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Over time, this coping mechanism can contribute to feelings of guilt, shame, and isolation, exacerbating the emotional pain that initially prompted the substance use. They aimed to help people manage their thoughts and feelings instead of trying to control them, which was different from traditional cognitive behavioral therapy (CBT) (Hayes et al., 1999). Take a moment to notice these sensations, letting each breath nurture these feelings. Finally, make a list of core values and keep it visible.