Assessment and Treatment of Co-Morbid Trauma and Substance Use Disorders
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With a high percentage of individuals receiving substance use disorder treatment having a history of traumatic experiences, it is often difficult for practitioners to differentiate the symptoms of substance use from trauma. Behaviors often attributed to resistance or denial on the part of the client reactions to trauma. Clients presenting with a history of trauma who present for substance use treatment have more difficulty establishing and maintaining abstinence, are at higher risk for self-harm or suicide, and are more likely to drop out of treatment. Treating co-morbid trauma requires specific skills and interventions not typically utilized in traditional substance use treatment.