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This flexible, evidence-based manual offers counselors a gentle, compassionate approach to help people with trauma, addiction, or both explore their past.Creating Change guides clients to understand how trauma and addiction arose over time, grieve losses and regrets, create a new perspective on their life story, and take pride in their survival. The manual has 23 topics that can be implemented in any order with individuals or groups. Topics include Relationship Patterns, Break the Silence, Deepen Your Story, Balance Dark and Light, Emotions and Healing, and Influences: Family, Community, Culture. Creating Change can be implemented with any other treatment, including the author's present-focused model, Seeking Safety. The book has a convenient large-size format and includes 83 reproducible handouts and clinical tools, many of which can be downloaded and printed at the companion website.