Article2005

Acceptance and Commitment Therapy in the Treatment of Comorbid Substance Abuse and Post-Traumatic Stress Disorder

129 citations0/0 files storedClinical Case Studies

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Mindfulness and Compassion Interventions Posttraumatic Stress Disorder Research Psychotherapy Techniques and Applications

Abstract

Although post-traumatic stress disorder (PTSD) and substance abuse are commonly co-occuring conditions, it is generally recommended that an individual must first receive successful substance abuse treatment before posttraumatic symptoms can be addressed. Given the high comorbidity of these conditions, however, it would be helpful if more broadly focused therapies were available that simultaneously targeted common functional processes underlying the multiple problems of the dually diagnosed. Both PTSD and substance abuse can be conceptualized as disorders with significant experiential avoidance components. One treatment that has been specifically developed for the treatment of experiential avoidance is Acceptance and Commitment Therapy (ACT). In this case study, application of ACT for an individual with comorbid PTSD and substance abuse is described, and its effects are examined.

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References

1961An Inventory for Measuring Depression 1995Posttraumatic Stress Disorder in the National Comorbidity Survey 1999Acceptance and Commitment Therapy: An Experiential Approach to Behavior Change 1996Experiential avoidance and behavioral disorders: A functional dimensional approach to diagnosis and treatment.2004Measuring experiential avoidance: A preliminary test of a working model 1980Cognitive self-statements in depression: Development of an automatic thoughts questionnaire 1994Chronic Thought Suppression 2001Substance Use Disorders in Patients With Posttraumatic Stress Disorder: A Review of the Literature

Cited by

2011Mindfulness in the treatment of posttraumatic stress disorder among military veterans.2009Treating Inpatients With Comorbid Depression and Alcohol Use Disorders: A Comparison of Acceptance and Commitment Therapy Versus Treatment as Usual 2007PTSD symptoms, substance use, and vipassana meditation among incarcerated individuals 2010The Roles of Cognitive Flexibility and Experiential Avoidance in Explaining Psychological Distress in Survivors of Interpersonal Victimization 2010Epidemiology and Management of Alcohol Dependence in Individuals with Post-Traumatic Stress Disorder

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