This three-hour CEU presentation prepares clinicians to better understand ways to provide
Cognitive Processing Therapy (CPT) and Prolonged Exposure (PE) Therapy to clients with PTSD
and co-occurring alcohol or substance use disorders. High rates of PTSD-SUD comorbidity
demand a dual-focused approach, and this workshop addresses the unique challenges of
integrating evidence-based treatments with considerations for substance use. Participants
will explore the Concurrent Treatment of PTSD and Substance Use Disorders Using Prolonged
Exposure (COPE) model as well as techniques for utilizing CBT skills within the CPT model.
The program emphasizes managing substance-related relapse triggers, cognitive distortions,
and trauma responses, while maintaining treatment fidelity. Strategies include addressing
relapse risks, challenging substance-related cognitions, and incorporating motivational
enhancement techniques. Practical guidance on navigating attendance variability, adherence
challenges, and trauma triggers will also be provided. Drawing on recent research, the
workshop highlights flexible adaptations, such as extended session formats and integrated
relapse prevention strategies, to optimize outcomes (Held et al., 2021; Kline et al., 2021;
LoSavio et al., 2021). Evidence supports the effectiveness of CPT and PE for reducing PTSD
symptoms and substance use behaviors, with modifications tailored to individual client
needs. Clinicians will leave equipped with actionable skills to apply these interventions in
real-world settings, fostering recovery and improved client outcomes.
 

Participants will be able to:

1. Describe the primary components and techniques of both CPT and PE for treating PTSD.
2. Identify cognitive and emotional triggers in clients with co-occurring PTSD and SUD.
3. Explain at least two strategies to manage relapse risks associated with trauma-related
triggers within a CPT framework.