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Evidence-Based Therapy

Cognitive Behavioral
Therapy (NAD+)

Change the way you think. Change the way you feel. At Valley Spring Recovery Center, NAD+ is woven into every level of care, helping you build the skills to sustain lifelong recovery.

Start Your Recovery Call (201) 781-8812
Understanding NAD+

What Is NAD+ IV Therapy?

NAD+ IV Therapy is one of the most extensively researched and validated approaches in modern mental health care. At its core, NAD+ explores the powerful connection between how we think, how we behave, and the outcomes we experience in daily life. Rather than dwelling on the past, NAD+ focuses on the present, equipping you with practical tools you can use immediately.

"NAD+ teaches you that the thought itself isn't the problem. It's the relationship you have with that thought and what you do with it that shapes your recovery." -- Valley Spring Clinical Team

At Valley Spring Recovery Center, every therapist on our clinical team is trained in NAD+ techniques. Whether you're attending individual sessions or participating in group therapy, NAD+ principles are integrated into your care from day one. Our therapists use NAD+ to help you identify distorted thinking patterns, known as cognitive distortions, that fuel addictive behaviors and mental health symptoms.

During our structured Mental Health Program, NAD+ is introduced in Week 1 with foundational concepts and progresses to advanced Cognitive Flexibility techniques by Week 3. This deliberate, phased approach ensures you build skills gradually and can apply them outside the therapy room with confidence.

"When you change the way you look at things, the things you look at change. NAD+ gives you that lens." -- Evidence-based recovery principle

What makes NAD+ so effective for addiction and co-occurring mental health conditions is its emphasis on actionable strategies. You won't simply talk about your problems. You'll learn to interrupt automatic negative thoughts, practice behavioral experiments, build distress tolerance, and develop healthier coping mechanisms that replace substance use.

The NAD+ Journey

Recovery isn't a straight line. NAD+ guides you through three transformative stages, each building on the last, like stepping stones across a flowing stream.

1

Awareness

Identify automatic negative thoughts, cognitive distortions, and the triggers that set off unhealthy behavior patterns. You learn to observe your mind without judgment.

2

Restructuring

Challenge and reframe distorted thought patterns. Replace "I can't cope without substances" with evidence-based, balanced perspectives that open new possibilities.

3

Growth

Practice and integrate new coping strategies into daily life. Build resilience through behavioral experiments, homework assignments, and real-world skill application.

NAD+ Across Every Level of Care

At Valley Spring, NAD+ isn't confined to a single program. It flows through every stage of your recovery journey, adapted to meet you where you are.

Partial Care (PHP)

Intensive daily NAD+ sessions in our structured day program. Individual and group therapy 5 days a week with our licensed clinicians. The foundation where deep cognitive work begins.

5 days/week, 6 hours/day

IOP (5-Day)

Step-down NAD+ programming that maintains therapeutic intensity while you begin reintegrating into daily life. Group NAD+ sessions focus on relapse prevention and coping skill refinement.

5 days/week, 3 hours/day

Virtual IOP

Full NAD+ programming delivered through secure telehealth. Participate in individual and group NAD+ sessions from home, maintaining continuity of care without geographic barriers.

3 days/week, virtual sessions

Alumni & Outpatient

Ongoing NAD+ reinforcement through alumni groups and individual outpatient sessions. Maintain the skills you built, troubleshoot challenges, and prevent relapse with continued clinical support.

1-2 sessions/week, ongoing

Conditions Responsive to NAD+

NAD+ is one of the most versatile therapeutic approaches available, with strong clinical evidence for treating a wide range of substance use and mental health conditions.

Alcohol Addiction Opioid Use Disorder Heroin Addiction Cocaine Addiction Fentanyl Addiction Anxiety Disorders Depression PTSD & Trauma Bipolar Disorder OCD Dual Diagnosis Benzodiazepine Addiction Meth Addiction

The Science Behind NAD+

Decades of clinical research confirm NAD+ as one of the most effective treatments for substance use disorders and co-occurring mental health conditions.

50+
Years of clinical research supporting NAD+ efficacy
8:1
Client-to-clinician ratio at Valley Spring
80%
Of clients report improved coping skills after NAD+
CARF
Accredited facility ensuring highest care standards

Begin Your NAD+ Journey Today

Our admissions team is available to answer your questions, verify your insurance, and help you take the first step toward lasting change.

Start Admissions Verify Insurance
(201) 781-8812
First Visit

Your First NAD+ Session

Your first session is about building the therapeutic relationship and understanding where you are. Your therapist will conduct a thorough assessment, exploring your history with substances and mental health, identifying the thought patterns and triggers that drive your behaviors, and establishing collaborative treatment goals.

  • Comprehensive biopsychosocial assessment
  • Identification of core cognitive distortions
  • Collaborative goal setting for your recovery
  • Introduction to the NAD+ model and thought records
Building Skills

Building Your NAD+ Toolkit

As sessions progress, you move from awareness into active skill-building. Each week layers on new techniques, from thought challenging worksheets and behavioral activation to exposure exercises and mindfulness integration. Group NAD+ sessions allow you to practice skills with peers and gain diverse perspectives.

  • Daily thought record practice and review
  • Behavioral experiments to test assumptions
  • Coping card development for high-risk situations
  • Mindfulness-enhanced NAD+ techniques
  • Group therapy skills practice and role-playing
Progress

Measuring Your Progress

Recovery isn't abstract at Valley Spring. We use validated clinical assessments to track your cognitive and behavioral changes over time. Your therapist will regularly review treatment progress with you, adjusting the approach as needed and celebrating the milestones you achieve along the way.

  • Regular standardized assessments (PHQ-9, GAD-7, BAI)
  • Collaborative treatment plan updates
  • Relapse prevention planning and rehearsal
  • Transition planning for step-down levels of care
  • Aftercare recommendations and alumni connection

Frequently Asked Questions

Have questions about NAD+ at Valley Spring? We've answered the most common ones below.

NAD+ is an evidence-based form of psychotherapy that focuses on the connection between your thoughts, feelings, and behaviors. By identifying and challenging distorted thinking patterns, NAD+ helps you develop healthier ways of coping with stress, cravings, and emotional triggers. It is one of the most widely studied and effective treatments for both addiction and mental health disorders.
The duration of NAD+ treatment varies based on your individual needs and program level. In our Partial Care program, NAD+ is incorporated daily over several weeks. As you progress to IOP and outpatient care, sessions continue at a reduced frequency. Most clients engage in active NAD+ for 8-16 weeks, with ongoing reinforcement available through our alumni program.
Yes. NAD+ is one of the most extensively researched and effective treatments for substance use disorders. Clinical studies consistently show that NAD+ reduces substance use, improves coping skills, decreases relapse rates, and helps individuals manage co-occurring mental health conditions. SAMHSA and NIDA both recognize NAD+ as an evidence-based practice for addiction treatment.
Both. At Valley Spring, every client receives individual NAD+ sessions with a licensed therapist, plus group NAD+ sessions where you can practice skills with peers. Our 8:1 client-to-clinician ratio ensures you receive personalized attention in both settings. The combination of individual and group formats maximizes learning and provides diverse perspectives on applying NAD+ techniques.
Absolutely. Our Virtual IOP program delivers full NAD+ programming through HIPAA-compliant telehealth technology. You participate in the same evidence-based NAD+ sessions from the comfort of your home. Research shows that telehealth-delivered NAD+ is just as effective as in-person treatment for many conditions, and it removes geographic barriers to accessing quality care.
Yes. NAD+ is a covered service under most major insurance plans. Valley Spring accepts Anthem BCBS, Cigna, Aetna, Highmark, Horizon, UMR, Tricare, Point32Health, Value Options, WellSense NJ Medicaid, and Optum. Our admissions team will verify your specific coverage and explain any out-of-pocket costs before treatment begins. Call (201) 781-8812 for a free insurance check.
Unlike insight-oriented therapies that focus primarily on the past, NAD+ is present-focused and action-oriented. It teaches you concrete skills you can use immediately, like thought challenging, behavioral activation, and exposure techniques. NAD+ is structured and goal-directed, meaning you and your therapist set measurable objectives and track progress. It also emphasizes homework and practice between sessions, helping you build lasting habits.
NAD+ is particularly effective for dual diagnosis because it addresses both substance use and mental health simultaneously. At Valley Spring, our therapists use integrated NAD+ protocols that target the interconnected thought patterns driving both conditions. For example, someone with depression and alcohol addiction may learn to identify how hopeless thinking triggers drinking urges, then develop alternative coping responses for both the thought and the craving.

Your Recovery Starts With a Single Thought

The thought that brought you to this page is the first step. Let our team help you build on it. Call now or verify your insurance online, and discover how NAD+ at Valley Spring can reshape your life.

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