CLINICIAN'S GUIDE TO POSTTRAUMATIC STRESS DISORDER
CONTENTS CHAPTER INTRODUCTORY INFORMATION FOR TERAPISTS CHAPTER OUTLINE OF TIS TREATMENT PROGRAM SESSION 1: INTRODUCTION TO COPE SESSION 2: COMMON REACTIONS TO TRAUMA AND CRAVING AWARENESS SESSION 3: DEVELOPING THE IN VIVO HIERARCHY AND CRAVING MANAGEMENT SESSION 4: INITIAL IMAGINAL EXPOSURE SESSION 5: IMAGINAL EXPOSURE CONTINUED AND PLANNING FOR EMERGENCIES SESSION 6: IMAGINAL EXPOSURE CONTINUED AND AWARENESS OF HIGH-RISK TOUGHTS SESSION 7: IMAGINAL EXPOSURE CONTINUED AND MANAGING HIGH-RISK TOUGHTS SESSION 8: IMAGINAL EXPOSURE CONTINUED AND REFUSAL SKILLS SESSION 9: IMAGINAL EXPOSURE CONTINUED AND SEEMINGLY IRRELEVANT DECISIONS (SIDS) SESSION 10: IMAGINAL EXPOSURE CONTINUED AND ANGER AWARENESS SESSION 11: FINAL IMAGINAL EXPOSURE AND ANGER MANAGEMENT SESSION 12: REVIEW AND TERMINATION TIS TREATMENT PLAN AND MANUAL ARE DESIGNED FOR USE BY A THERAPIST WHO IS FAMILIAR WITH THE PRINCIPLES AND APPLICATION OF COGNITIVE BEHAVIORAL THERAPY (CBT) OR WHO HAS UNDERGONE INTENSIVE TRAINING WORKSHOPS BY EXPERTS IN THIS THERAPY TE MANUAL WILL GUIDE THERAPISTS AND CLINICIANS TO IMPLEMENT THIS BRIEF CBT PROGRAM THAT TARGETS POSTTRAUMATIC STRESS DISORDER (PTSD) AND CO-OCCURRING SUBSTANCE USE DISORDERS (SUD) TE THERAPIST MANUAL IS ACCOMPANIED BY A PATIENT WORKBOOK BACKGROUND INFORMATION AND PURPOSE OF THIS PROGRAM WHAT IS COPE? COPE IS A COGNITIVE BEHAVIORAL PSYCHOTHERAPY DESIGNED FOR USE WITH PATIENTS WHO HAVE PTSD AND A CO-OCCURRING ALCOHOL AND/OR DRUG USE DISORDER COPE REPRESENTS AN INTEGRATION OF TWO EMPIRICALLY SUP- PORTED, MANUAL-BASED TREATMENTS ONE OF THESE TREATMENTS, DEVELOPED BY DR EDNA B FOA, IS A COGNITIVE BEHAVIORAL THERAPY FOR POSTTRAU- MATIC STRESS DISORDER (PTSD) CALLED PROLONGED EXPOSURE (PE) (FOA, HEMBREE, & ROTHBAUM, 2007) TE OTHER TREATMENT, DEVELOPED BY DR KATHLEEN CARROLL, IS A COGNITIVE BEHAVIORAL APPROACH TO TREAT SUB- STANCE USE DISORDERS (SUD) (CARROLL, 1998; KADDEN ET AL , 1992) COPE IS AN INTEGRATED PSYCHOTHERAPY, WHICH MEANS THAT BOTH PTSD AND SUD ARE ADDRESSED SIMULTANEOUSLY IN THERAPY BY THE SAME CLINICIAN COPE INCLUDES THE FOLLOWING PROCEDURES: EDUCATION ABOUT THE RELATIONSHIP BETWEEN PTSD AND SUD; EDUCATION ABOUT COMMON REACTIONS TO TRAUMA; INTRODUCTORY INFORMATION FOR THERAPISTS CHAPTER