The PMHNP is evaluating a new client, a 31-year-old woman with a history of substance use disorder. She was recently sober for 9 months, but just experienced a relapse. The PMHNP should refer her to which form of therapy for relapse prevention?

Choice A reason: Rational emotive behavioral therapy (REBT) focuses on challenging irrational beliefs and promoting rational thinking. While helpful for emotional regulation, it is not the primary evidence-based approach for relapse prevention in substance use. Choice B reason: Cognitive behavioral therapy (CBT) is the most widely supported therapy for relapse prevention. It helps clients identify triggers, develop coping strategies, and restructure maladaptive thoughts that contribute to substance use. CBT is effective in maintaining sobriety and preventing relapse. Choice C reason: Dialectical behavioral therapy (DBT) is beneficial for emotional regulation and is often used for borderline personality disorder. While it may help with co-occurring conditions, CBT is more targeted for relapse prevention. Choice D reason: Solution-focused therapy emphasizes strengths and future goals but lacks the structured approach needed for relapse prevention. It is better suited for short-term problem-solving than long-term substance use management.