Behavioral couples therapy bct is designed for married or cohabiting individuals seeking help for alcoholism or drug abuse bct sees the substance abusing patient together with the spouse or live in partner. Behavioral couples therapy bct a treatment approach for married or cohabiting drug abusers and their partners attempts to reduce substance abuse directly and through restructuring the dysfunctional couple interactions that frequently help sustain it. Behavioral couples therapy bct sees the substance abusing patient with the spouse to arrange a daily sobriety contract in which the patient states his or her intent not to drink or use drugs and the spouse expresses support for the patients efforts to stay abstinent. Behavioral couples therapy for alcoholism and drug abuse a guideline developed for the behavioral health recovery management project timothy j ofarrell. Nearly 25 years ago the national institute on alcohol abuse and alcoholism hailed couple and family therapy as one of the most outstanding current advances in the area of psychotherapy of alcoholism and called for controlled studies to test these promising methods keller 1974
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