Trauma and Substance Abuse

Trauma and Substance Abuse

Author: Paige Ouimette

Publisher: Amer Psychological Assn

Published: 2003

Total Pages: 315

ISBN-13: 9781557989383

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Trauma and Substance Abuse explores the underrecognized connection between trauma, substance use, and posttraumatic stress disorder (PTSD). Patients with trauma related distress such as PTSD often have comorbid substance use disorders (SUDs). This book presents cutting-edge research on how often the two disorders co-occur and why. Authors describe models of comorbidity and explore how specific PTSD and substance use symptoms are functionally related to each other. In addition, they suggest assessment approaches and practice guidelines to facilitate proper diagnosis and treatment. Particularly valuable are descriptions of several new treatment approaches that have been developed specifically for PTSD-SUD, including cognitive-behavioral and exposure therapy. This is the first book to evaluate and synthesize the two fields of PTSD and substance use disorder research and treatment. This volume is indispensable for researchers and clinicians seeking a full understanding of the etiology, assessment, and treatment of this challenging dual diagnosis.


Trauma and Addiction

Trauma and Addiction

Author: Tian Dayton

Publisher: Simon and Schuster

Published: 2010-01-01

Total Pages: 432

ISBN-13: 0757396704

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For the past decade, author Tian Dayton has been researching trauma and addiction, and how psychodrama (or sociometry group psychotherapy) can be used in their treatment. Since trauma responses are stored in the body, a method of therapy that engages the body through role play can be more effective in accessing the full complement of trauma-related memories. This latest book identifies the interconnection of trauma and addictive behavior, and shows why they can become an unending cycle. Emotional and psychological pain so often lead to self-medicating, which leads to more pain, and inevitably more self-medicating, and so on--ad infinitum. This groundbreaking book offers readers effective ways to work through their traumas in order to heal their addictions and their predilection toward what clinicians call self-medicating (the abuse of substances [alcohol, drugs, food], activities [work, sex, gambling, etc.] and/or possessions [money, material things].) Readers caught up in the endless cycle of trauma and addiction will permanently transform their lives by reading this book. Therapists treating patients for whom no other avenue of therapy has proved effective will find that this book offers practical, lasting solutions. Case studies and examples of this behavioral phenomenon will illustrate the connection, helping readers understand its dynamics, recognize their own situations and realize that they are not alone in experiencing this syndrome. The author deftly combines the longstanding trauma theories of Van der Kolk, Herman, Bowlby, Krystal and others with her own experiential methods using psychodrama, sociometry and group therapy in the treatment of addiction and posttraumatic stress disorder. While designed to be useful to therapists, this book will also be accessible to trade readers. It includes comprehensive references, as well as a complete index.


Examining the Relationship between Trauma and Addiction

Examining the Relationship between Trauma and Addiction

Author: Shelly Wiechelt

Publisher: Routledge

Published: 2017-10-02

Total Pages: 246

ISBN-13: 1317385276

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Trauma, trauma-related disorders, substance use, and addictive disorders often co-occur, and frequently play a role in the problems and issues that social workers contend with in their practice with individuals, families, and communities. Research shows that there is a relationship between trauma-related symptoms and problematic use of substances and other addictive behaviors. Individuals who experience these co-occurring problems have better outcomes when their issues are addressed with integrated treatment approaches. Trauma-informed care and trauma-specific treatment are therefore important components of effective social work interventions. This book examines various types of trauma, such as intergenerational trauma, adverse childhood events, childhood sexual abuse, and minority stress, amongst various populations and settings, including Native Americans, homeless youth, drug court participants, and LGB adolescents. It also explores the challenges in delivering trauma services in outpatient addiction treatment settings. Furthermore, it provides practical information on how to implement trauma-informed approaches in addiction treatment, and offers insights into the experience of a trauma survivor who is also recovering from a substance use disorder. This book was originally published as a special issue of the Journal of Social Work Practice in the Addictions.


Seeking Safety

Seeking Safety

Author: Lisa M. Najavits

Publisher: Guilford Publications

Published: 2021-05-07

Total Pages: 419

ISBN-13: 1462548571

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This manual presents the first empirically studied, integrative treatment approach developed specifically for co-occurring PTSD and substance abuse. For persons with this prevalent and difficult-to-treat dual diagnosis, the most urgent clinical need is to establish safety--to work toward discontinuing substance use, letting go of dangerous relationships, and gaining control over such extreme symptoms as dissociation and self-harm. The manual is divided into 25 specific units or topics, addressing a range of different cognitive, behavioral, and interpersonal domains. Each topic provides highly practical tools and techniques to engage patients in treatment; teach "safe coping skills" that apply to both disorders; and restore ideals that have been lost, including respect, care, protection, and healing. Structured yet flexible, topics can be conducted in any order and in a range of different formats and settings. The volume is designed for maximum ease of use with a large-size format and helpful reproducible therapist sheets and handouts, which purchasers can also download and print at the companion webpage. See also the author's self-help guide Finding Your Best Self, Revised Edition: Recovery from Addiction, Trauma, or Both, an ideal client recommendation.


Concurrent Treatment of PTSD and Substance Use Disorders Using Prolonged Exposure (COPE)

Concurrent Treatment of PTSD and Substance Use Disorders Using Prolonged Exposure (COPE)

Author: Sudie E. Back

Publisher: Oxford University Press, USA

Published: 2014-10-08

Total Pages: 193

ISBN-13: 019933451X

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Concurrent Treatment of PTSD and Substance Use Disorders Using Prolonged Exposure (COPE) is a cognitive-behavioral psychotherapy program designed for patients who have posttraumatic stress disorder (PTSD) and a co-occurring alcohol or drug use disorder. COPE represents an integration of two evidence-based treatments: Prolonged Exposure (PE) therapy for PTSD and Relapse Prevention for substance use disorders. COPE is an integrated treatment, meaning that both the PTSD and substance use disorder are addressed concurrently in therapy by the same clinician, and patients can experience substantial reductions in both PTSD symptoms and substance use severity. Patients use the COPE Patient Workbook while their clinician uses the Therapist Guide to deliver treatment. The program is comprised of 12 individual, 60 to 90 minute therapy sessions. The program includes several components: information about how PTSD symptoms and substance use interact with one another; information about the most common reactions to trauma; techniques to help the patient manage cravings and thoughts about using alcohol or drugs; coping skills to help the patient prevent relapse to substances; a breathing retraining relaxation exercise; and in vivo (real life) and imaginal exposures to target the patient's PTSD symptoms.


Posttraumatic Stress and Substance Use Disorders

Posttraumatic Stress and Substance Use Disorders

Author: Anka A. Vujanovic

Publisher: Routledge

Published: 2019-04-23

Total Pages: 494

ISBN-13: 1315442620

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Posttraumatic Stress and Substance Use Disorders summarizes the state of the field from a biopsychosocial perspective, addressing key domains of interest to clinicians, students, instructors, and researchers. This book is a valuable resource and reference guide for multidisciplinary practitioners and scientists interested in the evidence-based assessment and treatment of posttraumatic stress and substance use disorders. Chapters written by leaders in the field cover the latest research on assessment, diagnosis, evidence-based treatments, future directions, and much more.


Trauma Services for Women in Substance Abuse Treatment

Trauma Services for Women in Substance Abuse Treatment

Author: Denise Hien

Publisher: American Psychological Association (APA)

Published: 2009

Total Pages: 0

ISBN-13: 9781433804106

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"This book is a hands-on guide for clinicians seeking to treat women who suffer from both a history of trauma and the effects of substance abuse. The intertwined nature of trauma and addiction is explored through a review of recent research, with a focus on treatment options for PTSD and addiction that together form the basis for many of the recently developed treatments for trauma and addiction co-morbidity. Vital background material is included that describes the effects of trauma on emotion regulation, interpersonal functioning, parenting, and physical health. Finally, the book addresses the many real-world challenges clinicians will face in implementing trauma-focused therapeutic approaches in community-based substance abuse treatment." "The authors have written an essential resource for substance abuse program directors who want to broaden their services to better assist their clients. It will also be helpful for clinicians and social workers who want to better understand the complicated nature of their clients' problems, as well as for researchers seeking to expand on the current understanding of addiction and trauma co-morbidity, and for all who seek to further develop integrated treatments to help lead victims to recovery."--BOOK JACKET.


Ending Discrimination Against People with Mental and Substance Use Disorders

Ending Discrimination Against People with Mental and Substance Use Disorders

Author: National Academies of Sciences, Engineering, and Medicine

Publisher: National Academies Press

Published: 2016-09-03

Total Pages: 171

ISBN-13: 0309439124

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Estimates indicate that as many as 1 in 4 Americans will experience a mental health problem or will misuse alcohol or drugs in their lifetimes. These disorders are among the most highly stigmatized health conditions in the United States, and they remain barriers to full participation in society in areas as basic as education, housing, and employment. Improving the lives of people with mental health and substance abuse disorders has been a priority in the United States for more than 50 years. The Community Mental Health Act of 1963 is considered a major turning point in America's efforts to improve behavioral healthcare. It ushered in an era of optimism and hope and laid the groundwork for the consumer movement and new models of recovery. The consumer movement gave voice to people with mental and substance use disorders and brought their perspectives and experience into national discussions about mental health. However over the same 50-year period, positive change in American public attitudes and beliefs about mental and substance use disorders has lagged behind these advances. Stigma is a complex social phenomenon based on a relationship between an attribute and a stereotype that assigns undesirable labels, qualities, and behaviors to a person with that attribute. Labeled individuals are then socially devalued, which leads to inequality and discrimination. This report contributes to national efforts to understand and change attitudes, beliefs and behaviors that can lead to stigma and discrimination. Changing stigma in a lasting way will require coordinated efforts, which are based on the best possible evidence, supported at the national level with multiyear funding, and planned and implemented by an effective coalition of representative stakeholders. Ending Discrimination Against People with Mental and Substance Use Disorders: The Evidence for Stigma Change explores stigma and discrimination faced by individuals with mental or substance use disorders and recommends effective strategies for reducing stigma and encouraging people to seek treatment and other supportive services. It offers a set of conclusions and recommendations about successful stigma change strategies and the research needed to inform and evaluate these efforts in the United States.


Treating Co-occurring Adolescent PTSD and Addiction

Treating Co-occurring Adolescent PTSD and Addiction

Author: Lisa R. Fortuna

Publisher: New Harbinger Publications

Published: 2015-10-01

Total Pages: 220

ISBN-13: 1626251355

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Research has shown that, for many teens, trauma can lead to addiction. Now, for the first time ever, two mental health experts offer a powerful, integrative program to effectively treat teens with these co-occurring issues. Trauma and addiction often present side by side. However, up until now, clinicians have lacked the tools needed to treat these two issues together. Based in cognitive behavioral therapy (CBT) and mindfulness—two proven-effective therapies for addiction and mental health issues—Treating Co-occurring Adolescent PTSD and Addiction is essential for anyone working with adolescents with addiction and post-traumatic stress disorder (PTSD). Developed and researched explicitly for dual diagnosis adolescent clients, this book provides a range of mindfulness practices and tools to help your client be present in what he or she is experiencing—instead of slipping into a pattern of avoidance. In addition, the cognitive behavioral strategies can help adolescents who are at risk of recurrent trauma, and who could therefore benefit from practicing coping strategies to assist them in their current daily situations. This is a must-have resource for any mental health provider treating adolescents with dual diagnosis of PTSD and addiction.


Treating Addicted Survivors of Trauma

Treating Addicted Survivors of Trauma

Author: Katie Evans

Publisher: Guilford Press

Published: 1995-01-01

Total Pages: 306

ISBN-13: 9780898623246

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This book uses composite clinical examples and the authors' own practical experience to demonstrate how to treat addicted survivors of trauma and abuse. By integrating mental health paradigms with disease models of addiction, and combining psychotherapeutic techniques with 12-step recovery practices, the authors present an easy-to-replicate model for assessment and treatment. They provide an overview of the various types and resulting effects of childhood abuse and other traumas, and then describe the disease of addiction and its treatment. Simultaneously addressing both addiction and survivor issues, the book describes ways to identify and assess substance-dependent survivors, and organize, direct, and plan their treatment. In addition, it provides specific strategies for working with significant others, adolescents, and individuals who also exhibit antisocial, borderline, and narcissistic personality disorders. This book is aimed at psychologists, chemical dependency counselors, social workers, and family therapists.