Exposure- and Acceptance-Based Treatment for Substance Use Disorders and Relapse Vulnerability

This book introduces the EXACT (Exposure, Acceptance, and Values-Based Action) Recovery Model, a process-based clinical framework designed to address relapse vulnerability in substance use disorder treatment. The EXACT Recovery Model introduces a new, process-based approach that integrates exposure science and acceptance-based behavioral principles to help patients build the capacity to experience urges, emotions, and internal discomfort without relapse. It reconceptualizes relapse as a predictable learning-based process driven by avoidance of internal distress rather than as a failure of motivation or insight. Chapters integrate contemporary exposure science and Acceptance and Commitment Therapy principles into a cohesive framework tailored specifically to addiction treatment, providing both conceptual foundations and practical implementation guidance for clinicians working across levels of care. Bridging cutting-edge behavioral research and real-world clinical application, this book provides a practical framework for improving long-term recovery outcomes across addiction treatment settings.