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CEO's Article Relating to Recovery

Dr. Robert Moore

On behalf of the Board of Trustees, employees, volunteers, and medical staff of Community Action Against Addiction, Welcome! 

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Since 1971, Community Action Against Addiction has been committed to providing our patients and the communities we serve with quality, personalized therapeutic and group counseling. We are the largest private, non-profit agency in Cuyahoga County. The organization/agency was founded by a group of community leaders who sought to find a solution to the heroin problem that permeated the inner-city areas of Cleveland at that time. CAAA, as we are known, provides medication-assisted treatment (MAT) to individuals who are addicted to heroin. We are licensed to operate as an Outpatient Treatment Program (OTP). The agency dispenses Methadone, Buprenorphine, and Vivitrol to our clients.   

 

As a community agency, we pledge to provide a comprehensive system of quality care through caring, efficient, trusted, responsive and courteous service every day. Our employees, nursing, clinical and medical staff take unwavering pride in our agency and services and dedicate themselves to compassionate support and uncompromising standards. The highly educated and skilled physicians of our agency significantly contribute to our great reputation. Other staff members have chosen to partner with us to ensure a commitment of excellence to those we serve. We are also grateful for the daily support of our AARP volunteers.  

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I encourage and invite you to explore our website dedicated to keeping you informed about our agency and the services we offer. If you or someone you know is anticipating any of our services or if you are searching for answers to specific addiction health information topics, we are happy to provide you with a teleconference service to answer any questions. 

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On behalf of all of us whose daily jobs are represented among these pages, we welcome you to our Newsletter. Please let us know how we can improve our services or simply let us know what you think. We welcome your thoughts! ​​​

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Sincerely,​

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Dr. R. Josef Moore II, 

Chief Executive Officer  ​

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Article Written by Dr. R. Josef Moore II

​Behavioral Activation: Leveraging Actions to Influence Thoughts in CBT

Cognitive Behavioral Therapy (CBT) is often associated with challenging and reshaping negative thought patterns, but its scope extends far beyond cognition. Behavioral activation, a core component of CBT, emphasizes the profound impact of actions on mental states. By encouraging individuals to engage in purposeful and rewarding activities, behavioral activation aims to disrupt cycles of avoidance and inactivity that often accompany depression and anxiety. R. Josef Moore, who holds a Ph.D. in performance psychology and a master’s degree in counseling, highlights that when actions align with positive intentions, they can serve as powerful catalysts for emotional and psychological transformation.

 

The Foundations of Behavioral Activation

 

At its core, behavioral activation operates on a simple yet transformative principle: behaviors and emotions are interconnected. When individuals feel stuck in depressive or anxious cycles, they often withdraw from activities that once brought them joy or purpose. This withdrawal reinforces feelings of hopelessness and lethargy, creating a self-perpetuating loop. Behavioral activation breaks this cycle by reintroducing meaningful actions, fostering a sense of accomplishment and satisfaction.

 

Unlike traditional approaches that focus solely on altering thought patterns, behavioral activation starts with action. It recognizes that waiting for motivation or a positive mindset to emerge can be counterproductive. Instead, taking small, intentional steps can generate momentum, gradually shifting both thoughts and emotions in a healthier 

direction.

 

The Role of Avoidance in Emotional Distress

 

Avoidance behaviors are common in individuals struggling with anxiety and depression. Whether it’s avoiding social situations, neglecting responsibilities, or withdrawing from loved ones, these behaviors serve as coping mechanisms to escape discomfort. However, avoidance often leads to increased isolation and a diminished sense of control, exacerbating negative feelings.

 

Behavioral activation directly addresses this by encouraging individuals to confront avoidance head-on. By identifying specific activities or areas of life that have been neglected, clients can create a roadmap to re-engage with the world around them. This process not only reduces avoidance but also builds resilience, as individuals learn they can face challenges and still find moments of fulfillment.

 

Action Precedes Motivation

 

One of the most challenging aspects of behavioral activation is the initial push to act. Depression can sap energy and make even the smallest tasks feel insurmountable. Behavioral activation reframes this struggle by emphasizing that action doesn’t have to stem from motivation. In fact, engaging in activities despite a lack of motivation can often spark a shift in emotional state.

 

For example, a person who has stopped exercising due to depression might find it nearly impossible to muster the energy for a workout. However, starting with a brief walk or simple stretches can create a ripple effect. Physical movement, combined with the sense of accomplishment, can gradually improve mood and increase the likelihood of engaging in similar activities in the future.

 

Tailoring Activities for Individual Needs

 

A key aspect of behavioral activation is its adaptability to everyone’s unique circumstances and preferences. Therapists work closely with clients to identify activities that align with their values and interests, ensuring that the actions feel meaningful and  attainable. These activities might include reconnecting with hobbies, spending time with loved ones, or pursuing personal goals.

 

This personalized approach acknowledges that not all activities will resonate equally with everyone. For some, small victories like making the bed or cooking a meal might provide a sense of structure and achievement. For others, more ambitious undertakings, such as volunteering or pursuing creative projects, may reignite a sense of purpose and passion. The key is to start small, build momentum, and celebrate progress along the way.

 

The Science Behind Behavioral Activation

 

The effectiveness of behavioral activation is supported by extensive research. Studies have shown that engaging in positive activities can increase levels of dopamine and serotonin, neurotransmitters associated with mood regulation. Furthermore, the sense of accomplishment that comes from completing tasks, even minor ones, can reinforce self-efficacy—the belief in one’s ability to influence outcomes.

 

Behavioral activation also taps into the concept of neuroplasticity, the brain’s ability to adapt and change. By consistently engaging in rewarding actions, individuals can create new neural pathways that promote healthier emotional responses. Over time, this rewiring helps to counteract the ingrained patterns of negativity and avoidance that characterize anxiety and depression.

 

Behavioral Activation in Practice

 

Therapists often use behavioral activation as part of a broader CBT framework, integrating it with cognitive techniques to address both thoughts and behaviors. For example, a client struggling with social anxiety might begin by identifying specific situations they’ve been avoiding, such as attending a small gathering. With the 

therapist’s guidance, they can develop a step-by-step plan to gradually face these challenges, starting with less intimidating scenarios and building confidence over time.

 

In addition to its therapeutic applications, behavioral activation is also a valuable tool for self-help. Individuals can benefit from setting realistic goals, tracking their progress, and reflecting on the emotional impact of their actions. Even without formal therapy, the principles of behavioral activation can empower individuals to take control of their mental health and improve their quality of life.

 

The Transformative Power of Action

 

Behavioral activation demonstrates that actions have the power to influence thoughts and emotions, often in profound and unexpected ways. By shifting the focus from  internal struggles to external engagement, it provides a practical and accessible pathway to recovery. Whether used as part of a structured therapeutic plan or embraced as a personal strategy, behavioral activation offers hope to those navigating the challenges of anxiety and depression.

 

By encouraging small, meaningful steps forward, behavioral activation reminds us that change is possible, even in the face of adversity. It underscores the importance of persistence, patience, and self-compassion in the journey toward emotional well-being. For those willing to take that first step, the rewards can be life-changing—proof that sometimes, action truly does speak louder than words.

© 2026 | Community Action Against Addiction

5209 Euclid Avenue

Cleveland, OH 44103

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