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Non-substance and substance related addictive disorders contribute a high global disease burden with relatively poor treatment options with poor craving control and high relapse rates. CBT is a well-documented treatment modality which is the cornerstone for top-down behavioral management of cravings and preventing relapse, but its clinical efficacy is limited. Repetitive transcranial magnetic stimulation (rTMS) is an emerging treatment method which may reduce cravings and relapse rates through a bottom-up neurochemical approach.
There is potential that the rTMS reduction of bottom-up cravings may synergistically enhance the top-down control of cravings established with CBT. Existing primary research demonstrates that a dual therapy approach has potential to be more effective than respective monotherapies at reducing cravings and relapse rates for patients with alcohol use disorder, nicotine dependence, and gambling disorder.
gambling, nicotine, alcohol, relapse, cravings
Medicine and Health Sciences | Mental and Social Health | Substance Abuse and Addiction
Schroeder, Dylan, "Augmenting Addiction Management: The Potential Efficacy of Combining rTMS with CBT" (2023). Master of Science in Physician Assistant Studies Capstone Presentations (Center City). 17.