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As treatment progresses with Ira, a computer programmer who abuses cocaine and alcohol, the social worker realizes that he is highly unmotivated but unable to fully stop. Which cognitive behavioral approach might the social worker use to help him?

  1. Emphasize insight-based therapy to help Ira understand the underlying psychodynamic processes that promote his addiction

  2. Find out which situations seem to be associated with substance use and help Ira learn to avoid these

  3. Suggest that Ira participate in a family treatment program

  4. Suggest that Ira participate in a partial hospitalization program

The correct answer is: Emphasize insight-based therapy to help Ira understand the underlying psychodynamic processes that promote his addiction

A This approach may not be as effective for Ira as it relies on gaining insight into unconscious processes, which may not address his immediate behavioral needs. B: This answer is incorrect because it does not address Ira's specific motivation and underlying issues. C: While involving family can be beneficial in addiction treatment, this answer does not address Ira's individual needs and may not be the most effective approach for him. D: A partial hospitalization program may not be the best fit for Ira as it typically involves intensive and structured treatment, which may not address his specific challenges with motivation and stopping substance use.