An Integrated Transdiagnostic Approach for Veterans With Co-occurring Anxiety, Posttraumatic Stress Disorder, and Alcohol Use: An Open Pilot Trial and Case Studies.

Authors

Anthony H Ecker, Rachel K Scott, Breeana White, Alan Z Sheinfil, Drew A Helmer, Megan M Kelly, Matthew W Gallagher, Erin P Finley, Michael A Cucciare, Jeffrey A Cully

Published in

Journal of cognitive psychotherapy. Aug 31, 2026. Epub Aug 31, 2026.

Abstract

Posttraumatic stress disorder (PTSD), anxiety disorders, and alcohol use disorders commonly co-occur among veterans, resulting in greater impairment in the quality of life and other health outcomes than single disorders. Despite the availability of evidence-based psychotherapies, including integrated treatments addressing both anxiety/PTSD and alcohol use, treating comorbid disorders remains challenging. Leveraging providers' skills through modular, adjunctive materials focused on alcohol use might improve their ability to provide transdiagnostic care. Veterans (N = 6) with alcohol use disorder and anxiety and/or PTSD were recruited for an open pilot trial of Bridging the Gap, an adjunctive cognitive-behavioral manual used with the Unified Protocol. Pre- and posttreatment indicators of clinical impact, feasibility, and acceptability were examined; three cases illustrate the delivery of the clinical materials. Small-to-large effects for anxiety and PTSD outcomes and small effects for alcohol outcomes were observed. Bridging the Gap can support providers in delivering key elements of transdiagnostic care.

PMID:
42674809
Bibliographic data and abstract were imported from PubMed on 01 Sep 2026.

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