Introductory Information for Therapists

Author(s):  
Sudie E. Back ◽  
Edna B. Foa ◽  
Therese K. Killeen ◽  
Katherine L. Mills ◽  
Maree Teesson ◽  
...  

This chapter provides the therapist with introductory information on the program, reviews the COPE treatment and how it works, and discusses what type of patients are most appropriate for the COPE therapy. In addition, it provides the therapist with the diagnostic criteria for post-traumatic stress disorder (PTSD) and substance use disorders.

Author(s):  
Sudie E. Back ◽  
Edna B. Foa ◽  
Therese K. Killeen ◽  
Katherine L. Mills ◽  
Maree Teesson ◽  
...  

This chapter describes the last session (session 12) of the COPE therapy for post-traumatic stress disorder (PTSD) and substance use disorders. In this chapter, the therapist is instructed to assess the patient’s progress since the beginning of treatment and review areas in need of continued work. Finally, this chapter instructs the therapist on how to elicit and provide the patient feedback, and treatment is terminated.


2021 ◽  
Vol 12 ◽  
Author(s):  
Fabien Renaud ◽  
Louise Jakubiec ◽  
Joel Swendsen ◽  
Melina Fatseas

The frequent co-occurrence of post-traumatic stress disorder (PTSD) and substance use disorders (SUDs) leads to manifestations of both conditions that are more severe and more resistance to treatment than single disorders. One hypothesis to explain this synergy is the impact of intrusive memories on craving which, in turn, increases the risk of relapse among patients with substance use disorders. The aim of this systematic review is to examine this possibility by assessing the impact of PTSD and its symptoms on craving among dual disorder patients. Using PRISMA criteria, four databases were comprehensively searched up to June, 2021, in order to identify all candidate studies based on broad key words. Resulting studies were then selected if they examined the impact of PTSD or PTSD symptoms on craving, and if they used standardized assessments of PTSD, SUD, and craving. Twenty-seven articles matched the selection criteria and were included in this review. PTSD was found to be significantly associated with increased craving levels among patients with alcohol, cannabis, cocaine, tobacco, and other substance use disorders. Exposition to traumatic cues among dual disorder patients was also shown to trigger craving, with an additive effect on craving intensity when exposure to substance-related cues occurred. In addition, certain studies observed a correlation between PTSD symptom severity and craving intensity. Concerning mechanisms underlying these associations, some findings suggest that negative emotional states or emotion dysregulation may play a role in eliciting craving after traumatic exposure. Moreover, these studies suggest that PTSD symptoms may, independently of emotions, act as powerful cues that trigger craving. These findings argue for the need of dual disorder treatment programs that integrate PTSD-focused approaches and emotion regulation strategies, in addition to more traditional interventions for craving management.


Addiction ◽  
2015 ◽  
Vol 110 (7) ◽  
pp. 1194-1204 ◽  
Author(s):  
Mark P. McGovern ◽  
Chantal Lambert-Harris ◽  
Haiyi Xie ◽  
Andrea Meier ◽  
Bethany McLeman ◽  
...  

2011 ◽  
Vol 31 (3) ◽  
pp. 294-302 ◽  
Author(s):  
GLENYS DORE ◽  
KATHERINE MILLS ◽  
ROBIN MURRAY ◽  
MAREE TEESSON ◽  
PHILIPPA FARRUGIA

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