title: [Clinical treatment of posttraumatic stress disorder in patients with serious dual diagnosis problems].
abstract: Three patients with severe addiction problems, early sexual trauma, posttraumatic stress disorder PTSD comorbid psychotic vulnerability and personality problems received integrated treatment following admission to a clinic specialising in the care of patients with a dual diagnosis. Treatment was administered in accordance with current guidelines and involved either imaginal exposure or eye movement desensitization and reprocessing EMDR, integrated with relapse management of addiction problems. It is concluded that the current evidence-based guidelines regarding PTSD and addiction can also be applied successfully and effectively to an extremely vulnerable patient population.
authors.affiliation: IrisZong, Dubbele Diagnose Klinikek Wolfheze Klinische Behandeling Arnhem. l.rens@iriszorg.nl
authors.forename: L W J
authors.initials: LW
authors.lastname: van Rens
authors.forename: G H
authors.initials: GH
authors.lastname: de Weert-van Oene
authors.forename: A A
authors.initials: AA
authors.lastname: van Oosteren
authors.forename: C
authors.initials: C
authors.lastname: Rutten
mesh_terms: D000328:Adult; D015897:Comorbidity; D057169:Eye Movement Desensitization Reprocessing / Q000379:methods*; D006801:Humans; D008297:Male; D011569:Psychiatric Status Rating Scales; D013313:Stress Disorders, Post-Traumatic / Q000453:epidemiology* / Q000628:therapy*; D019966:Substance-Related Disorders / Q000453:epidemiology* / Q000628:therapy*; D016896:Treatment Outcome