Four counseling theories charted against substance use
A 4-5 page APA paper built around a chart covering behaviour, psychoanalytic, cognitive-behavioural and person-centred theory across four aspects each — goals of therapy, types of treatment, where substance use or abuse stems from, and the client best suited to it — followed by a discussion of similarities and differences and which approach fits you as a future counsellor.
Editorial process
Last reviewed · August 12, 2026
Which chart column will you actually have to research?
The third column is the one that decides this assignment. Goals, treatments and client fit are all standard textbook comparisons, and any counselling text will give you them for all four theories. But "theoretical explanation of where substance use or abuse stems from" asks each theory to account for one specific phenomenon, and two of the four are not usually taught that way. Behaviour theory and cognitive-behavioural theory have well-rehearsed addiction accounts — conditioned cues and reinforcement, and maladaptive beliefs about coping and control. Psychoanalytic and person-centred accounts exist but are less often set out plainly: the first reads substance use as a defence or as self-medication of unbearable affect, the second as what happens when experience is at odds with the self-concept and the person has no other way to close the gap. Fill that column first, because it is the one you will have to research rather than recall.
The chart is part of the deliverable, not a preliminary, and the brief says the four to five pages include it. That has two consequences. A chart that fills two pages leaves you two for the discussion, which is not enough for the two questions that follow; a chart that fills half a page has probably compressed the third column into a phrase. Aim for something in between — a page or so — and let the prose carry the nuance the cells cannot hold. It also means the chart's cells should be complete claims rather than keywords. "Unconscious conflict" is a keyword and tells a reader nothing; "substance use as self-medication of affect the client cannot tolerate consciously" is a claim, and the discussion section can then agree with it, qualify it or set it against another row. Write the cells knowing the prose has to argue with them.
The closing question is personal and it is still an argument. "Which approach or combination best fits you as a future counsellor" invites the eclectic answer, and eclecticism is a legitimate position — but only if you say what you are taking from where and why those pieces fit together. "I would use a bit of each" is not a position; it is a refusal to take one. A defensible answer names the theory that supplies your view of where the problem comes from, the theory that supplies your techniques, and the reason those two can coexist: person-centred conditions as the relationship base with cognitive-behavioural techniques inside it is a real and well-documented combination, and naming it precisely is far stronger than claiming to draw on all four. Tie it back to the client-fit column too, since that is where your own answer has to stay consistent with the chart you just built.
Likely learning objectives
Inferred from the brief — check these against your own rubric.
- 01Derive a theory's account of a specific disorder from its general model of the person.
- 02Write chart cells as claims rather than as keywords.
- 03Balance a chart and a discussion inside a fixed page count.
- 04Defend an eclectic position by naming what is taken from where.
- 05Keep a stated personal preference consistent with the analysis that preceded it.
Read the full question
Review every instruction before using the planning guidance that follows.
Turn the brief into deliverables
- 01A chart covering behaviour theory, psychoanalytic theory, cognitive-behavioural theory and person-centred theory.
- 02For each: goals of therapy, types of treatment, the theoretical explanation of where substance use or abuse stems from, and the client characteristics best suited to it.
- 03A discussion of the similarities and differences between the therapeutic theories.
- 04A statement of which approach or combination of approaches best fits you as a future counsellor.
- 05A 4-5 page paper in Word including the chart, with APA citation and the required file naming convention.
Fill the hard column first, then let the prose carry the nuance
Research the substance use column first
Find each theory's account of addiction specifically, since two of the four require looking rather than recalling.
Build the chart
Fill goals, treatments, origin of substance use and client fit for all four, in complete claims.
Similarities
What the four share — a therapeutic relationship, a theory of change, an implicit account of responsibility.
Differences that matter clinically
Where the four would actually treat the same client differently, drawn from the chart's own rows.
Your own position
Name the theory supplying your account of the problem and the theory supplying your techniques, and say why they cohere.
Check for consistency
Confirm your stated preference matches the client-fit row you wrote for that theory.
Where each theory's account of substance use is set out
Recommended databases
- NCBI Bookshelf
- SAMHSA publications via NCBI
- PubMed
- Course counselling text
Search sequence
- 1.Search for each theory's account of addiction by name rather than for the theory in general.
- 2.Use the brief therapies material for the behavioural and cognitive-behavioural rows, which it covers directly.
- 3.For the psychoanalytic and person-centred rows, search on self-medication and on incongruence respectively.
- 4.Write the chart before the discussion; the discussion should be reading the chart, not preceding it.
Reference shortlist
These are authoritative starting points, not a ready-made bibliography. A qualified reviewer must confirm that each source fits the assignment and supports the claim beside which it is cited.
Nothing here is cleared for citation until you have read it.
- 01
Brief Interventions and Brief Therapies for Substance Abuse
SAMHSA TIP 34, NCBI Bookshelf · 1999
Covers behavioural, cognitive-behavioural, psychodynamic and humanistic approaches to substance use in one place, which is exactly the four-way comparison the chart needs.
- 02
Stages of Change Theory
StatPearls, NCBI Bookshelf · 2023
The client-readiness dimension, which is the most defensible basis for the client-fit column across all four rows.
- 03
Terminating the Therapeutic Relationship
StatPearls, NCBI Bookshelf · 2024
What the different traditions expect of the therapeutic relationship, which is one of the real similarities the discussion section should name.
- 04
Cultural Religious Competence in Clinical Practice
StatPearls, NCBI Bookshelf · 2023
How a client's frame of meaning shapes fit with an approach — useful for making the client-characteristics column something other than a list of personality types.
Review before submission
Common mistakes
- Filling the substance use column with the theory's general account of pathology rather than its account of addiction.
- Writing chart cells as keywords, which leaves the discussion nothing to work with.
- Letting the chart consume three of the five pages.
- Answering the personal question with an undefended claim to be eclectic.
- Choosing a personal approach that contradicts the client-fit column you wrote.
- Treating the four theories as four techniques rather than four accounts of the person.
Submission checklist
- All four theories appear, with all four aspects filled for each.
- The substance use column gives a theory-specific mechanism, not a general statement about distress.
- Chart cells are complete claims.
- The chart leaves enough of the page budget for the discussion.
- Similarities are discussed as well as differences.
- The personal preference names what is taken from which theory and why they fit.
- The personal answer is consistent with the client-fit column.
- APA citation and the required file naming convention are used.
Use this guide to plan and review your own work. Follow your institution's rules and read our academic-integrity policy.

Written by
Aaron Bishop
MA, Education
assignment interpretation and research-methods coaching across disciplines
Aaron leads the EssayCrackers editorial desk. He works on how assignment briefs are read — what a rubric is actually asking for, and where students most often answer a different question than the one set.

Reviewed by
Dr. Nathan Cole
PhD, Rhetoric & Composition
Argumentation and thesis development
Nathan teaches first-year composition and directs a university writing center. He reviews EssayCrackers guides for argumentative soundness and citation accuracy.