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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 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.
- Sales Rank: #8710 in Books
- Brand: Brand: The Guilford Press
- Published on: 2001-12-14
- Original language: English
- Number of items: 1
- Dimensions: 11.00" h x 8.50" w x 1.00" l, 2.09 pounds
- Binding: Paperback
- 401 pages
Features
- Used Book in Good Condition
Review
"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
"The strength of this manual is its comprehensiveness. The book reveals the author's extensive clinical experience working with this population and her keen ability to apply the basic principles of cognitive-behavioral and interpersonal therapies in ways that are concrete and practical....fills a long-standing gap in the assessment and treatment of PTSD and substance abuse. Najavits' thoroughness and her commitment to ongoing research in this area are illustrated by her inclusion of a questionnaire for patients and therapists who use the manual to provide input about what worked and what didn't. Psychologists, psychiatrists, social workers, and any clinicians who conduct therapy with this population will benefit from owning this manual." (Psychiatric Services 2002-11-01)
"A highly impressive volume describing the first treatment for this population that has had published empirical validation....Essentially, what Dr. Najavits provides is a comprehensive buffet of skill-based therapy topics with accompanying handouts. From the 26 topics presented, the therapist can then select which issues are most relevant to a particular client or group of clients....The handouts provided are clear, and generally user friendly both to clinicians and clients. There is a fair amount of structure to the treatment, yet the author continually encourages clinicians to tailor the treatment to their personal style and the constraints of a clinical situation (i.e., time, setting). She is very clear on what is a 'must' in the treatment (and why) and what is a guideline. This gives the clinician the structure of a manual as well as the freedom to be a flexible, creative clinician....This treatment manual is an impressive contribution to both substance abuse and PTSD fields, as well as the target comorbid diagnostic arena. It is highly recommended for all clinicians." (Journal of Cognitive Psychotherapy 2003-09-01)
"The Seeking Safety manual itself is designed to be clinician-friendly and provides a plethora of patient and therapist information and handouts. Each chapter proves to be easily accessible, including a summary of the session coping skill, a therapist orientation to the topic, ideas for session preparation, session content, and examples of tough cases. Also included in each coping skills chapter are patient materials. These are thoughtfully designed, adding key points, examples, alternatives and suggestions, and ideas for how to apply the material to daily life. In the protocol introduction, there is a wealth of information about PTSD and substance abuse and a section on what is not part of the treatment (focused trauma work). Therapist processes are also addressed throughout the manual with a kind eye to the difficulty of helping individuals with this dual diagnosis recover. The Seeking Safety manual is action-oriented, information- and detail-focused and is also attentive to the emotional pain that brings people into treatment....In sum, Seeking Safety has scientific merit, clinical wisdom, provides an excellent philosophy and protocol for the 'time- and resource-strained clinician,' and patients like it!" (Journal of Trauma Practice 2003-08-01)
"Given the prevalence of patients with both post-traumatic stress disorder (PTSD) and substance abuse diagnoses and their complex interactions, this volume makes an important and timely contribution." (Psychotherapy Research 2003-03-01)
"Fills a tremendous gap in treatment resources....Provides clinicians with an empirically based and well-developed treatment program that enables them to intervene in comorbid SUD and PTSD in an integrated way....Provides a breath of fresh air by rising above the often contentious debate on whether cognitive behavioral therapy (CBT), psychodynamic interventions, or 12-step-oriented approaches are the best treatment model....The manual is well organized, easy to use, and relevant to the treatment needs of individuals with comorbid PTSD and SUD. It is an innovative, flexible, and practical program that is adaptable to a variety of treatment settings. Although this manual is particularly useful for clinicians, I highly recommend it as a resource for students and researchers who seek to gain a better understanding of the treatment needs of individuals who have concomitant SUD and PTSD as well." (Criminal Justice Review 2005-09-01)
"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." (Addiction Today 2002-10-01)
About the Author
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.
Excerpt. � Reprinted by permission. All rights reserved.
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)
Termination
Most helpful customer reviews
4 of 4 people found the following review helpful.
A Must-Have For Anyone Working With Addiction And Trauma
By Amazon Customer
A must-have manual for anyone working in the field of addiction and recovery. Many individuals seeking treatment for substance abuse have experienced some form of trauma in their lives, and even those who don't meet criteria for PTSD or haven't experienced a really significant trauma can still benefit from the lessons and activities in this workbook.
I am a counselor and used this book with clients both in groups and in an individual setting. I find this book particularly effective in groups because the topic of trauma can be difficult in groups, people are sometimes reluctant to share their most painful memories in front of others. But this workbook helps turn the focus onto healing and growth, as well as healthy ways to protect yourself and prevent retraumatization (thus the "seeking safety" title).
I really cannot recommend this book enough, it is worth every penny and I have gotten a LOT of good use out of it and plan to continue to do so.
10 of 10 people found the following review helpful.
I'm not a professional and can follow this book.
By Robin H
My husband is a soldier. A soldier that was getting punished for having PTSD and it's symptoms. I knew something was wrong about that and as I researched I realized he was not alone. The Army does not treat them together. My research led me to Seeking Safety. I was worried that I would not be able to understand it's language but for the most part I could. I have also been able to use it for my husband who is now recovering better than from any treatment the Army has tried to provide. The only thing I don't care for is the use of AA/NA being stressed. There are other recovery options available that are also successful and not based in religion or having a higher power. So obviously in those areas we just substitute the recovery program of our choice. I have now carried this book to meetings with Officers that can affect change in the system hoping that it will catch on and they will start to use it's model.
1 of 1 people found the following review helpful.
Great Guide for PTSD and Recovery Groups
By marsmoon
Practical guide to running psychoeducational groups for persons with PTSD and substance abuse. Acknowledged in the field. Provides hand outs for each meeting, discussion points, you could even read a chapter verbatim for a group meeting, and how to deal with difficult or challenging persons on a given topic. The section on grounding, methods to calm a person experiencing panic, is excellent. A great guide for counselors in training, persons who are in recovery, trauma survivors, as well as for professional counselors for ideas and directions for leading groups. Modularized format for a complete series of meetings.
See all 133 customer reviews...
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