Psychiatric Quarterly [psaq] ph077-psaq-361315 March 13, 2002 20:4 Style ﬁle version Nov. 19th, 1999
Psychiatric Quarterly, Vol. 73, No. 2, Summer 2002 (
ADDICTIONS AND TRAUMA RECOVERY:
AN INTEGRATED APPROACH
Dusty Miller, Ed.D.
The co-occurence of addiction with trauma-based mental health problems
forms a toxic feedback loop, creating assessment and treatment challenges for
consumers and their healthcare providers. Traditional separation of addiction
and mental health treatment has contributed to a high level of recidivism
among clients challenged by trauma and addiction problems. A new treatment
model rooted in an understanding of trauma re-enactment, is described.
ATRIUM integrates cognitive behavioral and relational treatment through an
approach which stresses mind, body, and spiritual health.
KEY WORDS: trauma; addiction; co-occurring disorders; trauma reenactment; inte-
For survivors of childhood trauma and for those who want to support
them, it has been frustrating that the co-occurrence of trauma-based
mental health problems and addictions have rarely been addressed
in an integrated treatment approach. While there has been more
attention paid recently to the need for such treatment, few existing
models have been speciﬁcally designed to intervene when trauma and
addiction are concurrent. Najavits et al. (1), in a survey of cognitive
Address correspondence to Dusty Miller, Ed.D., Director, ATRIUM Institute, 229
Prospect St., Northampton, MA 01060; e-mail: firstname.lastname@example.org.
2002 Human Sciences Press, Inc.