From pioneering clinician-researchers, this book provides crucial guidance for treating
co-occurring concerns that virtually all therapists are likely to encounter - and many
feel ill equipped to handle. Denise Hien and Lisa Caren Litt review the landscape of evidence-based treatments for posttraumatic stress disorder (PTSD), other trauma-
related problems, and substance misuse, and present an integrative, culturally responsive framework for assessment and treatment planning. The book shows the
clinician how to navigate the complexities of the treatment process while tailoring
interventions flexibly and collaboratively to each client's needs. Rich clinical examples
include two extended cases that run throughout the chapters. The companion website
features several reproducible clinical tools and a comprehensive resource list.

•Timely and necessary guide to devising the best interventions for patients with both
trauma and substance issues.
•Concrete help with assessment, treatment engagement, clinical decision making,
potential pitfalls, self-care, and more.
•Helps practitioners select from widely used treatments or weave together strategies
tailored to clients' needs.
•Authoritative advice from two experienced clinician-researchers, illustrated with rich
case examples.