Substance-induced Disorder Feedback Please provide detailed responses to each review. Please read the attached document for the reviews and response. Topic

Substance-induced Disorder Feedback Please provide detailed responses to each review. Please read the attached document for the reviews and response. Topic 5 DQ#1: Description
A person suffering from PTSD and a substance use disorder can be complicated to treat. As they abstain from
substances, their trauma related symptoms may increase. How would you go about treating this person?
Re: Topic 5 DQ 1
Berenz and Coffey (2012) detailed how individuals with PTSD and substance use
disorder often experience depression, attention deficit disorder, chronic pain, chronic
illness such as liver disease, high blood pressure, and diabetes. I personally would
utilize integrated treatment for the individual to ensure coordination of care is in
place. Integrating care allows the client to receive the treatment needed with a team
of professionals providing care in the same location. Integrated Care is essential for
the individual receiving services in one location due to many may be more adept to
services. It would be beneficial for the client that has exacerbated symptoms to seek
individual psychotherapy, motivational interviewing techniques such as elicit/ evoke
change talk, individual counseling sessions, family counseling if needed,
psychopharmacological treatment and 12 step support groups.
Berenz, E. C., & Coffey, S. F. (2012). Treatment of co-occurring posttraumatic stress
disorder and substance use disorders. Current psychiatry reports, 14(5), 469-77.
My response:
Good afternoon Stefanie
Re: Topic 5 DQ 1
A person suffering from PTSD and a substance use disorder can be complicated to treat. As they abstain from
substances, their trauma related symptoms may increase. How would you go about treating this person?
Approximately half of individuals seeking SUD treatment meet criteria for current PTSD, and individuals with cooccurring PTSD-SUD tend to have poorer treatment outcomes compared with those without such comorbidity. It is
important to recognize that once an individual meets criteria for both disorders, they influence each other. One of
the most widely recognized and studied non-exposure based treatments for this is Seeking Safety which consists of
an average of 25 60-90 min session covering a wide variety of topics such as decreasing risky behaviors, setting
boundaries and coping with substance triggers. I would go about treating clients by first assessing their cooccurring disorders. Although cognitive behavioral therapy is what I would go for, medical interventions may be
necessary to help clients because this can be life-threatening when suffering from withdrawal symptoms or
extremely uncomfortable symptoms. Working with a care team is what is needed. (Physicians, pharmacists,
counselors and therapist) Integrated treatment has also been widely used. This treatment model acknowledges the
undeniable connection between substance use and PTSD. With this treatment both are addressed at the same
time.
Kim.
My response:
Good afternoon Kim
Re: Topic 5 DQ 1
A person suffering from PTSD and a substance use disorder can be complicated to treat. As they abstain from
substances, their trauma related symptoms may increase. How would you go about treating this person?
In a case such as this the first thing as a counselor I would do is to ensure the safety of the client and safety of
others as well. From that point on I would suggest to the client that it is important to treat both disorders at the
same time and to start with a therapy like Cognitive Behavioral Therapy. Having the client also attend meetings
for PTSD would be important. Other options that would work in conjunction with therapy would be having a family
counseling session with family members as this would help repair any relationships and give the family members an
idea of how to deal and cope with this type of co-occurring disorder. Medication could be an option to help ease
the withdrawal symptoms and to help prevent relapse. There are other avenues such as inpatient treatment that
a client could seek if outpatient therapy and group meetings were not enough.
Reference:
Foundation Recovery Network. (2019). Post Traumatic Stress Disorder and Addiction. Retrieved
from https://www.dualdiagnosis.org/mental-health-and-addiction/post-traumatic-stress-disorder-and-addiction/
Sharon
My response:
Good afternoon Sharon

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