Is there a need for "professional psychotherapy" in methadone programs?

The role of "professional psychotherapy" in methadone programs has been unclear because of its expense as compared to counseling, shortage of trained, experienced personnel, and confusion in the literature as to its efficacy. This research capsule reviews some recent studies pertaining to this and some of the methodological difficulties in arriving at a clear answer. Psychotherapy so far appears most helpful for patients with a defined psychiatric diagnosis in addition to their drug diagnosis. In addition, benefits appear to be greater if patients are treated early in their treatment program.