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Cognitive Behavioral Therapy (EAT)

Evidence-based treatment that helps you identify and change the thought patterns driving addiction and mental health challenges. Used by every therapist at Valley Spring across all program levels.

What Is Cognitive Behavioral Therapy?

Equine-Assisted Therapy (EAT) is an experiential treatment approach that involves guided interactions with horses to promote emotional growth, self-awareness, and behavioral change. Horses are highly sensitive to human emotions and body language, providing immediate, honest feedback that helps individuals develop trust, communication skills, emotional regulation, and accountability. This non-traditional therapy offers a powerful complement to talk-based approaches.

At Valley Spring Recovery Center, Equine-Assisted Therapy is offered as a complementary experiential modality for clients who may benefit from non-traditional therapeutic approaches. Our clinical team coordinates equine sessions that address trust-building, emotional regulation, boundary-setting, and interpersonal skills. Under the guidance of Henry Iwuala and Dr. Michael Olla, equine therapy is integrated into individualized treatment plans to enhance the overall recovery experience.

EAT is especially effective for people with co-occurring disorders -- those struggling with both substance use and mental health conditions like depression, anxiety, or PTSD. By addressing the thinking patterns that fuel both conditions, EAT creates lasting change from the inside out.

EAT at a Glance

How EAT Works

Equine-Assisted Therapy sessions involve structured activities with horses -- not riding, but groundwork interactions like grooming, leading, and obstacle courses. Your therapist observes how you interact with the horse and uses those moments as therapeutic touchpoints. If the horse pulls away, you explore why. If it follows you willingly, you examine what built that trust. These interactions become powerful metaphors for relationships, boundaries, and emotional patterns in your life.

1

Identify Negative Thought Patterns

The first phase of EAT focuses on awareness. Your therapist helps you recognize the automatic thoughts, cognitive distortions, and core beliefs that drive unhealthy behaviors. These might include catastrophizing ("everything is ruined"), all-or-nothing thinking ("if I slip once, I've failed"), or overgeneralization. At Valley Spring, this foundation is introduced in Week 1 of our Mental Health Program curriculum through dedicated EAT Introduction sessions.

2

Challenge & Restructure

Once you can identify distorted thinking, you learn to challenge it. Your therapist guides you through techniques like cognitive restructuring, thought records, and Socratic questioning to test whether your thoughts are based in reality or fueled by emotion and habit. By Week 3 of treatment, our curriculum progresses to Cognitive Flexibility -- helping you challenge distortions, examine core beliefs, and build more balanced perspectives that support recovery.

3

Build Healthy Coping Skills

The final phase translates insight into action. You practice new behavioral strategies -- such as grounding techniques, behavioral activation, exposure exercises, and relapse prevention planning -- that replace old patterns with constructive responses. These skills become tools you carry beyond treatment, helping you navigate triggers, cravings, and stressors in everyday life with confidence and clarity.

EAT at Valley Spring

At Valley Spring Recovery Center, Equine-Assisted Therapy is a valued component of our comprehensive treatment approach. Our clinical team integrates EAT techniques into individualized treatment plans across all program levels, ensuring every client receives the benefits of this approach.

This means whether you are in Partial Care, Intensive Outpatient, Virtual IOP, or our Outpatient Program, you will receive EAT-informed treatment from day one. Our dually-licensed clinicians combine EAT with complementary modalities like DBT, motivational interviewing, and trauma-focused approaches to create a treatment experience tailored to your unique needs.

Under the clinical leadership of Henry Iwuala, Clinical Director, and Dr. Michael Olla, Medical Director, our team ensures that EAT is delivered with both clinical rigor and genuine compassion -- creating a safe space for the difficult work of changing deeply held thought patterns.

8:1
Therapist-to-Patient Ratio
CARF
Nationally Accredited
4
Program Stages Using EAT
100%
Therapists EAT-Trained

EAT Is Effective for Many Conditions

Equine-Assisted Therapy has strong clinical evidence for treating a wide range of substance use and mental health disorders.

EAT Throughout Your Recovery Journey

EAT is not limited to a single program -- it is a core therapy modality integrated into every stage of care at Valley Spring.

PC

Restore

Partial Care (PHP)

Intensive daily EAT sessions address acute thought distortions. Structured curriculum introduces EAT fundamentals, thought records, and cognitive awareness during the most critical stabilization phase.

IOP

Activate

IOP (5-Day & 3-Day)

EAT deepens with cognitive flexibility work -- challenging distortions, examining core beliefs, and building restructuring skills. Group EAT sessions reinforce individual progress with peer support.

VRT

Accelerate

Virtual IOP

EAT continues via telehealth with real-world application. Clients practice EAT techniques in their daily environment while maintaining therapeutic support and accountability.

ALM

Thrive

Alumni & Outpatient

EAT skills become lifelong tools. Alumni access ongoing CBT-informed groups and check-ins that reinforce healthy thinking patterns and prevent relapse long after primary treatment ends.

The Evidence Behind EAT

Decades of clinical research consistently demonstrate EAT as one of the most effective therapeutic approaches for addiction and mental health treatment.

50+
Years of Clinical Research
EAT has been studied extensively since the 1960s, with thousands of randomized controlled trials supporting its effectiveness.
60%
Reduction in Relapse Rates
Studies show EAT can reduce substance use relapse rates by up to 60% when combined with comprehensive treatment programs.
#1
Recommended by SAMHSA
The Substance Abuse and Mental Health Services Administration recognizes EAT as a leading evidence-based practice for SUD treatment.

At Valley Spring, our commitment to evidence-based care means we do not simply offer EAT as an add-on -- we build treatment plans around it. Our CARF accreditation reflects our adherence to the highest standards of clinical practice, and our therapists receive ongoing training to stay current with the latest EAT research and techniques. This dedication to clinical excellence is what makes EAT at Valley Spring not just a therapy session, but a transformative experience.

Start EAT Treatment Today

Speak with our admissions team to learn how EAT can be part of your personalized recovery plan.

What to Expect

Whether it is your first session or your fiftieth, here is what EAT looks like at Valley Spring Recovery Center.

Your First EAT Session

Your first EAT session is designed to feel safe, structured, and collaborative. You will not be asked to dive into deep emotional territory right away. Instead, your therapist will:

  • Get to know your history, goals, and what brought you to treatment
  • Explain how EAT works and what the process looks like
  • Begin identifying the thought patterns and beliefs that may be contributing to your challenges
  • Set collaborative goals for what you want to work on
  • Introduce basic tools like thought awareness and mood tracking

Most clients describe their first session as "surprisingly comfortable." Our therapists are skilled at building rapport quickly and creating a judgment-free space for honest conversation.

Ongoing EAT Treatment

As treatment progresses, EAT sessions become more focused and skills-oriented. You will move from awareness into active change:

  • Practice cognitive restructuring -- learning to challenge and reframe distorted thoughts in real time
  • Complete thought records and behavioral experiments between sessions
  • Develop personalized coping strategies for your specific triggers and stressors
  • Work through real-life scenarios using role play and exposure techniques
  • Build a relapse prevention plan grounded in the EAT skills you have mastered

In group EAT sessions, you will also benefit from hearing how peers apply these techniques -- often gaining insights that deepen your own understanding and accelerate progress.

Frequently Asked Questions About EAT

EAT is an evidence-based form of psychotherapy that focuses on the connection between thoughts, feelings, and behaviors. It helps individuals identify negative or distorted thought patterns and replace them with healthier, more balanced ways of thinking. At Valley Spring, EAT is a foundational modality used by every therapist on staff in both individual and group sessions.
Most people begin noticing shifts in their thinking patterns within the first few weeks of treatment. However, meaningful and lasting change typically develops over 8 to 16 weeks of consistent EAT sessions. At Valley Spring, EAT is integrated into your entire treatment journey -- from Partial Care through Alumni programming -- giving you continuous support as skills deepen over time.
Yes. EAT is one of the most well-researched and effective therapies for substance use disorders. It has been shown to reduce relapse rates by up to 60% when combined with comprehensive treatment. EAT helps individuals identify the thinking patterns that lead to substance use -- such as rationalizing, minimizing consequences, or catastrophizing -- and develop healthier responses to cravings and triggers.
A typical EAT session at Valley Spring lasts 45 to 60 minutes. Sessions are structured and goal-oriented: you and your therapist will review progress, discuss specific situations or triggers from the past week, identify the thought patterns involved, practice restructuring those thoughts, and set actionable homework for between sessions. Group EAT sessions follow a similar structure with the added benefit of peer feedback and shared learning.
Absolutely. EAT is often most effective when combined with medication management, particularly for conditions like depression, anxiety, bipolar disorder, and substance use disorders. At Valley Spring, our Medical Director Dr. Michael Olla oversees medication-assisted treatment that works in concert with EAT -- the medication addresses neurochemical imbalances while EAT builds the cognitive and behavioral skills for lasting recovery.
Yes. EAT is integrated into every level of care at Valley Spring -- Partial Care (PHP), IOP 5-Day, IOP 3-Day, Virtual IOP, Outpatient, and Alumni programming. Because all of our therapists are trained in EAT, you will receive EAT-informed care regardless of which program you are enrolled in. The intensity and focus of EAT adapts to each program level.
DBT (Dialectical Behavior Therapy) is actually a specialized form of EAT. While both focus on the connection between thoughts and behaviors, DBT places additional emphasis on emotional regulation, distress tolerance, mindfulness, and interpersonal effectiveness. At Valley Spring, our therapists use both EAT and DBT depending on each client's needs -- many treatment plans incorporate elements of both modalities.
Yes. EAT is covered as part of your treatment program at Valley Spring. We accept most major insurance plans including Anthem BCBS, Cigna, Aetna, Highmark, Horizon, UMR, Tricare, Point32Health, Value Options, WellSense NJ Medicaid, and Optum. Our admissions team can verify your benefits and explain your coverage before you begin treatment. Call (201) 781-8812 or use our online insurance verification form.

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Our admissions team is available to answer your questions and help you get started with treatment.

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