The foreword notes that NIDA has learned that behavioral approaches can be very effective in treating cocaine addiction. An overview explains that CBT is a short-term, focused approach that usually occurs in outpatient settings to help persons recognize situations in which they are most likely to use cocaine, avoid these situations when appropriate, and cope more effectively with a range of problems and problem behaviors associated with drug abuse. CBT's two crucial components are functional analysis and skills training. CBT addresses several tasks essential to successful drug treatment, including motivation for abstinence, coping skills, reinforcement contingencies, management of painful feelings, and improved interpersonal functioning and social supports. The manual explains the active ingredients of CBT, compares it with other treatments, details its basic principles, describes the structure and format of each 20-minute section of a 60-minute session, and outlines the integration of CBT with medication. Further sections explain the topics covered in CBT. These include an introduction to treatment, coping with craving, shoring up motivation and the commitment to stop, refusal skills and assertiveness, seemingly irrelevant decisions, an all-purpose coping plan, problem solving, case management, HIV risk reduction, a session for significant others, and termination. Forms; checklists; appended guidelines on therapist selection, training, and supervision and of clinical research supporting CBT; and 65 references