Posttraumatic stress disorder and substance abuse. Clinical issues.
A review of clinical issues relevant to the treatment of individuals with a combination of posttraumatic stress disorder and substance abuse disorder is presented. There are several issues that these two disorders share, including the need for heightened awareness on the part of clinicians, the ability to make the diagnoses, the conceptualization of etiological factors, and the issues of therapeutic attitudes and countertransference problems. In addition, a brief review of relevant therapeutic approaches is presented and treatment priorities discussed.
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Timberlawn Psychiatric Hospital, Dallas, Texas 75223.
D000437:Alcoholism / Q000628:therapy; D003130:Combat Disorders / Q000628:therapy; D006801:Humans; D008297:Male; D011613:Psychotherapy; D013313:Stress Disorders, Post-Traumatic / Q000628:therapy*; D019966:Substance-Related Disorders / Q000628:therapy*; D014728:Veterans / Q000523:psychology; D014744:Vietnam