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This much-needed manual presents the first empirically studied, integrative treatment approach developed specifically for PTSD and substance abuse. The manual is divided into 25 specific units or topics, addressing a range of different cognitive, behavioral, and interpersonal domains. The volume is designed for ease of use with a large format, lay-flat binding, and helpful reproducible handouts and forms. 4/01.
Leading trauma and addiction specialist Lisa Najavits (creator of the evidence-based Seeking Safety treatment model) has trained thousands of therapists in innovative techniques to help people heal and reclaim their lives. Now she puts an array of science-based self-help strategies directly in the hands of readers. This motivating book is packed with compassionate stories and carefully designed reflection questions, exercises, and practical tools that can be downloaded and printed for ease of use. Dr. Najavits explains the links between trauma and addiction and guides people experiencing either (or both) to make meaningful changes. Each concise chapter offers practical ideas that readers will return to again and again to keep themselves safe while building skills for coping with painful past events--and finding a brighter way forward. Mental health professionals, see also the author's Seeking Safety: A Treatment Manual for PTSD and Substance Abuse, which presents an evidence-based treatment approach developed specifically for PTSD and substance abuse.
Describes the evidence-based approaches to preventing relapse of major mental and substance-related disorders. Therapist's Guide to Evidence-based Relapse Prevention combines the theoretical rationale, empirical data, and the practical "how-to" for intervention programs. The first section will serve to describe the cognitive-behavioral model of relapse and provide a general introduction to relapse prevention techniques. While Section II will focus on specific problem areas, Section III will focus on diverse populations and treatment settings. Incorporates theoretical and empirical support Provides step-by-step strategies for implementing relapse prevention techniques Includes case studies that describe application of relapse prevention techniques
This authoritative book presents an innovative relapse prevention program that integrates mindfulness practices with evidence-based cognitive and behavioral strategies. Clinicians get essential information and materials for implementing the approach with their clients. Eight carefully structured group sessions help participants gain awareness of their own inner experiences, step out of habitual patterns of thought and behavior that can trigger relapse, and acquire concrete skills to meet the day-to-day challenges of recovery. In a convenient large-size format, the book includes detailed guidelines for facilitating each session, scripted examples of guided meditations, and more than 20 reproducible handouts. Purchasers get access to a Web page where they can download and print the reproducible materials.
This comprehensive clinical handbook provides virtually everything needed to plan, deliver, and evaluate effective treatment for persons with substance abuse problems and persistent mental illness. From authors at the forefront of the dual disorders field, the book is grounded in decades of influential research. Presented are clear guidelines for developing integrated treatment programs, performing state-of-the-art assessments, and implementing a wide range of individual, group, and family interventions. Also addressed are residential and other housing services, involuntary interventions, vocational rehabilitation, and psychopharmacology for dual disorders. Throughout, the emphasis is on workable ways to combine psychiatric and substance abuse services into a cohesive, unitary system of care. Designed in a convenient large-size format with lay-flat binding for ease of photocopying, the volume contains all needed assessment forms, treatment planning materials, and client handouts, most with permission to reproduce.
Based on a new treatment model for post-traumatic stress disorder, or PTSD, this manual offers an effective and comprehensive therapy targeting symptoms of PTSD in battered women. Pioneered by Dr. Kubany, this innovative intervention is called cognitive trauma therapy, or CTT. CTT includes modules on trauma history exploration, negative self-talk monitoring, stress management, PTSD education, exposure to trauma reminders, overcoming learned helplessness, challenging supposed to beliefs, building assertiveness, managing mistrust, identifying potential abusers, managing contacts with former partners, managing anger, decision-making, self-advocacy, and a very important module on overcoming trauma-related guilt. CTT is a highly structured intervention, deliverable to clients unlike any other therapy. Most procedures are described in such great detail, they can be literally read or paraphrased by therapists--thereby facilitating ease of learning and delivery and making this manual a valuable resource for community health providers and other individuals who counsel battered women, but who may not have advanced higher education.
The Harvard Cocaine Recovery Project, a National Institute on Drug Abuse-funded randomized clinical trial, was initiated in 1986 to compare different approaches for treating cocaine abusers. Modified Dynamic Group Therapy (MDGT), one of the models used in the study, is a short-term supportive-expressive psychodynamic group approach specifically adapted for cocaine addicts. While many previous studies of substance abuse treatment were compromised by extraordinarily high dropout rates, this approach retained nearly 70% of group members for the entire length of treatment. This book describes MDGT and provides a practical guide to implementation. Based on an understanding of the psychological vulnerabilities of addicts, the MDGT model addresses the modifications in psychodynamic technique that are necessary for addicts' needs. It focuses on four main areas of difficulty involving self-regulation; affect, self-esteem, relationship, and self-care problems. Both supportive and expressive, the approach helps group members identify, process, and modify the characterological traits that mask addict's vulnerabilities. With this approach, a well-led group can heighten self-esteem, improve self-care, combat feelings of isolation and shame, and strengthen the individual's capacity for positive change. Concomitant involvement with an individual therapist/counselor is encouraged as a means to support and facilitate the group therapy, especially early in group treatment, and to maintain a flexible individual and group treatment context for self-exploration and understanding. Bringing the model to life are detailed vignettes and transcripts of groups in different phases of recovery. These cases demonstrate techniques, illustrate technical issues, and illuminate major themes that unfold during treatment.

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