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Chunk #115 — Clinical Considerations: Cognitive-Behavioral and Neurofeedback Treatment in Substance Use Disorders

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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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In a case of comorbidity in which the use of drugs antecedes a mental disease (e.g., substance-induced anxiety disorder, DSM-IV-TR, APA 2000) or is not driven by self-medication strategies, the simultaneous treatment of both psychiatric conditions may be required. In this situation, treatment could be guided by the two following concepts: (1) Behavioral interventions to activate and strengthen circuits involved in inhibitory control, such as bio-behavioral self-regulation training, may increase successful abstinence from drug taking. (2) Considering the important role of cognitive and emotional processes involved in the predisposition for drug abuse, the development of non-pharmacological interventions (e.g., CBT, stress management, neurofeedback) is a feasible strategy.