Cognitive Behavioral Therapy Educational and psychological work at Courage to Change Ranch not only creates change in itself, but also is essential to the physiological repair of compromised neurons. "Cognitive Behavioral" techniques actually were developed in the field of Education many years ago, and appropriated by the relatively new field of Psychology. This tried-and-true approach to "creating change" in behavior has undergone many refinements and elaborations over time, but its effectiveness in helping individuals cross the threshold to a new way of living is a constant. At Courage to Change, it is the primary technique of our teaching groups, using curricula especially developed for the treatment of addictions. In groups such as "Thinking for a Change" and "Relapse Prevention," patients learn new ways of thinking. And in learning and thinking, they actually create new neural pathways in their respective brains.