Exposure therapy in the treatment of PTSD among cocaine-dependent individuals: description of procedures
| Autor: | Bonnie S. Dansky, Kathleen T. Brady, Edna B. Foa, Kathleen M. Carroll, Sudie E. Back |
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| Rok vydání: | 2001 |
| Předmět: |
Male
medicine.medical_specialty Imagery Psychotherapy medicine.medical_treatment Exposure therapy Medicine (miscellaneous) Comorbidity Relapse prevention behavioral disciplines and activities Cocaine dependence Life Change Events Stress Disorders Post-Traumatic Cocaine-Related Disorders Patient Education as Topic mental disorders Secondary Prevention medicine Psychoeducation Humans Psychiatry Trauma Severity Indices Cognitive Behavioral Therapy Cognitive restructuring medicine.disease Cognitive behavioral therapy Psychiatry and Mental health Clinical Psychology Cognitive therapy Dual diagnosis Female Pshychiatric Mental Health Psychology Clinical psychology |
| Zdroj: | Journal of Substance Abuse Treatment. 21:35-45 |
| ISSN: | 0740-5472 |
| DOI: | 10.1016/s0740-5472(01)00181-7 |
| Popis: | An estimated 30% to 50% of cocaine-dependent individuals meet criteria for lifetime PTSD. This comorbidity has detrimental effects on clinical presentation, and treatment course and outcome. Cocaine dependence is associated with increased rates of exposure to trauma, more severe symptoms, higher rates of treatment attrition and retraumatization, and greater vulnerability to PTSD when compared to other substance use disorders. These associations underscore the need for effective treatments that address issues particular to PTSD in a manner tolerable to cocaine-dependent individuals. This article describes a manualized psychotherapy developed specifically for individuals with PTSD and cocaine dependence. Concurrent Treatment of PTSD and Cocaine Dependence (CTPCD) provides coping skills training, cognitive restructuring techniques, and relapse prevention strategies to reduce cocaine use. In-vivo and imaginal exposure therapy techniques are incorporated to reduce PTSD symptom severity. Primary treatment goals include psychoeducation specific to the interrelationship between PTSD and cocaine dependence, and clinically meaningful reductions in cocaine use and PTSD symptomatology. Secondary goals include a reduction in HIV high-risk behaviors and improved functioning in associated areas, such as anger and negative affect management. |
| Databáze: | OpenAIRE |
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