Concurrent Treatment of PTSD and Substance Use Disorders Using Prolonged Exposure (COPE): Therapist…

Paperback | October 8, 2014

bySudie E. Back, Edna B. Foa, Therese K. Killeen

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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 twoevidence-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 theirclinician 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 reactionsto 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 PTSDsymptoms.

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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 twoevidence-based treatments: Prolonged Exposure ...

Sudie E. Back, Ph.D., is a Professor in the Department of Psychiatry and Behavioral Sciences at the Medical University of South Carolina, and a Staff Psychologist at the Ralph H. Johnson Veterans Affairs (VA) Medical Center in Charleston, SC. She is Director of the NIDA-sponsored Drug Abuse Research Training (DART) residency and summer...

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Format:PaperbackDimensions:256 pages, 10 × 7 × 0.68 inPublished:October 8, 2014Publisher:Oxford University PressLanguage:English

The following ISBNs are associated with this title:

ISBN - 10:0199334536

ISBN - 13:9780199334537

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Table of Contents

1. Introductory Information for Therapists2. Outline of this Treatment Program3. Session 1: Introduction to Cope4. Session 2: Common Reactions to Trauma and Craving Awareness5. Session 3: Developing the In Vivo Hierarchy and Craving Management6. Session 4: Initial Imaginal Exposure7. Session 5: Imaginal Exposure Continued and Planning for Emergencies8. Session 6: Imaginal Exposure Continued and Awareness of High-Risk Thoughts9. Session 7: Imaginal Exposure Continued and Managing High-Risk Thoughts10. Session 8: Imaginal Exposure Continued and Refusal Skills11. Session 9: Imaginal Exposure Continued and Seemingly Irrelevant Decisions (SIDs)12. Session 10: Imaginal Exposure Continued and Anger Awareness13. Session 11: Final Imaginal Exposure and Anger Management14. Session 12: Review and TerminationAppendix A: Information Gathering FormAppendix B: Safety AgreementAppendix C: Therapist Imaginal Exposure Recording FormAppendix D: Certificate of CompletionReferencesAbout the Authors