This much-needed manual presents the first empirically studied, integrative treatment approach developed specifically for PTSD and substance abuse. The manual is divided into 25 specific units or topics, addressing a range of different cognitive, behavioral, and interpersonal domains. The volume is designed for ease of use with a large format, lay-flat binding, and helpful reproducible handouts and forms. 4/01 This manual presents the first empirically studied, integrative treatment approach developed specifically for co-occurring PTSD and substance abuse. Overview 1(22) PTSD and Substance Abuse 1(3) This Treatment 4(1) Principles of Seeking Safety 5(10) How the Treatment Was Developed 15(2) Empirical Results 17(2) How Seeking Safety Differs from Existing Treatments 19(2) One Patient's Experience of PTSD and Substance Abuse 21(2) Conducting the Treatment 23(356) The Treatment Format 23(3) Adapting Seeking Safety to Different Contexts 26(2) Preparation 28(1) Process 29(3) Conducting the Session 32(12) Treatment Guidelines 44(5) Problem Situations and Emergencies 49(3) Checklist before Beginning the Treatment 52(1) Materials for All Sessions 52(13) TREATMENT TOPICS Introduction to Treatment/Case Management 65(29) Safety 94(16) PTSD: Taking Back Your Power 110(15) Detaching from Emotional Pain (Grounding) 125(12) When Substances Control You 137(27) Asking for Help 164(10) Taking Good Care of Yourself 174(8) Compassion 182(7) Red and Green Flags 189(10) Honesty 199(9) Recovery Thinking 208(15) Integrating the Split Self 223(8) Commitment 231(9) Creating Meaning 240(10) Community Resources 250(15) Setting Boundaries in Relationships 265(17) Discovery 282(11) Getting Others to Support Your Recovery 293(15) Coping with Triggers 308(9) Respecting Your Time 317(11) Healthy Relationships 328(9) Self-Nurturing 337(8) Healing from Anger 345(17) The Life Choices Game (Review) 362(7) Termination 369(10) References 379(12) Index 391(10) About the Author 401