and behavior. The module on decision making skills, or ‘seemingly irrelevant decisions’, uses the classic example of a man unexpectedly confronting a high risk situation (Marlatt & Gordon, 1985), but also includes exercises on the need to anticipate consequences of any decision as a means of temporizing behavior and reducing impulsive responding. Thus, we have moved toward conceptualizing CBT4CBT as a set of cognitive control strategies, each focused on a different aspect of impaired control over behavior. In so doing, we are also moving toward a more transdiagnostic model of CBT (Sauer-Zavala et al., 2017), which recognizes that individuals with substance use disorders typically have a range of psychiatric and psychosocial problems (Hasin, Stinson, Ogburn, & Grant, 2007; McLellan, Cacciola, Alterman, Rikoon, & Carise, 2006; Rounsaville et al., 1991). As they are often more concerned with these other problems than their substance use, this broader conception of CBT may broaden its appeal and applicability.
