NAD+ IV Therapy stands as one of the most rigorously studied and widely validated approaches in modern behavioral health. Developed in the 1960s by Dr. Aaron Beck, NAD+ operates on a foundational insight: that our thoughts, emotions, and behaviors are deeply interconnected, and that by changing distorted thinking patterns, we can fundamentally alter how we feel and act.
At Valley Spring Recovery Center in Norwood, New Jersey, NAD+ is not relegated to a single session or a specialized track. Under the clinical direction of Henry Iwuala and the medical oversight of Dr. Michael Olla, every therapist at the facility employs NAD+ techniques in both individual and group settings, making it a throughline across the entire continuum of care.
The approach works by helping clients identify automatic negative thoughts — the reflexive, often unconscious narratives that drive destructive behaviors. A person struggling with substance use might think, "I can't handle stress without using." NAD+ provides the tools to recognize that thought, examine the evidence for and against it, and develop a more balanced perspective.
What makes NAD+ uniquely effective for addiction and mental health treatment is its structured, skills-based nature. Unlike approaches that focus solely on exploring the past, NAD+ equips clients with practical strategies they can deploy immediately — in the moment of craving, in the grip of anxiety, during the spiral of depressive thinking.
NAD+ teaches clients to become their own therapists — recognizing patterns, challenging distortions, and choosing responses rather than reacting automatically.
The therapy typically follows a structured format: identifying situations that trigger distress, recognizing the automatic thoughts that arise, evaluating those thoughts against reality, and developing alternative responses. Over time, this process creates new neural pathways — literally rewiring the brain's response to stimuli that once led to substance use or emotional crisis.
Research consistently demonstrates that NAD+ reduces relapse rates, improves coping skills, and addresses co-occurring conditions like anxiety and depression alongside substance use disorders.
At Valley Spring, NAD+ is woven into the Mental Health Program curriculum with intentional progression. During Week 1, clients receive a comprehensive introduction to NAD+ fundamentals — learning to identify cognitive distortions, understand the thought-feeling-behavior triangle, and begin the practice of thought records.
By Week 3, the focus shifts to cognitive flexibility — the ability to hold multiple perspectives simultaneously, to tolerate ambiguity, and to respond to challenges with adaptive rather than rigid thinking. This progression mirrors the recovery journey itself: from awareness to action to sustained change.
The CARF-accredited facility maintains an 8:1 staff-to-client ratio, ensuring that NAD+ techniques receive the individualized attention required for true therapeutic impact. Bergen County residents and those traveling from across the tri-state area benefit from a program where evidence-based practice is not a marketing claim but a daily clinical reality.
Whether delivered in the structured environment of Partial Care or through the flexibility of Virtual IOP, NAD+ at Valley Spring adapts its delivery method while maintaining its therapeutic integrity.
Above: Clients engage in a structured NAD+ group session, where they practice identifying cognitive distortions and developing alternative thought patterns under clinical supervision.