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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 guide was written for family members, significant others, and people concerned about their relatives or friends who have an alcohol or drug problem, which in this book is referred to as substance misuse or substance use disorder (SUD). Substance problems can take many shapes and forms and differ in their severity and impact. This family guide will discuss these problems and how to help the affected person and other family members (including children) who may have been harmed by a loved one’s substance problem. This guide can also help individuals with a substance use problem understand the impact of their SUDs on the family as well as what their family members can do to help themselves. Addressing family issues and making amends are key issues for people in recovery from SUDs. ...Less