Concurrent Treatment of PTSD and Substance Use Disorders Using Prolonged Exposure (COPE), Therapist Guide w/ Patient Workbook (2015)

Concurrent Treatment of PTSD and Substance Use Disorders Using Prolonged Exposure (COPE), Therapist Guide w/ Patient Workbook (2015)
1st Ed.
2015 © Oxford University Press
Sudie E. Back; Edna B. Foa; Therese K. Killeen; Katherine L. Mills; Maree Teesson; Bonnie Dansky Cotton; Kathleen M. Carroll; Kathleen T. Brady
David H. Barlow, PhD
ISBN-13: 978-0-19-933451-3
Psychiatry, Public Health


Concurrent Treatment of PTSD and Substance Use Disorders Using Prolonged Exposure (COPE) is a cognitive-behavioral psychotherapy program designed for patients who have posttraumatic stress disorder (PTSD) and a co-occurring alcohol or drug use disorder. COPE represents an integration of two evidence-based treatments: Prolonged Exposure (PE) therapy for PTSD and Relapse Prevention for substance use disorders.

COPE is an integrated treatment, meaning that both the PTSD and substance use disorder are addressed concurrently in therapy by the same clinician, and patients can experience substantial reductions in both PTSD symptoms and substance use severity. Patients use the COPE Patient Workbook while their clinician uses the Therapist Guide to deliver treatment. The program is comprised of 12 individual, 60 to 90 minute therapy sessions. The program includes several components: information about how PTSD symptoms and substance use interact with one another; information about the most common reactions to trauma; techniques to help the patient manage cravings and thoughts about using alcohol or drugs; coping skills to help the patient prevent relapse to substances; a breathing retraining relaxation exercise; and in vivo (real life) and imaginable exposures to target the patient's PTSD symptoms.

Key Points:

  • • The COPE program combines two evidence-based treatments for patients with PTSD and Substance Use Disorders
  • • Brief, individual sessions can be applied to any type of traumatic event (e.g., rape, physical or sexual abuse, combat, natural disaster)
  • • Program is appropriate for men and women, as well as veterans and civilians
  • • COPE has demonstrated positive results for both alcohol and drug use disorders, and among people with childhood abuse as well as adult traumas
  • • The Therapist Guide is designed for clinicians on the front-line in community-based settings, as well as academic, hospital, and private practice settings

Doody's Reviews

Score: 97/100
5/5 Stars
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Quotes, Reviews or Testimonials

"Therapist Guide 94/4 - The Treatments That Work series provides timely and useful additions to the field. The incidence and prevalence of PTSD and concurrent substance use disorder is more than enough reason for this book and it will be invaluable in treatment."

"Patient Workbook 97/5 - This workbook will benefit patients with concurrent PTSD and substance-use disorders when working with a trained clinician. The ultimate goal is to provide strategies and tools to enhance clients' quality of life by a reduction in both PTSD and substance use disorders."

-- Nicholas Greco IV, MS, BCETS, CATSM (Columbia College of Missouri)


Clinicians who work with patients with PTSD and a co-occurring alcohol or drug-use disorder will benefit substantially from this book. This would also be an excellent teaching tool for graduate-level courses such as advanced treatment techniques and psychotherapy.

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