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Concurrent Treatment of PTSD and Substance Use Disorders Using Prolonged Exposure (COPE) is a an integrated treatment 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, where 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. The program includes 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. ...Less

This online therapist guide gives clinicians the information they need to treat clients who exhibit the symptoms of PTSD. It is based on the principles of Prolonged Exposure Therapy, the most scientifically-tested and proven treatment that has been used to effectively treat victims of all types of trauma. Clients are exposed to imagery of their traumatic memories, as well as real-life situations related to the traumatic event in a step-by-step, controllable way, and through this, will learn to confront the trauma and begin to think differently about it, leading to a marked decrease in levels of anxiety and other PTSD symptoms. Clients are provided education about PTSD and other common reactions to traumatic events. Breathing retraining is taught as a method for helping the client manage anxiety in daily life. Designed to be used in conjunction with the corresponding online client workbook, this therapist guide includes all the tools necessary to effectively implement the prolonged exposure program including assessment measures, session outlines, case studies, sample dialogues, and homework assignments. ...Less

This workbook, written for patients, is part of a brief cognitive behavioral therapy (CBT) program for individuals who are diagnosed with posttraumatic stress disorder (PTSD) or who manifest PTSD symptoms that cause distress and/or dysfunction following various types of trauma. The overall aim of the treatment is to help trauma survivors emotionally process their traumatic experiences to diminish or eliminate PTSD and other trauma-related symptoms. The term “prolonged exposure” (PE) reflects the fact that the treatment program emerged from the long tradition of exposure therapy for anxiety disorders in which patients are helped to confront safe but anxiety-evoking situations to overcome their unrealistic, excessive fear and anxiety. PE is designed to get the patient in touch with these emotions and reactions. This workbook is a companion to the Therapist’s Guide, Prolonged Exposure Therapy for PTSD. ...Less

Best used in combination with treatment with a mental health professional, this online workbook will help patients work through PTSD regardless of the type of trauma experienced. This program will reduce anxiety and distress as patients learn to face memories of trauma, while processing emotions about the event using a scientifically tested and proven technique called Prolonged Exposure Therapy (PE). It provides a guide for patients to learn how to confront these situations and begin to re-evaluate feelings and beliefs in order to think differently about the experience. It covers how to participate in exposure exercises as well as any real-life situations that bring about feelings of fear in a step-by-step controllable way. Breathing retraining exercises, information on PTSD, case examples, self-assessment tools, and homework assignments are also included. ...Less

Traumatic events, including sexual abuse, experiencing or witnessing violence, and natural disasters, are common among adolescents, and this online therapist guide presents a proven treatment for PTSD that has been adapted for the adolescent population. It applies the principles of Prolonged Exposure (PE) to help adolescents emotionally process their traumatic experiences and follows a four-phase treatment where the patients complete each module at their own rate of progress. It includes modules on motivational interviewing, case management, the rationale for treatment, information-gathering about the trauma, common reactions to trauma, and explains that by systematically confronting situations associated with the trauma, adolescents can overcome avoidance and fear. It covers how memory of the traumatic event can help distinguish the past from the present and promote feelings of mastery, and also includes modules on relapse prevention and treatment termination. It covers the importance of the adolescent's age and developmental level while in therapy, and includes developmentally appropriate materials and guidance on tailoring the treatment to each client's unique situation, including trauma type and family structure. ...Less