TY  - JOUR
PY  - 2009//
TI  - Treatment challenges associated with comorbid substance use and posttraumatic stress disorder: clinicians' perspectives
JO  - American journal on addictions
A1  - Brady, K. T.
A1  - Waldrop, Angela E.
A1  - Back, Sudie E.
SP  - 15
EP  - 20
VL  - 18
IS  - 1
N2  - 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>
LA  - en
SN  - 1055-0496
UR  - http://dx.doi.org/10.1080/10550490802545141
ID  - ref1
ER  -