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.