Concurrent Treatment of PTSD and Substance Use Disorders Using Prolonged Exposure (COPE) is a cognitive-behavioral psychotherapy program designed for patients who have posttraumatic stress disorder (PTSD) and a co-occurring alcohol or drug use disorder. COPE represents an integration of two evidence-based treatments: Prolonged Exposure (PE) therapy for PTSD and Relapse Prevention for substance use disorders. COPE is an integrated treatment, meaning that both the PTSD and substance use disorder are addressed concurrently in therapy by the same clinician, and patients can experience substantial reductions in both PTSD symptoms and substance use severity. Patients use the COPE Patient Workbook while their clinician uses the Therapist Guide to deliver treatment. The program is comprised of 12 individual, 60 to 90 minute therapy sessions. The program includes several components: information about how PTSD symptoms and substance use interact with one another; information about the most common reactions to trauma; techniques to help the patient manage cravings and thoughts about using alcohol or drugs; coping skills to help the patient prevent relapse to substances; a breathing retraining relaxation exercise; and in vivo (real life) and imaginal exposures to target the patient's PTSD symptoms.
Although Scarlett O'Hara's is a fictional character developed by a skilful author, there were some real Southern women who truly possessed legendary strengths. One such woman is Mary Sullivan, a 19th century woman with an iron will, persuasive Southern charm, and motives that were selfless in contrast to Scarlett's entirely selfish ones. Sullivan deserves recognition for her contribution to the South and to all of American society as the role of women changed dramatically in the 19th and 20th centuries.. In 1860, Sullivan was a strikingly beautiful, twenty-four-year-old woman, endowed with allure and social graces born of her prominent Virginia lineage and rich Southern culture. A benevolent agent for the needs of children and a supporter of education for underprivileged youth in Appalachia, Sullivan was a committed humanitarian throughout her life. Sullivan lived two different kinds of life in one lifetime. Her adult life was spent in New York City during a period of American history unsurpassed for violence and change, but Sullivan's daring exploits in Virginia during the Civil War and her efforts on behalf of Southern Reconstruction are fascinating stories that show the passionate personality of a determined woman. Sullivan's greatest, though least acknowledged, gift to human kind is her legacy to Appalachia that has extensive regional significance - one hundred years of helping young adults with few financial resources receive scholarship money to complete their education.
Guardian angel Patience Goodfellow knows it's against the rules to fall in love with saloon owner, ex-gunfighter and ladies' man Brady Shaw. Patience knows he has a heart of gold--she should since she's been his angel since he was 11 years old. When Patience is accidentally knocked unconscious and wakes up mortal, she prays she'll get her chance for earthly happiness.
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