Seeking Safety: a Treatment Manual for PTSD and Substance Abuse

Seeking Safety: a Treatment Manual for PTSD and Substance Abuse

Paperback Guilford Communication Series

By (author) Lisa M. Najavits

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  • Publisher: Guilford Publications
  • Format: Paperback | 401 pages
  • Dimensions: 216mm x 277mm x 23mm | 975g
  • Publication date: 7 February 2002
  • Publication City/Country: New York
  • ISBN 10: 1572306394
  • ISBN 13: 9781572306394
  • Illustrations note: forms
  • Sales rank: 74,263

Product description

This much-needed manual presents the first empirically studied, integrative treatment approach developed specifically for 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 topics, each of which forms the basis for one or more sessions. Covering a range of cognitive, behavioral, and interpersonal issues, topics include 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, sessions can be conducted in any order and in a range of settings. The volume is designed for maximum ease of use with a large-size format and helpful reproducible handouts and forms.

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Author information

Lisa M. Najavits, PhD, is Director of the Trauma Research Program in the Alcohol and Drug Abuse Treatment Center at McLean Hospital and Associate Professor in the Department of Psychiatry at Harvard Medical School.

Review quote

"This landmark volume presents a cutting-edge approach to the treatment of patients who depend on drugs to soothe the pain of PTSD. In stunning detail, Najavits shows how the same therapist can treat both conditions concurrently. Her kinder and gentler approach is a welcome change from traditional confrontational interventions. The volume is enriched by her empathy and wisdom. All therapists attempting to help these patients should have this book to guide them."--Aaron T. Beck, MD, University Professor of Psychiatry, University of Pennsylvania"Fabulous! This treatment manual provides practical, clearly described procedures for treating an extremely difficult group of clients. The organization of the treatment is superb. From my perspective, the most important parts of a comprehensive treatment are here--attention to the client's safety, targeting substance use simultaneously with targeting PTSD, integrating ideals and values (I love the quotations!), a core of cognitive-behavioral interventions, a focus on interpersonal relationships, and attention to the needs of the therapist. Very impressive. Obviously written by an experienced clinician."--Marsha M. Linehan, PhD., University Professor of Psychology, University of Washington"Born of experience and energized by passion, this carefully crafted and thoughtful treatment manual will guide clinicians through the tricky waters of substance abuse and PTSD treatment. "Seeking Safety" will help clinicians decide what to do and how to do it well. As empirically guided treatment manuals begin to emerge in greater numbers and varying quality, Najavits maintains an essential and elegant balance between a lucid map of treatment directions, on the one hand, and the complex dynamics of the clinical territory on the other. This is a very important work that I highly recommend for clinicians of every stripe."--Howard J. Shaffer, PhD, CAS, Director, Division on Addictions, Harvard Medical School

Table of contents

Overview. PTSD and Substance Abuse. This Treatment. Principles of Seeking Safety. How the Treatment was Developed. Empirical Results. How Seeking Safety differs from Existing Treatments. One Patients' Experience of PTSD. Conducting the Treatment. The Treatment Format. Adapting Seeking Safety to Different Contexts. Preparation. Process. Conducting the Session. Treatment Guidelines. Problem Situations and Emergencies. Checklist before Beginning the Treatment. Materials for all Sessions. Treatment Topics. Introduction to Treatment/Case Management. Safety. PTSD: Taking Back Your Power. Detaching from Emotional Pain (Grounding). When Substances Control You. Asking for Help. Taking Good Care of Yourself. Compassion. Red and Green Flags. Honesty. Recovery Thinking. Integrating the Split Self. Commitment. Creating Meaning. Community Resources. Setting Boundaries in Relationships. Discovery. Getting Others to Support Your Recovery. Coping with Triggers. Respecting Your Time. Healthy Relationships. Self-Nurturing. Healing from Anger. Life Choices Game (Review). Termination.