Seeking Safety

Seeking Safety is a present-focused treatment for clients with a history of trauma and substance abuse. The treatment was designed for flexible use: group or individual format, male and female clients, and a variety of settings (e.g., outpatient, inpatient, residential). Seeking Safety focuses on coping skills and psychoeducation and has five key principles:

  1. safety as the overarching goal (helping clients attain safety in their relationships, thinking, behavior, and emotions);
  2. integrated treatment (working on both posttraumatic stress disorder (PTSD) and substance abuse at the same time);
  3. a focus on ideals to counteract the loss of ideals in both PTSD and substance abuse;
  4. four content areas: cognitive, behavioral, interpersonal, and case management; and
  5. attention to clinician processes (helping clinicians work on countertransference, self-care, and other issues).