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Seeking Safety: a Treatment Manual for PTSD and Substance Abuse

by Lisa M Najavits Guilford Publications
Pub Date:
12/2001
ISBN:
9781572306394
Format:
Pbk 401 pages
Price:
AU$134.00 NZ$139.13
Product Status: In Stock Now
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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 format, lay-flat binding, and helpful reproducible therapist sheets and handouts.

'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....All therapists attempting to help these patients should have this book to guide them.' --- Aaron T. Beck, MD, 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 Linehan, PhD, University of Washington

'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, Harvard Medical School

Audience: All clinicians treating clients with trauma and substance abuse problems: graduate students and trainees in clinical psychology, psychiatry, social work, addictions counseling, and related disciplines.

Classroom Use: Serves as a text in graduate-level courses and clinical practica.

Reviews '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....All therapists attempting to help these patients should have this book to guide them.' --- Aaron T. Beck, MD, 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 Linehan, PhD, University of Washington

'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, Harvard Medical School

1. Overview2. Conducting the TreatmentTreatment TopicsIntroduction to Treatment/Case ManagementSafetyPTSD: Taking Back Your PowerDetaching from Emotional Pain (Grounding)When Substances Control YouAsking for HelpTaking Good Care of YourselfCompassionRed and Green FlagsHonestyRecovery ThinkingIntegrating the Split SelfCommitmentCreating MeaningCommunity ResourcesSetting Boundaries in RelationshipsDiscoveryGetting Others to Support Your RecoveryCoping with TriggersRespecting Your TimeHealthy RelationshipsSelf-NurturingHealing from AngerLife Choices Game (Review)Termination

"This manual provides a well-researched treatment approach developed specifically for the difficult-to-treat but common dual diagnosis of post traumatic stress disorder and substance abuse. The author gives much of herself, her thoughts and past experiences in the preface, including reservations that are no easy answers....the book is a very useful tool, well organized and imaginative."
Lisa M. Najavits, PhD, is currently Adjunct Professor at the University of Massachusetts Medical School and previously was on faculty at Harvard Medical School for 25 years and Boston University School of Medicine and the 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 Finding Your Best Self, Revised Edition: Recovery from Addiction, Trauma, or Both (for general readers). She is Director of Treatment Innovations, which conducts research and training related to mental health and addiction. Dr. Najavits serves on the boards of numerous journals, including the Journal of Traumatic Stress, Journal of Gambling Studies,Journal of Dual Diagnosis, and Psychological Trauma, and has received awards 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. She also served as president of the Society of Addiction Psychology of the American Psychological Association. Her major clinical and research interests include addiction, trauma, co-occurring disorders, community-based care, veterans' mental health, development of new counseling models, and clinical trials research. She has a private psychotherapy practice in Massachusetts. [add website for targeted professional promos only] Her website is www.treatment-innovations.org.