title: Integrative harm reduction psychotherapy: a case of substance use, multiple trauma, and suicidality.
abstract: Harm reduction is a new paradigm that seeks to reduce the harmful consequences of substance use and other risky behaviors without requiring abstinence. This article discusses integrative harm reduction psychotherapy, one application of harm reduction principles to psychotherapy. Seven therapeutic tasks are described with attention to clinical process, skills, and strategies. A case is presented that illustrates the application of this approach with life-threatening substance use that was related to multiple trauma and suicidal depression.
authors.affiliation: Harm Reduction Psychotherapy and Training Associates, 303 Fifth Avenue, Suite 1403, New York, NY 10016, USA. atatarsky@aol.com
authors.forename: Andrew
authors.initials: A
authors.lastname: Tatarsky
authors.forename: Scott
authors.initials: S
authors.lastname: Kellogg
mesh_terms: D000328:Adult; D000739:Anecdotes as Topic; D015897:Comorbidity; D005260:Female; D040261:Harm Reduction; D006801:Humans; D009104:Multiple Trauma / Q000523:psychology*; D011613:Psychotherapy; D020377:Self Efficacy; D019966:Substance-Related Disorders / Q000523:psychology* / Q000628:therapy; D013405:Suicide / Q000523:psychology*