between Choice/Reality Therapy and Cog Behavioral Therapy?
I need to know some similarities and differences between the two treatment approaches. Also how they relate to Substance abuse treatment ? Any ideas will help and be much appreciated :)

Best answer:

Answer by JN0303
Im actually an Addictions Counsellor – either modality can work, depending on what best suites the client.

Choice Therapy is pretty much reminding a client that they never “HAVE” to do anything and that they always have a choice and pretty much work to find out what their choices could be. Sometimes people dont see all of their options and feel like “they have no way out” so this is a good modality to use when you start hearing a client feeling “hopeless” or “trapped”

CBT is used to pretty much challenge distorted thinking. This modality is very common in counseling. If a client says something like “my life is terrible because i have no family” you can change the thinking and maybe say something like “some people would not know how to survive on their own”…you pretty much want to flip the negative to a positive. There are many different distorted thinking “signs”, as well as defence mechanisms that you can google.

I guess both are always “client focused” and getting the answers from the client.

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