Seeking Safety

Seeking Safety : a Treatment Manual for PTSD and Substance Abuse

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This 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 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 format, lay-flat binding, and helpful reproducible therapist sheets and more

Product details

  • Paperback | 401 pages
  • 215.9 x 276.86 x 22.86mm | 975.22g
  • Guilford Publications
  • New York, United States
  • English
  • forms
  • 1572306394
  • 9781572306394
  • 20,567

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 Schoolshow more

About Lisa M. Najavits

Lisa M. Najavits, PhD, is Professor of Psychiatry, Boston University School of Medicine; Lecturer, Harvard Medical School; clinical psychologist, VA Boston Healthcare System; and clinical associate, McLean Hospital. Her primary focus is the development and outcome testing of new therapy models for vulnerable populations, especially in the areas of co-occurring disorders, trauma, and addictions. The author of over 140 professional publications, Dr. Najavits is a recipient of the Chaim and Bela Danieli Young Professional Award of the International Society for Traumatic Stress Studies, the Early Career Contribution Award of the Society for Psychotherapy Research, the Emerging Leadership Award of the American Psychological Association's Committee on Women, and the Betty Ford Award of the Association for Medical Education and Research in Substance more

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). more