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Chunk #101 — Clinical Considerations: Comorbidities of SUD and Implications for Individualized (qEEG-Guided) Neurofeedback

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EEG biofeedback as a treatment for substance use disorders: review, rating of efficacy, and recommendations for further research.
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There are several conditions commonly associated with addictive disorders that have known neurophysiological aberrations. The co-occurrence of alcohol and other SUD with other psychiatric disorders has been widely recognized. Co-occurrence of SUD and other psychiatric diagnosis (e.g., PTSD, antisocial personality disorder, ADHD, unipolar depression etc.) is highly prevalent (Drake and Walach 2000; Evans and Sullivan 1995; Grant et al. 2004; Jacobsen et al. 2001). Persons with co-occurring other mental disorders and SUD have a more persistent illness course and are more refractive to treatment than those without dual diagnoses (Brown et al. 1995; O’Brien et al. 2004; Schubiner et al. 2000; Swartz and Lurigio 1999). Depression occurs in approximately 30% of chronic alcoholics (Regier et al. 1990). In treatment settings, these depressed patients can present particular challenges to the clinician, as they may not respond as well to treatment as other patients, may have greater relapse, attrition, and readmission rates, and may manifest symptoms that are more severe, chronic, and refractory in nature (Sheehan 1993). Independent of other psychiatric comorbidity, ADHD alone significantly increases the risk for SUD (Biederman et