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Research has shown that, for many teens, trauma can lead to addiction. Now, for the first time ever, two mental health experts offer a powerful, integrative program to effectively treat teens with these co-occurring issues. Trauma and addiction often present side by side. However, up until now, clinicians have lacked the tools needed to treat these two issues together. Based in cognitive behavioral therapy (CBT) and mindfulness—two proven-effective therapies for addiction and mental health issues—Treating Co-occurring Adolescent PTSD and Addiction is essential for anyone working with adolescents with addiction and post-traumatic stress disorder (PTSD). Developed and researched explicitly for dual diagnosis adolescent clients, this book provides a range of mindfulness practices and tools to help your client be present in what he or she is experiencing—instead of slipping into a pattern of avoidance. In addition, the cognitive behavioral strategies can help adolescents who are at risk of recurrent trauma, and who could therefore benefit from practicing coping strategies to assist them in their current daily situations. This is a must-have resource for any mental health provider treating adolescents with dual diagnosis of PTSD and addiction.
This manual presents the first empirically studied, integrative treatment approach developed specifically for co-occurring 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-size format and helpful reproducible therapist sheets and handouts, which purchasers can also download and print at the companion webpage. See also the author's self-help guide Finding Your Best Self, Revised Edition: Recovery from Addiction, Trauma, or Both, an ideal client recommendation.
Concurrent Treatment of PTSD and Substance Use Disorders Using Prolonged Exposure (COPE) is a cognitive-behavioral psychotherapy program designed for patients who have posttraumatic stress disorder (PTSD) and a co-occurring alcohol or drug use disorder. COPE represents an integration of two evidence-based treatments: Prolonged Exposure (PE) therapy for PTSD and Relapse Prevention for substance use disorders. COPE is an integrated treatment, meaning that both the PTSD and substance use disorder are addressed concurrently in therapy by the same clinician, and patients can experience substantial reductions in both PTSD symptoms and substance use severity. Patients use the COPE Patient Workbook while their clinician uses the Therapist Guide to deliver treatment. The program is comprised of 12 individual, 60 to 90 minute therapy sessions. The program includes several components: information about how PTSD symptoms and substance use interact with one another; information about the most common reactions to trauma; techniques to help the patient manage cravings and thoughts about using alcohol or drugs; coping skills to help the patient prevent relapse to substances; a breathing retraining relaxation exercise; and in vivo (real life) and imaginal exposures to target the patient's PTSD symptoms.
There is an epidemic in this country that is wiping out our youth. Drug addiction and mental illness affect youth from every socioeconomic section of society. The dangers of drug use are not limited to overdose. Club drug use has greatly increased the incidence of HIV in the heterosexual adolescent population from unprotected sex. Similarly, suicide is also related to substance abuse and is one of the leading causes of death in adolescent males who suffer from co-occurring disorders. Evidence-based treatment is currently the recommended treatment for individuals with mental health and substance abuse disorders, also referred to as co-occurring disorders. Despite this, there are few providers willing to truly work with adolescents who have co-occurring disorders, and all too often, many adolescents fall through the cracks in our health care system. This book examines addiction and psychological theories and their application to the treatment of co-occurring disorders. Basic biological and social factors involved with addiction are also reviewed in a manner to increase understanding of how an integrated system of care should work. Information presented herein is intended to increase understanding of co-occurring disorders for the general public, law enforcement, therapists, counselors, and all health care providers, to better their understanding and ability to reach out to help adolescents with mental health and substance abuse disorders. Integrated treatment involves coordination between drug counselors, therapists, and psychiatrists. This book serves as the foundation for a treatment program designed for young people from low- to middle-income families, many of whom, due to financial limitations, have been effectively excluded from receiving valuable treatment for their co-occurring disorders. Above all else, the thoughts contained in this book are written as an outreach to the very individuals who suffer from co-occurring disorders, to instill hope and renewed resolve to help them move forward in their recovery.
Clinicians are now facing new substance use-related challenges such as the opioid crisis, a changing political landscape regarding marijuana, and the emergence of new delivery devices such as e-cigarettes. Unfortunately, it is more critical than ever that clinicians caring for adolescents have a proficiency in treating substance use. This book is a comprehensive clinical guide that discusses the prevalence of substance use among adolescents and young adults, as well as prevention strategies, available screening methods, practical treatment applications and their outcomes. Using a multidisciplinary approach with inclusion of authors from diverse clinical backgrounds, this definitive guide provides the best practices for treating adolescent substance use disorders from medical, behavioral, and social standpoints. Supplemented with case examples and written by experts in the field, Treating Adolescent Substance Use appeals to all clinicians that treat adolescent patients.
The editor and authors of Youth Substance Abuse and Co-occurring Disorders take an applied approach that serves the needs of clinicians, clinical researchers, and students in the fields of mental health, public health, and medicine (pediatrics, family medicine, and child and adolescent psychiatry, in particular). While the population of adolescents with SUD possesses diverse clinical characteristics, 70%--80% manifest comorbid psychopathology, known also as co-occurring disorders or dual diagnosis -- that is, the presence of one or more comorbid psychiatric disorders in addition to SUDs. These comorbidities can greatly complicate assessment and treatment, and this book provides clinicians with not only the theory behind the various approaches to SUD but also the practical knowledge that is essential to understand and treat psychiatric comorbidity in these adolescents. Some of the most prominent investigators in the field have contributed scholarly chapters to the volume, which offers a multitude of useful features: An extensive examination of the etiology of SUD, focusing on whether psychopathology may precede SUD, as in the majority of cases, develop as a consequence of preexisting SUD, or originate from a common vulnerability Consistent emphasis on future directions in clinical research and treatment advancement, which helps the reader identify critical gaps in understanding the relationship between SUD and psychiatric comorbidity among youth Thorough, state-of-the art chapters on the developmental pathways and relationships between substance use and co-occurring psychiatric disorders, screening tools and interventions, and the full range of co-occurring disorders make the book ideal for instructional use Information on risk factors for development of SUD in adolescence, including psychiatric disorders in childhood such as disruptive behavior disorders, mood, anxiety disorders, etc. Clinically useful and scientifically rigorous, Youth Substance Abuse and Co-occurring Disorders should stimulate further discussion and advancement of the field, ultimately resulting in improved and more effective services and intervention modalities for these youth.
This book uses composite clinical examples and the authors' own practical experience to demonstrate how to treat addicted survivors of trauma and abuse. By integrating mental health paradigms with disease models of addiction, and combining psychotherapeutic techniques with 12-step recovery practices, the authors present an easy-to-replicate model for assessment and treatment. They provide an overview of the various types and resulting effects of childhood abuse and other traumas, and then describe the disease of addiction and its treatment. Simultaneously addressing both addiction and survivor issues, the book describes ways to identify and assess substance-dependent survivors, and organize, direct, and plan their treatment. In addition, it provides specific strategies for working with significant others, adolescents, and individuals who also exhibit antisocial, borderline, and narcissistic personality disorders. This book is aimed at psychologists, chemical dependency counselors, social workers, and family therapists.
Thoroughly updated and expanded, the book focuses on the clinical implications of beginning substance use and the pathways to substance use disorders (SUDs) and coexisting disorders among adolescents and college-age emerging adults (ages 12--25 years). This new manual not only captures the advances made in the youth substance use and SUD domains covered in the previous manual, but also includes new and critically important topics that have emerged.
Learn more effective treatments for adolescents with abuse substance disorder Dual diagnosis of adolescent substance use disorders and comorbid psychiatric disorders must be treated simultaneously to be effective. Adolescent Substance Abuse: Psychiatric Comorbidity and High Risk Behaviors presents leading experts offering insightful viewpoints and dynamic suggestions on how to best provide simultaneous treatment and integrated services to these youths. The book covers the state of the art in the field of substance use disorders, and reviews different psychiatric disorders and high risk behaviors, and then addresses the issue of integrated services and ethical, legal, and policy issues pertaining to this population. In the field of adolescent substance abuse treatment, dual diagnosis is the rule rather than the exception, making assessment and treatment complicated. Adolescent Substance Abuse: Psychiatric Comorbidity and High Risk Behaviors comprehensively discusses the magnitude, etiology, and characteristics of problems and substance abuse disorders (SUD), and extensively explains ways to assess, treat, and develop services for adolescents. This unique text closely examines the assessment and treatment of psychiatric comorbid disorders among adolescents such as depression, anxiety disorders, ADHD, and high risk behaviors including suicidal behavior, self-harm behavior, and gambling behavior. The text is extensively referenced and several chapters include helpful tables and figures to clearly display the data. Topics examined in Adolescent Substance Abuse: Psychiatric Comorbidity and High Risk Behaviors include: etiology of adolescent substance abuse assessment treatment planning psychosocial interventions pharmacological interventions disruptive behavior disorders attention deficit hyperactivity disorder depression bi-polar mood disorder anxiety disorders trauma and post traumatic stress disorder (PTSD) suicidal and self-harm behaviors schizophrenia eating disorder gambling behavior Adolescent Substance Abuse: Psychiatric Comorbidity and High Risk Behaviors is an invaluable resource for mental health professionals, pediatricians, family physicians, nurses, addictions specialists, counselors, educators, students, and drug court professionals who provide assessment and treatment for youths with substance use disorders.
There is an epidemic in this country that is wiping out our youth. Drug addiction and mental illness affect youth from every socioeconomic section of society. The dangers of drug use are not limited to overdose. Club drug use has greatly increased the incidence of HIV in the heterosexual adolescent population from unprotected sex. Similarly, suicide is also related to substance abuse and is one of the leading causes of death in adolescent males who suffer from co-occurring disorders. Evidence-based treatment is currently the recommended treatment for individuals with mental health and substance abuse disorders, also referred to as co-occurring disorders. Despite this, there are few providers willing to truly work with adolescents who have co-occurring disorders, and all too often, many adolescents fall through the cracks in our health care system. This book examines addiction and psychological theories and their application to the treatment of co-occurring disorders. Basic biological and social factors involved with addiction are also reviewed in a manner to increase understanding of how an integrated system of care should work. Information presented herein is intended to increase understanding of co-occurring disorders for the general public, law enforcement, therapists, counselors, and all health care providers, to better their understanding and ability to reach out to help adolescents with mental health and substance abuse disorders. Integrated treatment involves coordination between drug counselors, therapists, and psychiatrists. This book serves as the foundation for a treatment program designed for young people from low- to middle-income families, many of whom, due to financial limitations, have been effectively excluded from receiving valuable treatment for their co-occurring disorders. Above all else, the thoughts contained in this book are written as an outreach to the very individuals who suffer from co-occurring disorders, to instill hope and renewed resolve to help them move forward in their recovery.