Seeking Safety
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Seeking Safety : a Treatment Manual for PTSD and Substance Abuse

4.34 (191 ratings by Goodreads)
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Description

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 handouts. See also the author's self-help guide Recovery from Trauma, Addiction, or Both: Strategies for Finding Your Best Self, an ideal client recommendation.show 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
  • 57,317

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 at Boston University School of Medicine and Adjunct Professor at the University of Massachusetts Medical School. She was previously on faculty at Harvard Medical School for 25 years and Veterans Affairs Boston Healthcare System for 12 years. She is author of over 180 publications, including the books Seeking Safety: A Treatment Manual for PTSD and Substance Abuse (for mental health professionals) and Recovery from Trauma, Addiction, or Both: Strategies for Finding Your Best Self (for general readers). A past president of the Society of Addiction Psychology of the American Psychological Association, she serves on the editorial boards of the Journal of Traumatic Stress, Journal of Gambling Studies, Journal of Dual Diagnosis, and Psychological Trauma. She is the recipient of honors including the Betty Ford Award from the Association for Medical Education and Research in Substance Abuse, the Emerging Leadership Award from the Committee on Women in Psychology of the American Psychological Association, the Early Career Contribution Award from the Society for Psychotherapy Research, and the Young Professional Award from the International Society for Traumatic Stress Studies. Dr. Najavits's major clinical and research interests are substance abuse, trauma, comorbidity, behavioral addictions, veterans' mental health, community-based care, development of new psychotherapies, and outcome research. She has a private psychotherapy practice in Massachusetts.show more

Table of contents

1. Overview 2. Conducting the Treatment 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) Terminationshow more

Rating details

191 ratings
4.34 out of 5 stars
5 54% (104)
4 30% (58)
3 12% (23)
2 2% (3)
1 2% (3)
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