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Digital Recording

Integrative Harm Reduction Psychotherapy (IHRP) for Treating Addiction and Trauma

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Andrew Tatarsky, PhD
1 Hour 30 Minutes
Audio and Video
Oct 08, 2022
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Digital Recording
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The widely accepted view of addiction as a disease has contributed an “abstinence-only” treatment system that has failed to be helpful to the large majority of people who struggle with substance use when trauma is a part of the picture. These patients must be welcomed into treatment while they continue to use substances so trauma can be identified and processed as a precondition for addressing the addictive response.  This session will introduce an integrative harm reduction psychotherapy that engages people in therapy while they are actively using substances and addresses trauma and addiction simultaneously. A real clinical case of trauma and addiction that was successfully treated by Tatarsky will be presented to illustrate the approach.


Planning Committee Disclosure - No relevant relationships

All members of the PESI, Inc. planning committee have provided disclosures of financial relationships with ineligible organizations and any relevant non-financial relationships prior to planning content for this activity. None of the committee members had relevant financial relationships with ineligible companies or other potentially biasing relationships to disclose to learners.  For speaker disclosures, please see the faculty biography.


This online program is worth 1.5 hours CPD.



Andrew Tatarsky, PhD's Profile

Andrew Tatarsky, PhD Related seminars and products

Andrew Tatarsky, PhD, is the developer of IHRP and author of Harm Reduction Psychotherapy: A New Treatment for Drug and Alcohol Problems. He’s founder and director of the Center for Optimal Living, a treatment and professional training center based on IHRP.

Speaker Disclosures:
Financial: Dr. Andrew Tatarsky is the founder and director of Tatarsky Institute and maintains a private practice. He receives royalties as a published author. Dr. Tatarsky receives a speaking honorarium and recording royalties from Psychotherapy Networker and PESI, Inc. He has no relevant financial relationships with ineligible organizations.
Non-financial: Dr. Andrew Tatarsky is a member of the American Psychological Association and the New York State Psychological Association. He serves on several journal review boards, for a complete list contact PESI, Inc.


  1. Assess how addictive behaviour reflects the interplay of biology, meaning, habit, and social context.
  2. Theorize why the harm reduction stance is often essential to effective treatment of addiction when trauma is in the picture.
  3. Describe seven therapeutic tasks combining relational, CBT, and mindfulness interventions.
  4. Use strategies to address risky behaviours in the treatment of addictions, particularly when traumatic stress is involved.



  • Re-framing addiction in a way that supports treatment & recovery
  • The benefits of harm reduction as a therapeutic frame
  • Seven therapeutic tasks of harm reduction treatment
  • Seven strategies for facilitating positive change during harm reduction treatment

Target Audience

  • Addiction Counselors
  • Counselors
  • Marriage & Family Therapists
  • Physicians
  • Psychologists
  • Social Workers
  • Other Mental Health Professions


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