Treating Traumatic Stress and Substance Misuse: A Guide to Integrative Practice is a comprehensive clinical resource for professionals working with individuals who experience co-occurring trauma and substance use disorders. This guide integrates a range of evidence-based approaches—including cognitive-behavioral therapy (CBT), mindfulness, and dialectical behavior therapy (DBT)—to support trauma-informed, recovery-oriented care. Through practical strategies, case examples, and adaptable treatment models, the book equips clinicians with tools to build client resilience, develop coping skills, and navigate the complexities of dual diagnoses.
This course is based on the book, Treating Traumatic Stress Substance Misuse: A Guide to Integrative Practice – Chapter 1-6 created by Denise Hien et al in 2020.
Publication Date
First Edition May 2020
Course Material Authors
Course Material Authors authored the material only, and were not involved in creating this CE course. They are identified here for your own evaluation of the relevancy of the material this course is based on.
Denise Hien
Senior Vice Provost of Research, Director and Helen E. Chaney Endowed Chair in Alcohol Studies at the Center for Alcohol and Substance Use Studies, and Distinguished Professor in the Graduate School of Applied and Professional Psychology at Rutgers, The State University of New Jersey.
Lisa Caren Litt
A recognized expert in the integrated treatment of traumatic stress and substance misuse, she is on the Clinical Faculty of the Department of Psychology at The New School for Social Research, where she oversees the Concentration in Mental Health and Substance Abuse Counseling.
Tiara Totten is a Licensed Clinical Addictions Specialist and Licensed Professional Counselor with more than nine years of experience working
with adolescents and adults utilizing person-centered, motivational interviewing, solution-focused, and cognitive behavioral techniques to help individuals achieve optimal wellness. She has extensive experience in individual therapy, group therapy and supervision and is currently working on her PsyD in clinical psychology.
Recommended For
Counselors, addiction specialist, marriage and family therapists, psychologists and social workers. This course is appropriate for all levels of knowledge.
Course Objectives:
After taking this course, you should be able to:
Describe the relationship between traumatic stress and substance misuse, including shared risk factors and clinical implications.
Apply core principles for integrating trauma-informed care and substance use treatment in clinical practice.
Demonstrate skills in assessing, diagnosing, and formulating treatment plans for individuals with co-occurring trauma and substance use disorders.
Compare and evaluate therapeutic models commonly used for treating co-occurring disorders, such as CBT, DBT, and mindfulness-based approaches.
Develop strategies for building trust, enhancing collaboration, and maintaining therapeutic alliance throughout integrated treatment.
Availability
This course is available starting May 1st, 2025 and expires Apr 30th, 2035
Disclosure to Learners
Disclosure of Relevant Financial Relationships
CE Learning Systems adheres to the ACCME's Standards for Integrity and Independence in Accredited
Continuing Medical Education. Any individuals in a position to control the content of a CE activity –
including faculty, planners, reviewers, or others ― are required to disclose all relevant financial
relationships with ineligible entities (formerly known as commercial interests).
The following relevant financial relationships have been disclosed by this activity's planners, faculty, and
the reviewer:
Planners and Reviewers
The planners of this activity have reported that they have no relevant financial relationships.
Material Authors
There are no known relevant financial relationships to disclose.
Course Creator
Tiara Totten – None to report.
Commercial support
There is no commercial support for this distance-learning course.
Exam Questions
All exam questions for the course are visible on this page for members of Addiction Counselor CE.
Membership is free, and you can register today!
You'll only pay when you're ready to purchase a course, or if you take advantage of the Unlimited Package.
If you're already a member, please sign in to see the exam questions for this and all other courses.
Discuss this course
You can share your thoughts about this course after you pass the exam.
Is this course approved for my continuing education requirements?
Yes, most likely. Look Up Your State Board for more detailed information. Logged-in site members will see the relevant approval information displayed in the Approvals tab for every course.
Do you have accommodations for my disability (ADA)?
If you are having trouble using Addiction Counselor CE, please contact us! We would be happy to accommodate your needs right away, and your input will help us make Addiction Counselor CE more accessible for future users too.
How do I enroll in this course?
Use the Enroll In This Course button and just follow the instructions! You don't pay anything until you're ready
to take an exam.
What do I have to do to complete the course?
To complete the course, review the course objectives, then review the material, and then pass the exam with a score of 75% or greater and lastly complete an evaluation.
How do I access the materials?
Most of our courses are based on online articles available for free to the public. Some courses, such as
those based on books, require that you purchase the material. Use the Materials tab above for more
info. You don't need to enroll in the course to access materials, whether free or paid. So you always
know what you're getting into before you commit to taking the exam.
How do I get my certificate?
Your certificate(s) will be available to download or email immediately when you pass the course exam and complete the evaluation.
Can I contact you for more help?
Yes! Use the Help widget at the bottom-right of the screen anywhere on Addiction Counselor CE to search our help docs, or to ask our support team for help. Unlike most of our competitors, Addiction Counselor CE has live US-based support reps to help you by email, chat, or phone.
This course material is hosted by
,
a web site separate from Addiction Counselor CE.
When you're done, just close the tab/window to return to this course page.
