Table 1.
Treatment Session Topics
| Session # | MET-CBT for CUD | ICART for CUD and Anxiety |
|---|---|---|
| 1 | • Psychoeducation: CUD • Personalized Feedback Report • Barriers to Quitting |
• Psychoeducation: anxiety disorders • Psychoeducation: CUD • Psychoeducation: reciprocal relation between anxiety & cannabis • Reasons for Quitting • Personalized Feedback Report • Change Plan • Barriers to Quitting |
| 2 | • Change Plan • Supporters • Reasons for Quitting • New Cannabis Coping Strategies |
• Psychoeducation: anxiety • Psychoeducation: emotional processing model of anxiety & how it relates to cannabis • New Cannabis Coping Strategies |
| 3 | • Coping with other life problems | • Psychoeducation: false safety behaviors & strategies to eliminate them |
| 4 | • Functional analysis • Increase pleasant activities • Relaxation Training • Coping with boredom |
• Cannabis & other substance use as false safety behaviors • Function analysis • Cannabis coping strategies |
| 5 | • Coping with Cravings • Urge Surfing |
•Antiphobic attitude • Coping with cannabis cravings • Urge surfing |
| 6 | • Managing thoughts about cannabis use | • Other false safety behaviors (checking, reassurance seeking, companions, avoidance of bodily sensations) • Managing thoughts related to cannabis use |
| 7 | • Problem-solving | • Avoidance as a false safety behavior • Managing Negative Moods & Depression as triggers for cannabis • Increasing pleasant activities |
| 8 | • Cannabis refusal skills | • Other false safety behaviors (cognitive avoidance, idiosyncratic behaviors) • Seemingly irrelevant decisions |
| 9 | • Elective Topic (planning for emergencies & coping with a lapse; seemingly irrelevant decisions; managing negative moods; assertiveness) | • Problem-solving |
| 10 | • Cannabis refusal skills | |
| • Assertiveness | ||
| 11 | • Planning for emergencies & coping with a lapse | |
| 12 | • Prevention of relapse of anxiety disorders and CUD |
Note. MET-CBT = motivation enhancement therapy integrated with cognitive behavioral therapy (nine sessions). ICART = integrated cannabis and anxiety reduction treatment (12 sessions). In both treatments, motivational interviewing techniques were used to explore and resolve ambivalence and increase motivation to change cannabis use throughout treatment as clinically appropriate.