Trauma and its lasting effects can create difficult barriers in the process of healing and reaching full potential. Trauma symptoms often go unrecognized and untreated, leaving sobriety and contentment much more difficult to attain. This study examined the efficacy of Seeking Safety by analyzing the historical records of 23 women who have completed the Seeking Safety curriculum. The study proposed to find a reduction in the severity of trauma symptoms following Seeking Safety treatment. This quantitative research analyzed the severity of symptoms common in Posttraumatic Stress Disorder, using a pre- and posttest design. The data was extracted from the historical records of 23 women from rural Nebraska with Substance Abuse Disorders. The Seeking Safety program provided education about trauma and its effects. Seeking Safety, developed by Lisa Najavits in 2003, also provided instruction on healthy coping skills, proposing to replace unhealthy coping skills previously used by treatment participants. Additionally, the study allowed for assumptions to be made as to the benefits of providing concurrent assessments and subsequent treatment for substance abuse and the effects of trauma.