Concurrent trauma-focused therapy and AUD treatment can serve to establish more adaptive coping strategies. In turn, this belief may impede treatment progress. Over time, this response strengthens posttraumatic distress by reinforcing the belief that traumatic memories and their emotional responses are themselves dangerous and intolerable. When viewed through the lens of avoidance behaviors, AUD can shape an individual’s response to distressing trauma reminders by dulling the emotional response and promoting disengagement from the traumatic memory. Comorbidity is common with posttraumatic stress disorder, and alcohol use disorder (AUD) is among the most common co-occurring disorders.
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