Clinical Research Directory

Inclusion Criteria: Inclusion criteria for Veterans and Significant Others: * Any gender or sexual identity; any race or ethnicity * Married, cohabiting for at least 6 months, or in a committed relationship for at least 6 months and both partners are willing to participate. * The Veteran meets current or past-year DSM-5 diagnostic status for both PTSD (assessed via CAPS-5) and AUD (assessed via the Quick Structured Clinical Interview for DSM-5) * Concurrent substance use disorders are acceptable provided that alcohol is the Veteran's primary substance of choice * Must demonstrate cognitive functioning sufficient to provide informed consent and participate accurately (=\>26 on the Mini-Mental State Exam \[MMSE\]) * Participants taking psychotropic medications will be required to be maintained on a stable dose for at least 4 weeks before study initiation * Not currently enrolled in couple therapy Additional inclusion criteria for the Veteran patient: * U.S. military Veteran * Enrolled, or is willing to become enrolled, in VA healthcare * Not attending trauma-focused therapy during the intervention period Exclusion Criteria: * History of moderate, severe, or unilateral violence in the relationship in the past year as measured by the CTS-2 * Either partner demonstrates a need for a higher level of care as assessed by the Quick Structured Clinical Interview for DSM-5 Disorders (QuickSCID) * i.e., history of or current psychotic or bipolar disorders, current severe drug use disorder, or concerns about alcohol withdrawal as demonstrated by a score \>8 on the CIWA-Ar) * Either partner reports current suicidal or homicidal ideation and intent or prior intent or attempt in the past 6 months as assessed by the CSSRS and PHQ-9 item 9 * The Veteran's SO cannot have substance use problems as indicated by a score \< 8 on the AUDIT and QuickSCID