---
title: "Psych News Alert: Exposure Therapy for PTSD Benefits Patients With Comorbid Alcohol Use Disorder, Study Shows"
description: People with co-occurring posttraumatic stress disorder (PTSD) and alcohol use disorder (AUD) can tolerate and benefit from prolonged expo...
image: https://alert.psychnews.org/hubfs/Imported_Blog_Media/iStock-1031369766-Jun-24-2025-04-17-02-2076-PM.jpg
---

 4/29/19 12:00 AM

# Exposure Therapy for PTSD Benefits Patients With Comorbid Alcohol Use Disorder, Study Shows

![Picture of Psychiatric News Alert](https://alert.psychnews.org/hs-fs/hubfs/Psych%20News%20Email%20Banners/PN-Blue-Box_rgb.png?width=50&name=PN-Blue-Box_rgb.png) [ Psychiatric News Alert ](https://alert.psychnews.org/author/psychiatric-news-alert)

Share: [facebook-f icon ](http://www.facebook.com/share.php?u=https://alert.psychnews.org/2019/04/exposure-therapy-for-ptsd-benefits.html) [linkedin-in icon ](http://www.linkedin.com/shareArticle?mini=true&url=https://alert.psychnews.org/2019/04/exposure-therapy-for-ptsd-benefits.html) [Twitter icon ](https://twitter.com/intent/tweet?url=https://alert.psychnews.org/2019/04/exposure-therapy-for-ptsd-benefits.html) [pinterest-p icon ](http://pinterest.com/pin/create/link/?url=https://alert.psychnews.org/2019/04/exposure-therapy-for-ptsd-benefits.html) [envelope icon ](mailto:?body=https://alert.psychnews.org/2019/04/exposure-therapy-for-ptsd-benefits.html)

| ![](https://alert.psychnews.org/hs-fs/hubfs/Imported_Blog_Media/iStock-1031369766-Jun-24-2025-04-17-01-3128-PM.jpg?width=200&height=133&name=iStock-1031369766-Jun-24-2025-04-17-01-3128-PM.jpg) |  |
| --- | --- |

People with co-occurring posttraumatic stress disorder (PTSD) and alcohol use disorder (AUD) can tolerate and benefit from prolonged exposure therapy, according to a study [published](https://jamanetwork.com/journals/jamapsychiatry/fullarticle/2731312) online April 24 in *JAMA Psychiatry*. Among veterans with both disorders, prolonged exposure therapy more effectively reduced PTSD symptoms than a therapy focused on coping skills and did not increase alcohol problems.

“This information is critical because having an AUD continues to be a barrier to receiving exposure therapy because of therapist perceptions of patients’ fragility (i.e., beliefs that patients will not be able to handle trauma-related memories and may have an increase in alcohol use),” wrote Sonya Norman, Ph.D., of the Veterans Affairs San Diego Healthcare System, and colleagues.

Veterans with PTSD and AUD (N=119) were randomly divided to receive 12 sessions of either prolonged exposure therapy or coping skills therapy; both therapies were integrated to focus on both PTSD and substance use symptoms. The exposure program, known as COPE, combines live and image-based exposure to traumatic memories alongside cognitive-behavioral therapy (CBT) techniques to strengthen relapse prevention skills. The coping skills therapy combines CBT with case management to develop coping skills to manage trauma and substance use in a patient’s daily life. The participants were asked to attend at least one session a week but were allowed up to six months to finish therapy.

At the end of the study, participants in both treatment groups showed significant reductions in their PTSD severity (measured with the Clinician Administered PTSD Scale for *DSM-5* [CAPS-5]) and total number of heavy drinking days. The prolonged exposure group did have greater CAPS-5 reductions on average, as well as a higher rate of remission for PTSD (22.2% vs. 6.8% in the coping skills group), despite attending fewer sessions on average (8.4 vs. 11.4 in the coping skills group).

“It is not clear whether some participants in the I-PE [integrated prolonged exposure] arm attended fewer sessions because they found I-PE treatment to be too difficult, if they completed treatment more quickly because they felt better, or for other reasons,” Norman and colleagues wrote. “Future research is needed to understand why participants had better PTSD outcomes with I-PE treatment even though they attended significantly fewer sessions, and who is most likely to benefit from each treatment under which conditions.”

To read more about PTSD therapy, see the *Psychiatric Services* article, “[Factors Associated With Receipt of Cognitive-Behavioral Therapy or Prolonged Exposure Therapy Among Individuals With PTSD.](https://ps.psychiatryonline.org/doi/10.1176/appi.ps.201800408)”

(image: iStock/vadimguzhva)

[![](https://alert.psychnews.org/hubfs/Imported_Blog_Media/Twitter_Bird-Jun-24-2025-04-16-59-8807-PM.png)](https://alert.psychnews.org/hubfs/Imported_Blog_Media/Twitter_Bird-Jun-24-2025-04-16-59-8807-PM.png) 

**[Follow *Psychiatric News* on Twitter!](https://twitter.com/PsychiatricNews)**

[substance use](https://alert.psychnews.org/tag/substance-use), [PTSD](https://alert.psychnews.org/tag/ptsd), [AUD](https://alert.psychnews.org/tag/aud), [alcohol use disorder](https://alert.psychnews.org/tag/alcohol-use-disorder), [cognitive-behavioral therapy](https://alert.psychnews.org/tag/cognitive-behavioral-therapy), [trauma](https://alert.psychnews.org/tag/trauma), [JAMA Psychiatry](https://alert.psychnews.org/tag/jama-psychiatry), [prolonged exposure](https://alert.psychnews.org/tag/prolonged-exposure), [Department of Veterans Affairs](https://alert.psychnews.org/tag/department-of-veterans-affairs), [post-traumatic stress disorder](https://alert.psychnews.org/tag/post-traumatic-stress-disorder), [coping skills](https://alert.psychnews.org/tag/coping-skills)

## Related posts

[![](https://alert.psychnews.org/hs-fs/hubfs/Imported_Blog_Media/womentalking_140368135-Jun-24-2025-04-28-58-8329-PM.jpg?height=200&name=womentalking_140368135-Jun-24-2025-04-28-58-8329-PM.jpg) ](https://alert.psychnews.org/2016/04/prolonged-exposure-cbt-may-accelerate.html)

[PTSD](https://alert.psychnews.org/tag/ptsd), [cognitive-behavioral therapy](https://alert.psychnews.org/tag/cognitive-behavioral-therapy), [escitalopram](https://alert.psychnews.org/tag/escitalopram), [prolonged exposure](https://alert.psychnews.org/tag/prolonged-exposure), [post-traumatic stress disorder](https://alert.psychnews.org/tag/post-traumatic-stress-disorder)

## [Prolonged Exposure, CBT May Accelerate PTSD Recovery, But Not Change Long-Term Prevalence](https://alert.psychnews.org/2016/04/prolonged-exposure-cbt-may-accelerate.html)

![Picture of Psychiatric News Alert](https://alert.psychnews.org/hs-fs/hubfs/Psych%20News%20Email%20Banners/PN-Blue-Box_rgb.png?width=50&name=PN-Blue-Box_rgb.png) [Psychiatric News Alert](https://alert.psychnews.org/author/psychiatric-news-alert) 

 4/18/16 12:00 AM

Treating patients with posttraumatic stress disorder (PTSD) with exposure therapy or...

[ Read more ](https://alert.psychnews.org/2016/04/prolonged-exposure-cbt-may-accelerate.html)

[![](https://alert.psychnews.org/hs-fs/hubfs/Imported_Blog_Media/writing-iStock-1253877737-Jun-24-2025-09-44-41-6538-PM.jpg?height=200&name=writing-iStock-1253877737-Jun-24-2025-09-44-41-6538-PM.jpg) ](https://alert.psychnews.org/2023/08/written-exposure-therapy-may-be-viable.html)

[PTSD](https://alert.psychnews.org/tag/ptsd), [veterans](https://alert.psychnews.org/tag/veterans), [posttraumatic stress disorder](https://alert.psychnews.org/tag/posttraumatic-stress-disorder), [JAMA Psychiatry](https://alert.psychnews.org/tag/jama-psychiatry), [prolonged exposure therapy](https://alert.psychnews.org/tag/prolonged-exposure-therapy), [written exposure therapy](https://alert.psychnews.org/tag/written-exposure-therapy), [exposure therapy](https://alert.psychnews.org/tag/exposure-therapy), [CAPS-5](https://alert.psychnews.org/tag/caps-5), [writing](https://alert.psychnews.org/tag/writing)

## [Written Exposure Therapy May Be Viable Treatment for PTSD](https://alert.psychnews.org/2023/08/written-exposure-therapy-may-be-viable.html)

![Picture of Psychiatric News Alert](https://alert.psychnews.org/hs-fs/hubfs/Psych%20News%20Email%20Banners/PN-Blue-Box_rgb.png?width=50&name=PN-Blue-Box_rgb.png) [Psychiatric News Alert](https://alert.psychnews.org/author/psychiatric-news-alert) 

 8/24/23 12:00 AM

[ Read more ](https://alert.psychnews.org/2023/08/written-exposure-therapy-may-be-viable.html)

[![](https://alert.psychnews.org/hs-fs/hubfs/supportive_hand_iStock-1430601013.jpg?height=200&name=supportive_hand_iStock-1430601013.jpg) ](https://alert.psychnews.org/2025/09/prolonged-exposure-therapy-equally.html)

[psychiatrists](https://alert.psychnews.org/tag/psychiatrists), [civilians](https://alert.psychnews.org/tag/civilians), [PTSD](https://alert.psychnews.org/tag/ptsd), [veterans](https://alert.psychnews.org/tag/veterans), [posttraumatic stress disorder](https://alert.psychnews.org/tag/posttraumatic-stress-disorder), [military](https://alert.psychnews.org/tag/military), [trauma](https://alert.psychnews.org/tag/trauma), [Veterans Affairs](https://alert.psychnews.org/tag/veterans-affairs), [prolonged exposure therapy](https://alert.psychnews.org/tag/prolonged-exposure-therapy), [primary care physicians](https://alert.psychnews.org/tag/primary-care-physicians)

## [Prolonged Exposure Therapy Effective for Veterans, Civilians With PTSD](https://alert.psychnews.org/2025/09/prolonged-exposure-therapy-equally.html)

![Picture of Psychiatric News Alert](https://alert.psychnews.org/hs-fs/hubfs/Psych%20News%20Email%20Banners/PN-Blue-Box_rgb.png?width=50&name=PN-Blue-Box_rgb.png) [Psychiatric News Alert](https://alert.psychnews.org/author/psychiatric-news-alert) 

 9/5/25 12:30 PM

Veterans and civilians who have posttraumatic stress disorder (PTSD) benefit equally from prolonged...

[ Read more ](https://alert.psychnews.org/2025/09/prolonged-exposure-therapy-equally.html)

```json
{
  "@context" : "https://schema.org",
  "@type" : "BlogPosting",
  "author" : {
    "@type" : "Person",
    "name" : "Psychiatric News Alert",
    "url" : "https://alert.psychnews.org/author/psychiatric-news-alert"
  },
  "dateModified" : "2025-06-24T16:17:50.772Z",
  "datePublished" : "2019-04-29T04:00:00.000Z",
  "headline" : "Psych News Alert: Exposure Therapy for PTSD Benefits Patients With Comorbid Alcohol Use Disorder, Study Shows",
  "image" : [ "https://alert.psychnews.org/hubfs/Imported_Blog_Media/iStock-1031369766-Jun-24-2025-04-17-02-2076-PM.jpg" ],
  "mainEntityOfPage" : {
    "@id" : "https://alert.psychnews.org/2019/04/exposure-therapy-for-ptsd-benefits.html",
    "@type" : "WebPage"
  },
  "publisher" : {
    "@type" : "Organization",
    "logo" : {
      "@type" : "ImageObject",
      "url" : "https://alert.psychnews.org/hubfs/PN-Blue-Box.jpg"
    }
  }
}
```