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Brief Treatment and Crisis Intervention Advance Access originally published online on September 19, 2006
Brief Treatment and Crisis Intervention 2006 6(4):283-294; doi:10.1093/brief-treatment/mhl013
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© The Author 2006. Published by Oxford University Press. All rights reserved. For permissions, please e-mail: journals.permissions@oxfordjournals.org.

Evidenced-Based Time-Limited Treatment of Co-occurring Substance-Use Disorders and Civilian-Related Posttraumatic Stress Disorder

   Sudie E. Back, PhD
   Angela E. Waldrop, PhD
   Kathleen T. Brady, MD, PhD
   Denise Hien, PhD

From the Department of Psychiatry and Behavioral Sciences, Medical University of South Carolina (Back, Waldrop, Brady) and the Social Intervention Group, Columbia University School of Social Work (Hien)

Contact author: Sudie E. Back, PhD, Medical University of South Carolina, Department of Psychiatry and Behavioral Sciences, Division of Clinical Neuroscience, 67 President Street, PO Box 250861, Charleston, SC 29425. E-mail: backs{at}musc.edu.

Substance use disorders (SUDs) and posttraumatic stress disorder (PTSD) frequently co-occur, and this comorbidity results in a more severe clinical presentation and treatment outcome. Consensus is lacking regarding best practices; however, a number of integrated psychosocial treatments (e.g., Seeking Safety, Substance-Dependence PTSD Therapy, Concurrent Treatment of PTSD and Cocaine Dependence) have shown empirically supported promise in reducing symptoms of both disorders. Very little research has been conducted to date on pharmacological treatments for this dual diagnosis or on assessments. This article reviews the developing literature in this area and discusses future directions for research.

KEY WORDS: PTSD, substance use disorders, comorbidity, integrated treatments, Seeking Safety


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