Sudie E. Back, Edna B. Foa, Therese K. Killeen, Katherine L.'s Concurrent Treatment of PTSD and Substance Use Disorders PDF

By Sudie E. Back, Edna B. Foa, Therese K. Killeen, Katherine L. Mills, Maree Teesson, Bonnie Dansky Cotton, Kathleen M. Carroll, Kathleen T. Brady

ISBN-10: 0199334536

ISBN-13: 9780199334537

Concurrent remedy of PTSD and Substance Use problems utilizing lengthy Exposure (COPE) is a cognitive-behavioral psychotherapy software designed for sufferers who've posttraumatic rigidity illness (PTSD) and a co-occurring alcohol or drug use disease. COPE represents an integration of 2 evidence-based remedies: lengthy publicity (PE) remedy for PTSD and Relapse Prevention for substance use disorders.

COPE is an built-in therapy, which means that either the PTSD and substance use sickness are addressed at the same time in remedy via an analogous clinician, and sufferers can event mammoth discount rates in either PTSD indicators and substance use severity. sufferers use the COPE sufferer Workbook whereas their clinician makes use of the Therapist Guide to carry remedy. this system is produced from 12 person, 60 to ninety minute treatment periods. this system comprises a number of elements: information regarding how PTSD signs and substance use engage with each other; information regarding the commonest reactions to trauma; options to aid the sufferer deal with cravings and suggestions approximately utilizing alcohol or medications; coping abilities to aid the sufferer hinder relapse to elements; a respiring retraining leisure workout; and in vivo (real lifestyles) and imaginal exposures to focus on the patient's PTSD indicators.

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2000). Moreover, the Institute of Medicine (IOM) reviewed all published RCTs for PTSD and the only modality of psychotherapy deemed by the IOM to have sufficient empirical evidence to be considered effective in ameliorating PTSD was exposure-based therapy (IOM, 2008). Thus, PE therapy is the “gold standard” psychosocial treatment for PTSD. Emotional Processing Theory The conceptual backbone of PE is emotional processing theory, which was developed by Foa and Kozak (1985, 1986) as a framework for understanding the anxiety disorders and the mechanisms underlying exposure therapy.

2010). , 2007). , 2000). Moreover, the Institute of Medicine (IOM) reviewed all published RCTs for PTSD and the only modality of psychotherapy deemed by the IOM to have sufficient empirical evidence to be considered effective in ameliorating PTSD was exposure-based therapy (IOM, 2008). Thus, PE therapy is the “gold standard” psychosocial treatment for PTSD. Emotional Processing Theory The conceptual backbone of PE is emotional processing theory, which was developed by Foa and Kozak (1985, 1986) as a framework for understanding the anxiety disorders and the mechanisms underlying exposure therapy.

While the strategy of avoiding might reduce distress in the short term, it prolongs the PTSD symptoms and prevents you from moving on. • Can you think of things that you have avoided since the trauma? Because avoiding thoughts and situations that remind you of the trauma maintains your PTSD, this treatment aims to help you stop avoiding and instead approach trauma-related thoughts and situations in a safe and systematic way. The treatment includes two types of exposures. The first one is called imaginal exposure, in which I will ask you to revisit the memory of the trauma during your therapy sessions with me.

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Concurrent Treatment of PTSD and Substance Use Disorders Using Prolonged Exposure (COPE): Therapist Guide by Sudie E. Back, Edna B. Foa, Therese K. Killeen, Katherine L. Mills, Maree Teesson, Bonnie Dansky Cotton, Kathleen M. Carroll, Kathleen T. Brady


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