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Home Therapies Life Skills Training
Evidence-Based Therapy

Cognitive Behavioral
Therapy (LST)

Rewire the connection between your thoughts, behaviors, and outcomes. Our CARF-accredited clinical team uses LST across every program at Valley Spring Recovery Center to build lasting change.

8:1
Staff-to-Client Ratio
CARF
Accredited Facility
6+
Programs Using LST
100%
Therapists LST-Trained

Understanding LST

Switch between tabs to explore what LST is, how it works in practice, and the science that supports it.

A Framework for Lasting Change

Life Skills Training is a structured, evidence-based approach that addresses the powerful connection between how you think, how you behave, and the outcomes you experience. At Valley Spring Recovery Center, every therapist on our clinical team—led by Clinical Director Henry Iwuala—is trained in LST and integrates it into both individual and group sessions.

Unlike traditional talk therapy that may focus primarily on the past, LST equips you with practical tools to identify and reframe distorted thinking patterns right now. You learn to recognize automatic negative thoughts, challenge their accuracy, and replace them with healthier cognitive patterns that support your recovery.

LST is a core component of our Mental Health Program curriculum, introduced in Week 1 (LST Intro) and deepened in Week 3 (Cognitive Flexibility), giving clients a progressive foundation for lasting change.

LST Core Model
Thoughts
Behaviors
Outcomes
Change any point in the cycle to shift your entire experience. LST gives you the tools to interrupt negative patterns and build positive ones.
1

Identify Automatic Thoughts

Work with your therapist to uncover the reflexive thoughts that arise in triggering situations—thoughts you may not even realize you are having.

2

Examine the Evidence

Challenge distorted thinking by evaluating whether your automatic thoughts are supported by facts or driven by cognitive distortions like catastrophizing or black-and-white thinking.

3

Develop Alternative Responses

Learn to generate balanced, realistic thoughts that replace unhelpful patterns. Practice cognitive restructuring techniques during individual and group sessions.

4

Behavioral Experiments

Test new beliefs through real-world action. Your therapist assigns targeted exercises that build confidence and reinforce healthier thinking and behavior patterns.

5

Build Relapse Prevention Skills

Develop a personalized toolkit of LST strategies you can use independently—coping cards, thought records, behavioral activation plans—so recovery continues after treatment ends.

Your LST Journey at Valley Spring

LST at Valley Spring is not a one-size-fits-all protocol. Under the clinical guidance of Medical Director Dr. Michael Olla and Clinical Director Henry Iwuala, each client receives a personalized LST treatment plan tailored to their specific conditions, triggers, and recovery goals.

Sessions happen in both individual therapy (one-on-one with your assigned therapist) and structured group settings where you practice skills alongside peers. Our 8:1 staff-to-client ratio means you get far more personalized attention than at typical facilities.

Located at 830 Broadway in Norwood, NJ, our Bergen County facility provides a comfortable, focused environment where you can fully engage with the LST process without the distractions of daily life.

Decades of Evidence Supporting LST

Life Skills Training is one of the most extensively researched psychotherapeutic approaches in existence. Hundreds of clinical trials and meta-analyses have demonstrated its effectiveness across a wide range of mental health conditions and substance use disorders. Here is what the research shows:

2,000+
Published research studies supporting LST effectiveness
60%
Reduction in relapse rates when LST is part of addiction treatment
50-75%
Of patients show significant improvement in anxiety and depression symptoms
#1
Recommended therapy for anxiety disorders by the APA
12-20
Weeks of structured LST typically needed for measurable results
Long-term
Benefits persist well beyond the end of active treatment

At Valley Spring, we combine this evidence base with compassionate, individualized care. Our CARF accreditation reflects our commitment to maintaining the highest standards of treatment quality and clinical outcomes.

What Happens in a LST Session

Click each phase to see what you can expect during a typical LST session at Valley Spring.

LST Session Walkthrough — Valley Spring Recovery Center

Every session begins with a structured check-in. Your therapist asks about your mood, any significant events since the last session, and whether you completed your between-session assignments. This sets the agenda and helps prioritize what to work on.

  • Rate current mood on a 0–10 scale
  • Review homework and between-session practice
  • Identify the most pressing issue for today's session
  • Collaboratively set the session agenda

Using guided questioning techniques, your therapist helps you identify the automatic thoughts that occurred during a difficult situation. You will use a thought record—a structured worksheet—to capture the situation, your emotional response, and the specific thoughts that fueled it.

  • Describe a recent triggering situation in detail
  • Identify the emotions you experienced and their intensity
  • Pinpoint the exact automatic thoughts that arose
  • Recognize common cognitive distortions at play

This is the core therapeutic work. Your therapist uses Socratic questioning to help you examine the evidence for and against your automatic thoughts. Together, you develop more balanced, realistic alternative thoughts that better reflect reality.

  • Examine evidence supporting and contradicting the thought
  • Identify cognitive distortions (catastrophizing, all-or-nothing thinking, etc.)
  • Generate balanced alternative perspectives
  • Rate belief in new thoughts and notice emotional shifts

LST is not just about thinking differently—it is about acting differently. In this phase, you and your therapist plan specific behavioral experiments or coping strategies to practice between sessions. This might include exposure exercises, activity scheduling, or relaxation techniques.

  • Role-play challenging scenarios in a safe environment
  • Design behavioral experiments to test new beliefs
  • Learn and practice coping skills (deep breathing, grounding, etc.)
  • Create an action plan for the coming week

Sessions close with a collaborative summary of key takeaways and specific assignments for practice between sessions. This homework is essential—LST works because you practice new skills in real life, not just in the therapy room.

  • Summarize the main insights and new perspectives from today
  • Assign thought records or behavioral tracking sheets
  • Set specific, measurable goals for the week ahead
  • Address any questions or concerns before the session ends

LST Across Our Programs

Every program at Valley Spring integrates LST. Filter by care level to find the right fit.

🏠

Partial Care (PHP)

Our highest level of outpatient care. Structured daily programming with intensive LST sessions 5 days per week. Individual and group LST is a cornerstone of this program.

5 Days/Week Individual + Group LST Stage: Restore
Learn more →
📈

IOP 5-Day

Intensive outpatient treatment meeting 5 days a week. LST techniques are woven into every group session and individual check-in throughout the week.

5 Days/Week 3 Hours/Day Stage: Activate
Learn more →
📅

IOP 3-Day

A flexible intensive option meeting 3 days a week, ideal for clients stepping down from 5-day IOP. LST remains a central therapeutic modality in all sessions.

3 Days/Week 3 Hours/Day Stage: Activate
Learn more →
💻

Virtual IOP

Access the same CBT-based clinical programming from home via secure telehealth. Full group and individual LST sessions delivered by our licensed therapists remotely.

Telehealth Flexible Schedule Stage: Accelerate
Learn more →
🧠

Mental Health Program

A specialized track where LST is featured prominently in the curriculum. Week 1 introduces LST fundamentals, and Week 3 focuses on Cognitive Flexibility training.

LST Curriculum Week 1 + Week 3 Dual Diagnosis
Learn more →
👥

Outpatient Program

Continued CBT-focused treatment for clients transitioning from intensive care. Individual sessions help reinforce and deepen skills learned during IOP.

1-2 Days/Week Individual LST Stage: Accelerate
Learn more →

LST for Your Condition

Select a condition to see how LST is specifically applied to treat it at Valley Spring.

😶

Anxiety

😢

Depression

PTSD

🌡️

Bipolar Disorder

🔄

OCD

🚬

Substance Use

🔀

Dual Diagnosis

LST for Anxiety Disorders

Anxiety disorders are among the most effectively treated conditions using LST. At Valley Spring, our therapists help you identify the catastrophic thinking patterns and avoidance behaviors that maintain your anxiety cycle. Through structured exposure exercises and cognitive restructuring, you learn to face feared situations gradually while developing more realistic appraisals of threat. Our 8:1 staff ratio ensures you receive the personalized support needed during the often-challenging exposure process.

Cognitive Restructuring Graded Exposure Relaxation Training Worry Time Scheduling Behavioral Experiments
Explore our anxiety treatment program →

LST for Depression

Depression traps people in cycles of negative thinking and withdrawal. LST at Valley Spring breaks this cycle by targeting both the cognitive distortions (hopelessness, self-criticism, all-or-nothing thinking) and the behavioral withdrawal that maintains depressive episodes. Our therapists use behavioral activation to gradually rebuild engagement with rewarding activities alongside cognitive techniques that address the underlying thought patterns fueling your depression.

Behavioral Activation Thought Records Activity Scheduling Cognitive Restructuring Problem-Solving Skills
Explore our depression treatment program →

LST for PTSD

Trauma fundamentally changes how you perceive safety and threat. LST for PTSD at Valley Spring incorporates trauma-focused techniques including cognitive processing therapy, which helps you examine and restructure the stuck points—the distorted beliefs about the trauma and yourself—that keep you trapped in the trauma response. Under Dr. Michael Olla's medical oversight, we ensure that trauma processing is paced appropriately and supported by your full care team.

Cognitive Processing Therapy Trauma Narratives Stuck Point Analysis Safety Behaviors Assessment Grounding Techniques
Explore our PTSD treatment program →

LST for Bipolar Disorder

Managing bipolar disorder requires understanding the relationship between thoughts, mood states, and behavior across both depressive and manic episodes. LST at Valley Spring helps clients recognize early warning signs of mood shifts, develop structured daily routines that promote stability, and challenge the grandiose or hopeless thinking that accompanies mood episodes. Combined with medical management under Dr. Olla, LST becomes a powerful stabilizing force.

Mood Monitoring Sleep Hygiene Protocols Early Warning Sign Detection Activity Pacing Thought Challenging
Explore our bipolar treatment program →

LST for OCD

Obsessive-Compulsive Disorder responds exceptionally well to a specialized form of LST that includes Exposure and Response Prevention (ERP). At Valley Spring, our therapists guide you through gradual exposure to obsession triggers while helping you resist performing compulsive rituals. Over time, your brain learns that the feared outcomes do not occur, and the compulsive urge diminishes significantly.

Exposure & Response Prevention Hierarchy Building Cognitive Defusion Ritual Prevention Planning Relapse Prevention
Explore our OCD treatment program →

LST for Substance Use Disorders

Addiction is maintained by deeply ingrained patterns of thought and behavior. LST at Valley Spring helps you identify the triggers, cravings, and permission-giving thoughts that lead to substance use. You learn to develop alternative coping strategies, challenge beliefs that support continued use (such as "I can't cope without it"), and build a relapse prevention plan grounded in concrete LST skills. This approach is integrated across all our care levels.

Trigger Identification Craving Management Functional Analysis Coping Skills Training Relapse Prevention
Explore our substance use treatment →

LST for Dual Diagnosis

When mental health conditions and substance use disorders co-occur, they reinforce each other in a destructive cycle. Valley Spring's dual diagnosis approach uses LST to address both simultaneously rather than treating them in isolation. Our Mental Health Program curriculum (featuring LST in Week 1 and Cognitive Flexibility in Week 3) is specifically designed for clients managing co-occurring conditions, providing integrated care that treats the whole person.

Integrated Treatment Planning Cross-Condition Thought Records Emotional Regulation Interpersonal Effectiveness Safety Planning
Explore our dual diagnosis program →

4-Stage Care Model

Click each stage to see how LST evolves as you progress through your recovery at Valley Spring.

1 Restore
2 Activate
3 Accelerate
4 Thrive
Stage 1 — Restore

Partial Care (PHP)

The most intensive level of LST engagement. During Partial Care, you attend structured programming 5 days per week with multiple LST sessions. The focus is on stabilization—building foundational LST skills like thought identification, mood monitoring, and basic cognitive restructuring. Our team helps you understand the connection between your thinking patterns and the behaviors that brought you to treatment.

📋
Daily thought records and mood tracking
👥
Group LST sessions with peers
👤
Individual LST with assigned therapist
🎯
8:1 ratio for personalized attention
Stage 2 — Activate

Intensive Outpatient (IOP)

As you stabilize, LST deepens. In our IOP tracks (5-day and 3-day), you move from basic thought identification to more advanced cognitive restructuring and behavioral experiments. You begin applying LST skills to real-world situations outside of treatment, building the bridge between the therapeutic environment and your daily life. The Mental Health Program's Week 3 Cognitive Flexibility module happens at this stage.

📈
Advanced cognitive restructuring techniques
🔬
Real-world behavioral experiments
🧠
Cognitive Flexibility training (Week 3)
🛠️
Personalized coping toolkit development
Stage 3 — Accelerate

Virtual IOP & Outpatient

LST becomes increasingly self-directed in this stage. Through Virtual IOP and standard Outpatient sessions, you practice applying LST skills independently while maintaining therapeutic support. Sessions focus on troubleshooting real-life challenges, refining relapse prevention plans, and deepening your ability to catch and correct distorted thinking without as much therapist guidance.

💻
Telehealth LST from the comfort of home
📝
Independent thought record practice
💪
Self-directed behavioral activation
🛡️
Relapse prevention plan refinement
Stage 4 — Thrive

Alumni Program

Recovery does not end when formal treatment does. Our Alumni Program provides ongoing access to CBT-informed support groups, periodic individual check-ins, and community events. The LST skills you built through Stages 1-3 become your lifelong toolkit for managing stress, preventing relapse, and continuing to grow. You transition from patient to community member with the confidence that you have the tools to handle whatever comes next.

🌐
Alumni support group meetings
📚
Lifelong LST skills toolkit
🤝
Peer mentorship opportunities
📞
Direct line to clinical team if needed

Start LST Treatment
at Valley Spring

Most major insurance plans cover LST at our CARF-accredited facility. Verify your coverage in minutes and take the first step toward lasting change.

Aetna Cigna UnitedHealthcare Horizon BCBS AmeriHealth Oxford Medicare Medicaid

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