Therapy Methods

SMART Recovery Group

Self-Management and Recovery (SMART) Training is a prominent addiction recovery support group.  Not based on the 12-step model, it instead focuses on learning tools for recovery from addiction using scientifically researched and supported methods.  Albert Ellis, the father and creator of Rational Emotive Behavior Therapy is recognized as the precursor to what we now know today as Cognitive Behavior Therapy.  Much of SMART Recovery is based on Ellis’ research and treatment protocols. Our SMART Recovery group is designed to teach you some of the basic skills and terminology of the program so that you may leave the program and go directly into an outside meeting and fully participate.

Seeking Safety  

Seeking Safety is an evidence based curriculum created by Lisa Najavits, PhD out of Harvard and Boston University.  Seeking Safety has a significant amount of research supporting the program and is used widely in dual diagnosis programs across the country.  Seeking Safety is a curriculum designed for people with addiction and/or trauma and its main goal is to help someone to Stabilize themselves into the present and to gain necessary skills to be Safe.  Safety is a key component because safety in our mind and body is critical to the stability of recovery from both addictions and trauma. 

Psychodynamic Therapy Group

Psychodynamic therapy, also known as insight-oriented therapy, focuses on unconscious processes as they are manifested in a person’s present behavior. The goals of psychodynamic therapy are a client’s self-awareness and understanding of the influence of the past on present behavior. In its brief form, a psychodynamic approach enables the client to examine unresolved conflicts and symptoms that arise from past dysfunctional relationships and manifest themselves in the need and desire to abuse substances.

Self Esteem Group

Self Esteem Boston’s Skills for Success program is an evidence based curriculum with 3 categories of focus: Skills for building Confidence, Skills for building Self-Improvement, and Skills for Responsible Relationships. Each module is designed to help group members develop their sense of self-competence and self-worth- the two necessary components of self-esteem.

Relapse Prevention

Preventing an alcohol or drug relapse is more than just saying “no” in the face of temptation. Relapse prevention is a vital component of treatment, and needs to start early in treatment and before temptation presents itself. The best way to prevent relapse is to understand warning signs, and risk factors that commonly lead to relapse. Relapse prevention incorporates intervention strategies that allow the client to address each step of the relapse process. Including identifying high-risk situations for each client, and building coping skills, increasing the client’s self-efficacy, eliminating myths regarding Substance Use’s effects, managing lapses, understanding the relapse process, and developing relapse prevention road maps. By starting early on your relapse prevention plan, you can feel prepared to handle any urges or cravings you may have as you transition out of treatment.


A growing body of research supports meditation and yoga as an effective addiction recovery technique. Clients that incorporated meditation into their recovery have lowered rates of relapse than those who use traditional recovery treatments alone. It is not used in place of other therapies, rather it provides powerful additional support for addicts in recovery. Meditation and yoga are effective because they rewire critical neural pathways in the brain. Brain imagining scans have shown increases in gray matter in the parts of the brain associated with learning, memory, self-awareness, and introspection, decreases in gray matter in areas linked to anxiety and stress.

Yoga is often referred to called meditation in motion or as meditative exercise. Yoga promotes unity between the mind, body, and spirit. In a meditative exercise, a person moves through a series of poses designed to increase flexibility and strength, and improve breathing. The postures improve a client’s self-confidence and sense of physical well-being. The breathing techniques promote the relaxation response, which calms the parasympathetic nervous system. By changing how their brain processes and calming the parasympathetic nervous system those in recovery can change how they respond everyday situations, and react to them more appropriately – without the help of drugs or alcohol. and helps those in recovery respond to stress and triggers that lead to relapse.

Anger Management       

Anger is a normal, healthy emotion when you know how to express it appropriately — anger management is about learning how to do this. Anger management is the process of learning to recognize signs that you’re becoming angry, and actively calm down and deal with the situation in a positive way. Unresolved anger in early recovery is a common relapse trigger, particularly if it was anger that led to the substance abuse and addiction in the first place. Built-up frustration, unresolved resentments, and anger can make it difficult to stay on the road to recovery, but a lapse itself can cause even more anger and frustration. It becomes a self-perpetuating cycle. Being angry isn’t always a bad thing. Being angry can help you share your concerns. It can prevent others from walking all over you. It can motivate you to do something positive. The key is managing your anger in a healthy way.


Cognitive-behavioral therapy (CBT) is one of the most commonly practiced forms of psychotherapy today. CBT is based on the theory that much of how we feel is determined by what we think. Many Disorders, such as depression, are believed to be the result of faulty thoughts and beliefs. By correcting these inaccurate beliefs, the client’s emotional health improves. Dialectical behavior therapy (DBT), founded by psychologist Marsha Linehan, is a specific form of cognitive-behavioral therapy. DBT builds upon the foundation of CBT, to help enhance its effectiveness and address specific concerns that the. DBT emphasizes how a person interacts with others in different environments and relationships, with an understanding that some people are prone to react with more intense motions in certain situations. Both CBT and DBT can incorporate exploring an individual’s past or history, to help an individual better understand how it may have impacted their current situation. However, discussion of one’s past is not a focus in either form of therapy, nor is it a differentiation between the two forms (it is completely dependent upon the individual psychotherapist). Both types of psychotherapy have strong research backing and have been proven to help a person with a wide range of mental health concerns.

Trauma Recovery and Empowerment (TREM)      

TREM is a SAMSHA recognized trauma sensitive treatment program for substance use and/or mental health conditions. TREM recognizes the complexity of long-term adaptation to trauma and addresses a range of difficulties common among survivors of sexual, physical, and emotional abuse. TREM consists of three major parts. The first component focuses on empowerment, and helping clients learn strategies for self-comfort and accurate self-monitoring, as well as ways to establish safe physical and emotional boundaries. The second component of TREM focuses more directly on the trauma experience and its consequences. Finally, the focus shifts explicitly to skills building. This group emphasizes communication style, decision-making, regulating emotions, and establishing safer, more reciprocal relationships. Focusing primarily on the development of specific recovery skills and current functioning.

Healthy Relationships

Relationships can be difficult for everyone, especially so if you are in recovery. Based on the work of Terence T. Gorski, Healthy Relationships focuses on breaking unhealthy relationship patterns, and building a new healthier intimate relationship. Love is something you can learn.


The communication skills we develop in our childhood can often be destructive or unhelpful in life in general and especially in recovery. In the communication group clients will learn: Verbal skills, Non-Verbal skills, Listening Skills, and Conflict Resolution.

To learn more about our programs at Destinations Wellness, please call us. Our specialists are standing by 24/7.