Seeking safety: a treatment manual for PTSD and substance abuse ...

Seeking safety: a treatment manual for PTSD and substance abuse (Handouts)/ by Lisa M. Najavits.

? 2002 The Guilford Press A Division of Guilford Publications, Inc. 370 Seventh Avenue, Suite 1200, New York, NY 10001



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Copyright and Limited, Temporary License. Seeking Safety: A Treatment Manual for PTSD and Substance Abuse is copyrighted under the United States copyright laws. Guilford Publications, Inc. controls that copyright. You may download and print the PDF

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These materials are intended for use after completion of Seeking Safety training.

The Publisher grants to individual purchasers of the book Seeking Safety (as per the Cataloging in Publication Data below) nonassignable permission to reproduce the handouts in this PDF. This license is limited to you, the individual purchaser, for use with your own clients and patients. It does not extend to additional clinicians or practice settings, nor does purchase by an institution constitute a site license. This license does not grant the right to reproduce these materials for resale, redistribution, or any other purposes (including but not limited to books, pamphlets, articles, video- or audiotapes, and handouts or slides for lectures or workshops). Permission to reproduce these materials for these and any other purposes must be obtained in writing from the Permissions Department of Guilford Publications. permissions@ No part of this collection may be posted online.

Library of Congress Cataloging-in-Publication Data Najavits, Lisa.

Seeking safety: a treatment manual for PTSD and substance abuse / by Lisa M. Najavits. p. ; cm. -- (Guilford substance abuse series)

Includes bibliographical references and index. ISBN 978-1-57230-639-4 (pbk.) 1. Cognitive therapy--Handbooks, manuals, etc. 2. Post-traumatic stress disorder--Patients-- Rehabilitation--Handbooks, manuals, etc. 3. Substance abuse--Patients--Rehabilitation--Handbooks, manuals, etc. 4. Adult child abuse victims--Rehabilitation--Handbooks, manuals, etc. I. Title. II. Series. RC489 .C63 N34 2002 616.89142--dc21

00-066273

THERAPIST SHEET

Session Format

INTRODUCTION 1. Check-In

To find out how patients are doing. Patients report on five questions. Since the last session (a) "How are you feeling?" (b) "What good coping have you done?" (c) "Any substance use or other unsafe behavior?" (d) "Did you complete your commitment?" and (e) Community Resource update? (up to 5 minutes per patient).

2. The Quotation

To help emotionally engage patients in the session. A patient reads the quotation out loud. The therapist asks, "What is the main point of the quotation?", and links it to the session (2 minutes).

SESSION TOPIC 3. Relate the Topic to Patients' Lives

To connect the topic meaningfully to patients' experience. This is the heart of the session, using specific and current examples from patients' lives and offering intensive rehearsal of the material (30?40 minutes).

Protocol: A. Ask patients to look through the handouts (up to 5 minutes). B. Relate the material to current and specific problems in patients' lives.

? Optional: The Safe Coping Sheet

CLOSING 4. Check-Out

To reinforce patients' progress and give the therapist feedback. Patients answer three questions: (a) "Name one thing you got out of today's session (and any problems with the session)"; (b) "What is your new commitment?"; and (c) What Community Resource will you call? (up to 5 minutes).

? Optional: End-of-Session Questionnaire

Reminder: The "Big Picture" Priorities Are To . . .

1. Eliminate substance use 2. Reduce PTSD symptoms 3. Increase safety (from HIV risk, domestic violence, self-harm, etc.)

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April 2020 for personal use only

HANDOUT 1

Check-In and Check-Out

CHECK-IN

Since your last session . . . 1. How are you feeling? 2. What good coping have you done? 3. Any substance use or other unsafe behavior? 4. Did you complete your commitment? 5. Community resource update?

CHECK-OUT

1. Name one thing you got out of today's session (and any problems with the session).

2. What is your new commitment?

3. What community resource will you call?

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April 2020 for personal use only

HANDOUT 2

Core Concepts of Treatment

? Stay safe ? Respect yourself ? Use coping--not substances--to escape the pain ? Make the present and future better than the past ? Learn to trust ? Take good care of your body ? Get help from safe people ? To heal fully from PTSD, become substance-free ? If one method doesn't work, try something else ? Never, never, never, never, never, never, never, never

give up!

FromSeekingSafetybyLisaM.Najavits(2002).CopyrightbyTheGuilfordPress.Permissiontophotocopythisformisgrantedtopurchasersofthis book for personal use only (see copyright page for details).

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HANDOUT 3

List of Treatment Topics

Introduction to Treatment/Case Management Safety PTSD: Taking Back Your Power Detaching from Emotional Pain (Grounding) When Substances Control You Asking for Help Taking Good Care of Yourself Compassion Red and Green Flags Honesty Recovery Thinking Integrating the Split Self Commitment Creating Meaning Community Resources Setting Boundaries in Relationships Discovery Getting Others to Support Your Recovery Coping with Triggers Respecting Your Time Healthy Relationships Self-Nurturing Healing from Anger The Life Choices Game (Review) Termination

Completed (yes/no)

FromSeekingSafetybyLisaM.Najavits(2002).CopyrightbyTheGuilfordPress.Permissiontophotocopythisformisgrantedtopurchasersofthis book for personal use only (see copyright page for details).

April 2020 for personal use only

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