Journal of Substance Abuse Treatment
Volume 17, Issue 1 , Pages 3-14, July 1999

Substance Dependence Posttraumatic Stress Disorder Therapy:☆

An Integrated Cognitive-Behavioral Approach

  • Elisa Triffleman, md

      Affiliations

    • Department of Psychiatry, Yale University School of Medicine, New Haven, CT USA
    • Corresponding Author InformationRequests for reprints should be addressed to Elisa Triffleman, MD, The S3 Project, 1124 East 14th St., Oakland, CA 94606
    • ,
  • Kathleen Carroll, phd

      Affiliations

    • Department of Psychiatry, Yale University School of Medicine, New Haven, CT USA
    • ,
  • Scott Kellogg, phd

      Affiliations

    • Department of Psychiatry, Yale University School of Medicine, New Haven, CT USA

Received 4 May 1998; accepted 17 August 1998.

Abstract 

While substance abuse and posttraumatic stress disorder (PTSD) are known to frequently co-occur, there have been few published clinical trials evaluating integrated approaches for this form of dual diagnosis. This article describes Substance Dependence PTSD Therapy (SDPT), the first manualized individual treatment to undergo a controlled clinical trial. SDPT is a 5-month, twice-weekly, two-phase individual cognitive-behavioral treatment utilizing (a) relapse prevention and coping skills training for substance abuse; and (b) psychoeducation, stress inoculation training, and in vivo exposure for PTSD. SDPT is also unique in having been designed for use in mixed-gendered civilians with varied sources of trauma. Design considerations and the format, structure, and content of therapy sessions are discussed. Open trial pilot data indicates efficacy in reducing PTSD severity.

Keywords:  cognitive-behavioral psychotherapy, dual diagnosis, psychological desensitization, PTSD, substance use disorders

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☆ Scott Kellogg is now at The Kreek Laboratory, Rockefeller University, New York, NY.

PII: S0740-5472(98)00067-1

Journal of Substance Abuse Treatment
Volume 17, Issue 1 , Pages 3-14, July 1999

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