A cognitive behavioural intervention in the context of methadone tapering treatment for opiate addiction—two single cases

A seven-session cognitive behavioural programme was designed in an attempt to facilitate the engagement of opiate-addicted clients in a methadone tapering treatment regime. The programme was based on a functional view of addiction, and cognitive behavioural techniques suggested by Beck's cognitive treatment of depression, motivational interviewing, and relapse prevention adapted to this specific clinical context. Two cases successfully engaged in the programme are presented. The techniques are outlined, short-term outcome measures reported, and the implications of such an approach discussed.