Posttraumatic Stress and Substance Use Disorders

Anka A. Vujanovic, PhD, is a licensed clinical psychologist, an associate professor in the Department of Psychology, and director of the Trauma and Stress Studies Center at the University of Houston.Sudie E. Back, PhD, is a licensed clinical psychologist, a professor in the Department of Psychiatry and Behavioral Sciences, and director of the Drug Abuse Research Training (DART) program at the Medical University of South Carolina.

"The co-occurrence of PTSD and substance use is as common as it is devastating. Treatment providers often attempt to manage each condition in isolation and fail at both. Back, Vujanovic, and their coauthors do a fantastic job of summarizing the vast research literature in this area in a manner that points to improved clinical strategies. This text will for a long time be the reference for scientists and clinicians alike. If the message of the book is adopted, marked improvements in clinical care will result."—Markus Heilig, MD, PhD, director of the Center for Social and Affective Neuroscience at Linköping University and former clinical director of the National Institute on Alcohol Abuse and Alcoholism, Sweden"Posttraumatic Stress and Substance Use Disorders is a must read for all those interested in either PTSD or substance use disorders, since they co-occur so frequently. Chapters are authored by leaders in the field and cover everything from assessment through treatment, including every evidence-based program aimed at treating PTSD and substance use, as well as emerging treatments and pharmacotherapy, from adolescence to adulthood. This valuable and comprehensive resource should be on everyone’s shelf and is especially timely as we respond as a field to the opioid crisis. This volume will help the many struggling with PTSD and substance use, and the authors and editors deserve our gratitude."—Barbara O. Rothbaum, PhD, ABPP, Paul A. Janssen Chair in Neuropsychopharmacology, associate vice chair of clinical research, and professor of psychiatry at the Emory University School of Medicine, and director of the Emory Healthcare Veterans Program and Emory’s Trauma and Anxiety Recovery Program"Vujanovic and Back amply demonstrate in this volume why they are two of the up and coming generation of clinicians studying trauma exposure, PTSD, and substance abuse. Combining clinical insight and empirical evidence to guide their approaches, the selected authors present state of the art assessment and intervention models for addressing the complex interaction of trauma and substance abuse. Clinicians working in programs that treat patients with PTSD and programs that treat patients with substance abuse will benefit greatly from the wisdom contained within this text. This book belongs in every clinician and investigator’s library of relevant clinical materials. It richly incorporates clinical material with scientific evidence."—Terence M. Keane, PhD, director of the Behavioral Sciences Division of the National Center for Posttraumatic Stress Disorder, associate chief of staff for research and development at the VA Boston Healthcare System, and professor of psychiatry and assistant dean for research at the Boston University School of Medicine

• I. Overview 1. PTSD and Substance Use Disorders: A Clinical Overview 2. Development of Comorbid PTSD and Substance Use Disorders 3. Physical and Mental Health and Other Functional Outcomes in Co-Occurring PTSD and Substance Use Disorders 4. Sex and Gender Differences in PTSD and Substance Use Disorder Comorbidity 5. PTSD and Substance Use Disorders: Consideration of Ethnicity, Race, and Culture II. Assessment and Diagnosis 6. Changes from DSM-IV to DSM-5: PTSD and Substance Use Disorders 7. Assessment of PTSD in the Context of Substance Use Disorders 8. Assessment of Substance Use Disorders in Individuals with PTSD III. Treatment Approaches 9. Risk Reduction through Family Therapy (RRFT): Exposure-Based Treatment for Co-Occurring PTSD and Substance Use Problems among Adolescents 10. Seeking Safety: A Present-Focused Integrated Treatment for PTSD and Substance Use Disorders 11. COPE: Overview of an Exposure-Based Treatment of PTSD and Substance Use Disorders 12. Integrated Cognitive Behavioral Therapy (ICBT) for Co-Occurring PTSD and Substance Use Disorders: Overview and New Applications 13. Pharmacotherapies for PTSD and Substance Use Disorders 14. Third-Wave Behavioral Therapies for the Co-Occurrence of PTSD and Substance Use Disorders IV. Future Directions for Treatment 15. Genetic Studies of PTSD and Substance Use Disorders: Background, Developments, and Future Directions 16. Treating PTSD in a Residential Substance Use Disorder Treatment Program 17. New Directions in PTSD and Substance Use Treatment: Leveraging Technology to Expand Reach 18. Transdiagnostic Treatments: History and Potential for Treating PTSD and Substance Use Disorders