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Cognitive Behavioral Therapy (PAT)

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?

Psychedelic-Assisted Therapy is an emerging treatment approach that combines the controlled use of psychedelic or dissociative substances -- such as ketamine, psilocybin, or MDMA -- with structured psychotherapy to facilitate profound psychological healing. Research shows these substances can rapidly reduce treatment-resistant depression, PTSD symptoms, and addiction cravings by promoting neuroplasticity and enabling deep emotional processing. This represents one of the most promising frontiers in mental health treatment.

At Valley Spring Recovery Center, we stay at the forefront of emerging evidence-based treatments. While traditional psychedelic-assisted therapy requires specialized protocols and regulatory approvals, our clinical team is knowledgeable about ketamine-assisted approaches and psychedelic-informed care principles. Under the medical guidance of Dr. Michael Olla and clinical leadership of Henry Iwuala, we evaluate emerging therapies as they gain FDA approval and integrate appropriate approaches into our treatment offerings.

PAT 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, PAT creates lasting change from the inside out.

PAT at a Glance

How PAT Works

Psychedelic-Assisted Therapy follows a three-phase protocol. The preparation phase involves multiple therapy sessions to establish trust, set intentions, and prepare psychologically. The medicine session is conducted in a controlled clinical environment with trained therapists present throughout, using carefully calibrated doses. The integration phase -- often considered the most important -- involves processing the experience through structured therapy sessions, making meaning of insights, and applying them to ongoing recovery.

1

Identify Negative Thought Patterns

The first phase of PAT 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 PAT 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.

PAT at Valley Spring

At Valley Spring Recovery Center, Psychedelic-Assisted Therapy is a valued component of our comprehensive treatment approach. Our clinical team integrates PAT 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 PAT-informed treatment from day one. Our dually-licensed clinicians combine PAT 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 PAT 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 PAT
100%
Therapists PAT-Trained

PAT Is Effective for Many Conditions

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

PAT Throughout Your Recovery Journey

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

IOP

Activate

IOP (5-Day & 3-Day)

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

VRT

Accelerate

Virtual IOP

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

ALM

Thrive

Alumni & Outpatient

PAT 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 PAT

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

50+
Years of Clinical Research
PAT has been studied extensively since the 1960s, with thousands of randomized controlled trials supporting its effectiveness.
60%
Reduction in Relapse Rates
Studies show PAT 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 PAT as a leading evidence-based practice for SUD treatment.

At Valley Spring, our commitment to evidence-based care means we do not simply offer PAT 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 PAT research and techniques. This dedication to clinical excellence is what makes PAT at Valley Spring not just a therapy session, but a transformative experience.

Start PAT Treatment Today

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

What to Expect

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

Your First PAT Session

Your first PAT 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 PAT 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 PAT Treatment

As treatment progresses, PAT 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 PAT skills you have mastered

In group PAT 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 PAT

PAT 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, PAT 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 PAT sessions. At Valley Spring, PAT is integrated into your entire treatment journey -- from Partial Care through Alumni programming -- giving you continuous support as skills deepen over time.
Yes. PAT 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. PAT 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 PAT 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 PAT sessions follow a similar structure with the added benefit of peer feedback and shared learning.
Absolutely. PAT 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 PAT -- the medication addresses neurochemical imbalances while PAT builds the cognitive and behavioral skills for lasting recovery.
Yes. PAT 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 PAT, you will receive PAT-informed care regardless of which program you are enrolled in. The intensity and focus of PAT adapts to each program level.
DBT (Dialectical Behavior Therapy) is actually a specialized form of PAT. 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 PAT and DBT depending on each client's needs -- many treatment plans incorporate elements of both modalities.
Yes. PAT 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.

Take the First Step Today

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

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