@article{ref1,
title="Treatment challenges associated with comorbid substance use and posttraumatic stress disorder: clinicians' perspectives",
journal="American journal on addictions",
year="2009",
author="Brady, K. T. and Waldrop, Angela E. and Back, Sudie E.",
volume="18",
number="1",
pages="15-20",
abstract="A significant proportion of individuals with substance use disorders (SUDs) meet criteria for comorbid posttraumatic stress disorder (PTSD). This comorbidity confers a more complicated clinical presentation that carries with it formidable treatment challenges for practitioners. The current study examined sources of difficulty and gratification among clinicians (N = 423) from four national organizations who completed an anonymous questionnaire. As expected, the findings revealed that comorbid SUD/PTSD was rated as significantly more difficult to treat than either disorder alone. The most common challenges associated with treating SUD/PTSD patients included knowing how to best prioritize and integrate treatment components, patient self-destructiveness and severe symptomatology, and helping patients abstain from substance use. The findings increase understanding of SUD/PTSD treatment challenges, and may be useful for enhancing therapist training programs, supervision effectiveness, and designing optimal SUD/PTSD interventions.<p /> <p>Language: en</p>",
language="en",
issn="1055-0496",
doi="10.1080/10550490802545141",
url="http://dx.doi.org/10.1080/10550490802545141"
}