Abstract
This chapter provides an overview of integrated cognitive-behavioral therapy (ICBT) and reviews its evidence to date, and present a case study. It describes an adaptation of ICBT for military veterans and summarizes the future directions of research on ICBT. ICBT is “integrated” as it addresses posttraumatic stress disorder (PTSD), substance-related symptoms, and their interaction within the same therapy course while being delivered by one clinician. ICBT is a time-limited, manualized intervention that can be delivered in group or individual format. ICBT retained the overall foundation of Cognitive Behavioral Therapy for PTSD and added several revisions to specifically address the needs of people with substance use disorders. The optional modules cover creating a relapse prevention plan, identifying emotions, and transitioning clients out of ICBT. ICBT may be integrated as either an abstinence-based or harm reduction approach and is personalized according to the treatment setting and the client’s goals.
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