Seeking Safety was developed by Dr. Lisa Najavits as a manualized treatment for co-occurring PTSD and substance use disorders. The therapy is organized around 25 topics grouped into cognitive, behavioral, and interpersonal domains. Topics include Safety, Asking for Help, Setting Boundaries in Relationships, Healing from Anger, Taking Good Care of Yourself, and Creating Meaning, among others.
Unlike exposure-based trauma therapies that require clients to recount traumatic experiences in detail, Seeking Safety is present-focused — it does not ask you to revisit or process traumatic memories. Instead, it teaches you the coping skills and safety strategies you need right now to stabilize your life, reduce substance use, and build the emotional foundation necessary for deeper trauma work later if you choose.
At Virtue Recovery Killeen, Seeking Safety is delivered in both individual and group formats. Group sessions follow a consistent structure: a check-in on safety and substance use, a quotation for discussion, presentation of the session topic, practice of a new coping skill, and a check-out reviewing commitments for the coming days. This predictable structure creates safety in the therapeutic process itself.
