- Substance Abuse vs. dependency vs. addiction
- Biopsychosocial issues
- Neurobiology of addiction
- Attachment issues
- Causes of traumatic responses
- Ethical & legal issues
- Classes of commonly abused drugs
- Street names of common drugs
- Signs & symptoms of use & withdrawal
- Food
- Compulsive sexual behaviors
- Electronic addictions
- Gambling
- Compulsions
Trauma Addiction: Assessment of Comorbid Trauma & Addiction
- What to ask—and how to ask it
- What to look for: Pink flags & red flags
- Recognize other co-occurring disorders
- Evidence-based assessment scales
Levels of Care & Treatment Selection
- Detoxification
- Levels of treatment
- Medication-assisted treatment
- 12-step groups & alternatives
- Harm reduction strategies & when to use them
Three-Stage Behavioral Treatment Model for Co-Occurring Traumatic Stress and Addiction
Stage I: Build the Therapeutic Relationship & Boost Client Engagement
- Feedback Informed Therapy
- Motivational Interviewing
- Co-regulation between you & your client
Stage II: Skills Development & Cognitive Restructuring Interventions
- Relational Skills/Social Engagement System
- Build & identify a support network
- Access & utilize support
- Service to others as therapeutic
- Regulation/Relaxation Skills
- Progressive muscle relaxation (PMR)
- Trauma releasing exercises (TRE)
- Tapping
- Bilateral stimulation
- Neurofeedback
- Mindfulness for self-regulation
- Self-soothing for intense emotions
- Grounding Skills to Interrupt Dissociation
- Sensory grounding
- Mindful movement
- Seated yoga
- Containment Skills: Put away Intrusive Thoughts
- Envelope method
- Vault
- Relational containment
- Cognitive restructuring interventions
- Foster post-traumatic growth & build resilience
- Complementary & alternative treatments
Stage III: Integration & Desensitization
- Imaginal Exposure Therapy
- EMDR
- Narrative-Driven Exposure Treatment
- Cognitive Processing Therapy (CPT)
- PE (prolonged exposure)
- Trauma-focused CBT
- Somatic-Based Treatments
- Somatic Experiencing
- Sensorimotor Psychotherapy
- Trauma-Focused Yoga
- In-vivo Exposure
- Direct Therapeutic Exposure (DTE)
- Forward Facing Trauma Therapy (FFTT)
Interventions for Special Populations
- Children & adolescents
- LGBTQ clients
- Incarcerated clients
- Clients in court-ordered drug treatment




