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 "ping 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.