Seeking Safety is a widely recognized treatment model addressing PTSD and substance abuse, developed by Lisa M. Najavits. It focuses on establishing safety through present-focused therapy, emphasizing coping skills and integrating trauma and addiction recovery. The manual, available as a Seeking Safety PDF, provides a comprehensive guide for clinicians and clients seeking recovery, offering evidence-based strategies to reduce addictive behavior and build healthy relationships.
1.1 Overview of the Seeking Safety Model

Seeking Safety is an evidence-based treatment model developed by Lisa M. Najavits, focusing on addressing co-occurring PTSD and substance abuse. It emphasizes present-focused therapy, helping individuals establish safety from trauma and addiction. The model integrates cognitive-behavioral techniques to reduce addictive behaviors and manage trauma symptoms. Available as a Seeking Safety PDF, the manual provides a structured approach for clinicians and clients, promoting healthy relationships, coping skills, and long-term recovery. Its practical strategies and focus on safety make it a widely adopted treatment approach.
1.2 Importance of Safety in Trauma and Addiction Treatment
Safety is the cornerstone of the Seeking Safety model, as it addresses the urgent need to establish stability for individuals with co-occurring trauma and addiction. By prioritizing safety, the model helps reduce addictive behaviors, manage symptoms like dissociation, and restore lost ideals. The Seeking Safety PDF manual emphasizes creating a secure environment to foster recovery, ensuring clients can focus on healing without feeling overwhelmed. This approach integrates trauma and addiction recovery, providing a structured path toward long-term well-being and resilience.
1.3 Brief History of the Model’s Development
Seeking Safety was developed by Lisa M. Najavits, PhD, beginning in 1992 under a grant from the National Institute on Drug Abuse. The model was created to address the dual diagnosis of PTSD and substance abuse, filling a gap in existing treatments. It was formally published in 2002 by Guilford Press as a comprehensive manual. The approach emphasizes a present-focused therapy, integrating trauma and addiction recovery. This groundbreaking work has since become a widely adopted evidence-based treatment, recognized for its effectiveness in establishing safety and promoting long-term recovery.
Developer of Seeking Safety
Lisa M. Najavits, PhD, a licensed psychologist and Associate Professor at Harvard Medical School, developed Seeking Safety. Her work at McLean Hospital and contributions to trauma and addiction treatment led to the model’s creation, beginning in 1992 under a grant from the National Institute on Drug Abuse. The manual was published in 2002 by Guilford Press, establishing her as a pioneer in integrated trauma and addiction recovery approaches.
2.1 Lisa M. Najavits, PhD: Background and Contributions
Lisa M. Najavits, PhD, a licensed psychologist in Massachusetts, developed the Seeking Safety model. She serves as Associate Professor of Psychiatry at Harvard Medical School and Director of the Trauma Research Program at McLean Hospital. Her work focuses on integrating trauma and addiction treatment, with a present-focused approach. Najavits has authored several books, including Seeking Safety: A Treatment Manual for PTSD and Substance Abuse, published in 2002. Her contributions have significantly influenced evidence-based practices for co-occurring trauma and addiction recovery.
2.2 Her Work at Harvard Medical School and McLean Hospital
Lisa M. Najavits, PhD, serves as Associate Professor of Psychiatry at Harvard Medical School and Director of the Trauma Research Program at McLean Hospital. Her work at these institutions has been instrumental in developing the Seeking Safety model, which she began in 1992 under a grant from the National Institute on Drug Abuse. The model focuses on present-focused therapy, addressing both trauma and addiction simultaneously. Her research and clinical practice at Harvard and McLean have significantly advanced the field of co-occurring trauma and substance abuse treatment.
2.3 Publications and Recognition in the Field
Lisa M. Najavits, PhD, is a renowned author and researcher, best known for her book Seeking Safety: A Treatment Manual for PTSD and Substance Abuse. Published in 2002, it remains a cornerstone in the field of trauma and addiction treatment. She has also authored A Woman’s Addiction Workbook, further solidifying her expertise. Her work has earned her numerous awards and recognition, including being a prominent speaker at conferences. Her publications are widely accessible, with the Seeking Safety PDF and ePUB formats available for clinicians and researchers worldwide.

Key Components of the Seeking Safety Model
The Seeking Safety model focuses on present-focused therapy, prioritizing safety, and integrating trauma and addiction recovery. The manual, available as a Seeking Safety PDF, guides clinicians and clients through evidence-based strategies to establish safety and promote long-term recovery.
3.1 Present-Focused Therapy Approach
The Seeking Safety model emphasizes a present-focused approach, addressing current trauma and addiction issues without delving into past traumas. This method helps clients attain immediate safety by focusing on their current environment and behaviors. It integrates cognitive-behavioral techniques, such as grounding and coping skills, to manage triggers and emotional pain; The approach is flexible, allowing it to be adapted to various clinical settings and client needs, making it a practical and effective tool for recovery from PTSD and substance abuse.

3.2 Safety as the Foundation of Treatment
Safety is the cornerstone of the Seeking Safety model, prioritizing the client’s immediate well-being. Establishing safety helps reduce addictive behaviors and manage symptoms like dissociation. The approach focuses on creating a secure environment, both emotionally and physically, to foster recovery. A safety plan is developed to identify warning signs and coping strategies, addressing mild dangers before they escalate. This foundation allows clients to build healthy relationships and restore lost ideals, making it a critical starting point for trauma and addiction recovery.
3.3 Integration of Trauma and Addiction Recovery
Seeking Safety uniquely integrates trauma and addiction recovery, addressing both issues simultaneously. The model emphasizes that trauma and addiction are deeply interconnected, requiring a holistic approach. By focusing on present-focused coping skills, clients learn to manage symptoms of PTSD and substance abuse together. This integrated approach avoids re-traumatization and ensures a safe, structured path to recovery. The model’s effectiveness lies in its ability to address both conditions without prioritizing one over the other, fostering long-term healing and resilience.
Treatment Topics Covered in the Manual
- PTSD: Taking Back Your Power
- Detaching from Emotional Pain (Grounding Techniques)
- When Substances Control You
- Asking for Help and Taking Good Care of Yourself
The Seeking Safety manual begins with an introduction to treatment and case management, helping clients understand their journey toward recovery. This section emphasizes the importance of establishing safety and provides a framework for managing care. It introduces key concepts such as setting boundaries, building healthy relationships, and self-care. The present-focused approach encourages clients to address immediate needs while laying a foundation for long-term recovery; This introductory section is designed to empower clients and clinicians alike, offering practical strategies for navigating the complexities of trauma and addiction treatment.
4.2 PTSD: Taking Back Your Power
This section of the Seeking Safety manual focuses on empowering individuals to reclaim control over their lives, addressing PTSD symptoms directly. It introduces techniques to manage dissociation, self-harm, and other trauma-related challenges. Clients learn to identify triggers and develop coping strategies, fostering a sense of mastery and confidence. The emphasis is on present-focused interventions, helping individuals break free from the grip of PTSD and substance abuse. This chapter provides practical tools to restore a sense of power and dignity, essential for long-term recovery and well-being.
4.3 Detaching from Emotional Pain (Grounding Techniques)
This section teaches individuals how to detach from emotional pain using grounding techniques, a core component of the Seeking Safety model. Grounding helps clients focus on the present moment, reducing dissociation and overwhelming emotions. Practical tools such as sensory exercises and cognitive strategies are introduced to manage emotional intensity. These techniques empower individuals to regain control, fostering emotional stability and resilience. The chapter emphasizes safety and self-care, providing a foundation for long-term recovery from trauma and addiction.
4.4 When Substances Control You
This section focuses on helping individuals recognize and address the ways in which substances have taken control of their lives. It provides strategies to identify triggers, challenge substance-related beliefs, and develop healthier coping mechanisms. The chapter emphasizes the importance of safety and self-compassion while exploring the cycle of addiction. Practical tools and exercises are included to help clients regain control and make informed choices about their recovery. This topic is central to the Seeking Safety approach, offering a clear path toward sobriety and emotional well-being.
4.5 Asking for Help and Taking Good Care of Yourself
This section emphasizes the importance of seeking support and prioritizing self-care in the recovery process. It provides practical strategies for reaching out to others, building a support network, and engaging in activities that promote emotional and physical well-being. The chapter highlights how self-care is essential for maintaining safety and reducing the risk of relapse. By fostering a sense of community and personal responsibility, this topic empowers individuals to take proactive steps toward healing and long-term recovery, aligning with the Seeking Safety approach.
Core Concepts and Skills
Seeking Safety focuses on core concepts like compassion, honesty, and recovery thinking, providing essential skills to build a strong foundation for trauma and addiction recovery.
5.1 Compassion, Honesty, and Recovery Thinking
Compassion, honesty, and recovery thinking are central to the Seeking Safety model. These concepts help clients develop self-kindness, trust, and a positive mindset. Compassion fosters self-acceptance, while honesty builds trust in relationships. Recovery thinking encourages clients to shift from negative patterns to hopeful, goal-oriented behaviors. These skills are interconnected, providing a foundation for healing and growth. They empower individuals to navigate challenges with resilience, promoting long-term recovery from trauma and addiction.
5.2 Red and Green Flags for Safety
Red and green flags are essential tools in the Seeking Safety model, helping clients identify unsafe and safe behaviors. Red flags signal potential dangers, such as substance use or triggers, while green flags represent healthy, safe actions. This visual framework aids clients in making informed decisions, reducing risks, and maintaining stability. By recognizing these flags, individuals can better navigate challenging situations, fostering a safer environment for recovery and personal growth.
5.3 Commitment and Creating Meaning
Commitment and creating meaning are core principles in the Seeking Safety model, empowering clients to dedicate themselves to recovery and find purpose beyond trauma and addiction. Commitment strengthens the resolve to pursue safety and healing, while creating meaning involves identifying activities and relationships that bring fulfillment. This process helps clients rebuild their sense of purpose, fostering resilience and hope. By focusing on these elements, individuals can move beyond survival to a life filled with significance and lasting change.
5.4 Setting Boundaries in Relationships
Setting boundaries in relationships is a key component of the Seeking Safety model, helping clients establish emotional and physical safety. Healthy boundaries protect against exploitation and harm, fostering mutual respect and communication. Clients learn to identify and assert their limits, distinguishing between safe and unsafe interactions. This skill is vital for rebuilding trust and maintaining supportive relationships, ensuring that recovery is not compromised by unhealthy dynamics. By prioritizing boundaries, individuals can create a foundation for lasting healing and growth in their personal and professional lives.

Implementation and Practical Strategies
The Seeking Safety model emphasizes practical strategies for trauma and addiction recovery, focusing on safe coping skills, managing triggers, and respecting personal time. These approaches help clients implement recovery strategies effectively, ensuring a structured and supportive path toward healing and long-term stability.
6.1 How to Conduct the Treatment
Conducting Seeking Safety involves creating a safe, non-judgmental environment, focusing on present-day issues rather than past trauma. The treatment follows a structured, manualized approach with 25 topics, each addressing specific aspects of trauma and addiction. It emphasizes establishing safety, teaching coping skills, and promoting healthy relationships. Practitioners guide clients in developing safety plans, setting boundaries, and practicing grounding techniques to manage triggers and emotional pain. This approach helps clients build resilience, reduce addictive behaviors, and achieve long-term recovery by integrating trauma and addiction treatment effectively.
6.2 Safe Coping Skills (Part 1)
Safe Coping Skills are foundational in the Seeking Safety model, helping clients manage triggers and emotional pain without substances. These skills focus on grounding techniques, such as deep breathing, sensory exercises, and mental distractions, to keep clients present and reduce dissociation. Practical tools like creating a “coping card” or using physical comfort items are introduced. These strategies empower clients to handle distressing emotions and situations effectively, fostering resilience and reducing reliance on harmful behaviors. This part of the treatment emphasizes immediate, actionable steps for emotional regulation and stability.

6.3 Coping with Triggers and Respecting Your Time
Seeking Safety emphasizes identifying and managing triggers to prevent relapse. Clients learn to recognize personal triggers and develop strategies to cope without substances. Time management is also addressed, teaching clients to balance activities and set boundaries. This section provides practical tools, such as worksheets, to help clients stay grounded and focused. By respecting their time and energy, clients can prioritize self-care and recovery, reducing the risk of overwhelming situations that might lead to substance use or emotional crises.
6.4 Healthy Relationships and Self-Nurturing
Seeking Safety focuses on fostering healthy relationships and self-nurturing practices to support recovery. Clients learn to set boundaries, communicate effectively, and build trust in relationships. Self-nurturing is emphasized as a way to replace harmful behaviors with positive self-care. The manual provides practical tools, such as worksheets, to help clients identify and cultivate nurturing activities. By prioritizing self-care and healthy relationships, clients can create a supportive environment that promotes long-term recovery and emotional well-being, reducing the risk of relapse and improving overall quality of life.

Evidence and Effectiveness
Seeking Safety is empirically supported, with studies showing its effectiveness in reducing PTSD and substance abuse symptoms; Success stories highlight its positive impact on recovery outcomes.
7.1 Empirical Support for the Model
Seeking Safety has robust empirical support, with studies demonstrating its effectiveness in reducing PTSD and substance abuse symptoms. Research highlights improved functioning and quality of life for participants. The model’s evidence-based approach is widely recognized, making it a leading treatment for co-occurring trauma and addiction. Its structured, present-focused therapy has been validated through numerous clinical trials, solidifying its reputation as a highly effective intervention.
7.2 Success Stories and Case Studies
Seeking Safety has inspired numerous success stories, with clients achieving significant improvements in trauma and addiction recovery. Case studies highlight individuals who have successfully established safety, reduced symptoms, and rebuilt their lives. Many report improved relationships, increased self-esteem, and enhanced coping skills. These real-world examples demonstrate the model’s effectiveness in helping individuals heal and achieve long-term recovery. The positive outcomes underscore the transformative power of the Seeking Safety approach in addressing co-occurring PTSD and substance abuse.
7.3 Comparison with Other Treatment Approaches

Seeking Safety stands out by focusing on present-focused coping skills, unlike trauma-focused therapies that delve into the past. It uniquely integrates trauma and addiction recovery, addressing both simultaneously. While other approaches may prioritize one issue over the other, Seeking Safety emphasizes safety and empowerment. Its structured yet flexible format, along with the availability of a comprehensive PDF manual, makes it accessible for clinicians and clients. This approach is widely recognized for its evidence-based effectiveness and adaptability to diverse populations, making it a preferred choice for co-occurring PTSD and substance abuse treatment.

The Seeking Safety PDF Manual
The Seeking Safety PDF manual, authored by Lisa M. Najavits, is widely available in digital formats, including PDF and ePUB. It provides a comprehensive guide for treating PTSD and substance abuse, offering structured topics and practical strategies. This accessible resource is invaluable for clinicians and clients seeking evidence-based approaches to recovery, making it a cornerstone in trauma and addiction treatment.
8.1 Availability and Formats (PDF/ePUB)

The Seeking Safety manual by Lisa M. Najavits is widely available in digital formats, including PDF and ePUB, ensuring easy access for clinicians and clients. The Seeking Safety PDF is particularly popular due to its portability and compatibility with various devices. This format allows users to navigate the manual’s structured topics effortlessly. The ePUB version offers similar convenience, adapting to different screen sizes for optimal readability. Both formats are readily accessible through online platforms, making the evidence-based treatment guide a practical resource for trauma and addiction recovery.
8.2 Key Features of the Manual
The Seeking Safety manual is a comprehensive guide for treating PTSD and substance abuse, offering evidence-based, present-focused strategies. It includes 25 treatment topics, such as safety planning, grounding techniques, and healthy relationships, with practical exercises and handouts. The manual is structured for clinicians and clients, providing clear, accessible language. Its integrated approach addresses both trauma and addiction, making it a valuable resource for recovery. The Seeking Safety PDF format ensures easy access to these tools, supporting effective implementation in clinical and self-help settings.
8.3 How to Access and Download the Manual
The Seeking Safety manual is widely available in PDF and ePUB formats, ensuring easy access for clinicians and clients. It can be downloaded from online retailers like Amazon or directly from the publisher, Guilford Press. The manual is part of the Guilford Substance Abuse Series and is recognized for its evidence-based approach. Users can also access it through digital libraries or mental health platforms. Downloading the manual provides immediate access to its comprehensive treatment strategies, making it a convenient resource for recovery and clinical practice.
Future Directions and Updates
Seeking Safety continues to evolve with ongoing research and integration into modern therapeutic practices. Efforts focus on expanding accessibility, ensuring the model remains a leading resource for trauma and addiction recovery.
9.1 Ongoing Research and Development
Research on Seeking Safety continues to expand, focusing on its efficacy across diverse populations and settings. Studies explore its integration with modern therapies, ensuring it remains evidence-based and adaptable. The model’s developer, Lisa M. Najavits, and her team regularly update the approach based on new findings. This ensures Seeking Safety remains a cutting-edge treatment for co-occurring trauma and addiction. Ongoing development also includes refining the manual to address emerging clinical needs, making it a dynamic and evolving resource for clinicians and clients alike.
9.2 Integration with Modern Therapeutic Practices
Seeking Safety is increasingly integrated with modern therapeutic practices, such as cognitive-behavioral therapy (CBT) and mindfulness-based approaches, to enhance its effectiveness. This integration allows clinicians to address trauma and addiction simultaneously while incorporating contemporary techniques. The model’s present-focused approach aligns well with current trends in mental health care, making it adaptable to diverse clinical settings. By combining evidence-based strategies, Seeking Safety remains a versatile and evolving treatment option, supported by its comprehensive PDF manual for practical application.
9.3 Expanding Accessibility and Outreach
Efforts to expand the accessibility of Seeking Safety include making the manual available in digital formats like PDF and ePUB, ensuring wider reach. This initiative aims to make the evidence-based treatment accessible to diverse populations, including those in remote areas. The Seeking Safety PDF manual is now widely adopted, offering a comprehensive guide for clinicians and clients. By leveraging technology, the model continues to bridge gaps in mental health care, ensuring more individuals can benefit from its proven strategies for trauma and addiction recovery.
