Concurrent Treatment of Substance Use and PTSD

Curr Psychiatry Rep. 2016 Aug;18(8):70. doi: 10.1007/s11920-016-0709-y.

Abstract

Substance use disorders (SUD) and posttraumatic stress disorder (PTSD) are chronic, debilitating conditions that frequently co-occur. Individuals with co-occurring SUD and PTSD suffer a more complicated course of treatment and less favorable treatment outcomes compared to individuals with either disorder alone. The development of effective psychosocial and pharmacological interventions for co-occurring SUD and PTSD is an active and critically important area of investigation. Several integrated psychosocial treatments for co-occurring SUD and PTSD have demonstrated promising outcomes. While recent studies examining medications to treat co-occurring SUD and PTSD have yielded encouraging findings, there remain substantial gaps in the evidence base regarding the treatment of co-occurring SUD and PTSD. This review will summarize the findings from clinical trials targeting a reduction in SUD and PTSD symptoms simultaneously. These results may improve our knowledge base and subsequently enhance our ability to develop effective interventions for this complex comorbid condition.

Keywords: Addiction; Clinical trials; Integrated intervention; Posttraumatic stress disorder; Substance use disorders.

Publication types

  • Review

MeSH terms

  • Humans
  • Stress Disorders, Post-Traumatic / complications*
  • Stress Disorders, Post-Traumatic / therapy*
  • Substance-Related Disorders / complications*
  • Substance-Related Disorders / therapy*
  • Treatment Outcome