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Clinical Case Studies, Vol. 4, No. 3, 246-262 (2005)
DOI: 10.1177/1534650103259689

Acceptance and Commitment Therapy in the Treatment of Comorbid Substance Abuse and Post-Traumatic Stress Disorder

A Case Study

Sonja V. Batten

VA Maryland Health Care System and University of Maryland School of Medicine, svbatten{at}earthlink.net

Steven C. Hayes

University of Nevada

Although post-traumatic stress disorder (PTSD) and substance abuse are commonly co-occuring conditions, it is generally recommended that an individual must first receive successful substance abuse treatment before posttraumatic symptoms can be addressed. Given the high comorbidity of these conditions, however, it would be helpful if more broadly focused therapies were available that simultaneously targeted common functional processes underlying the multiple problems of the dually diagnosed. Both PTSD and substance abuse can be conceptualized as disorders with significant experiential avoidance components. One treatment that has been specifically developed for the treatment of experiential avoidance is Acceptance and Commitment Therapy (ACT). In this case study, application of ACT for an individual with comorbid PTSD and substance abuse is described, and its effects are examined.

Key Words: PTSD • substance abuse • comorbidity • acceptance and commitment therapy • sexual abuse • dual diagnosis


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C. Veiga-Martinez, M. Perez-Alvarez, and J. M. Garcia-Montes
Acceptance and Commitment Therapy Applied to Treatment of Auditory Hallucinations
Clinical Case Studies, April 1, 2008; 7(2): 118 - 135.
[Abstract] [PDF]