Aggressive and drug-seeking behavior creates unique and often frustrating challenges in clinical settings, often these behaviors a fueled by substance use and trauma related disorders. This presentation will offer strategies for addressing these behaviors in an assertive and therapeutic approach while retaining patient engagement. This interactive and experiential presentation offers an overview of the impact of trauma on the recovery process from a social, biological, psychological, and spiritual perspective and will provide clinicians with skills to work people affected by substance use and trauma throughout their recovery, as well as, understanding the conceptual framework of trauma-informed practice. OBJECTIVES: As a result of this training, participant will be able to: describe the impact of trauma and substance use on the brain, body, and behavior; conceptualize a case study from a trauma-informed framework; and recognize the cumulative effect of Adverse Childhood experiences on the brain and coping.