hardPTSDsubstance use disorderalcohol use disorderintegrated treatmenttrauma-focused therapyveteran
A 32-year-old male veteran presents with comorbid posttraumatic stress disorder and alcohol use disorder. He reports daily alcohol consumption of 8 to 10 standard drinks, with his last drink 48 hours ago, and current CIWA-Ar score of 6. He experiences intrusive memories, hypervigilance, nightmares, and emotional numbing related to combat trauma. His PCL-5 score is 58 and AUDIT score is 28. He has completed medically supervised alcohol withdrawal. He expresses willingness to engage in treatment for both conditions but has been told by previous providers that he must achieve sustained sobriety before trauma-focused therapy can begin. The PMHNP is developing an integrated treatment plan. Which of the following best represents current evidence-based treatment planning for comorbid PTSD and SUD?