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The Carlat Psychiatry Podcast

Contingency Management with Dr. Dominick DePhilippis

Jun 3, 2024
Dr. Dominick DePhilippis discusses Contingency Management for stimulant use disorders, emphasizing its use of incentives to reinforce abstinence behaviors. The episode explores the effectiveness of Contingency Management, challenges in implementation, and the role of smart gift cards in sustaining recovery. Also, it touches on emerging drug threats and resources for learning about CM in addiction treatment.
43:29

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Quick takeaways

  • Contingency Management in treating stimulant use disorders focuses on positive reinforcement for recovery behaviors.
  • CM introduces incentives to compete with substance consumption, aiming to shift the balance towards sustaining abstinence.

Deep dives

Contingency Management: A Highly Effective Treatment for Stimulant Use Disorders

Contingency management (CM) is an evidence-based treatment that effectively addresses stimulant use disorders, such as cocaine, amphetamine, and methamphetamine abuse. Rooted in fundamental learning principles like operant conditioning, CM utilizes positive reinforcement for recovery behaviors like abstinence from stimulants. By incorporating elements of extinction and mild consequences for relapses, CM aims to reinforce enduring abstinence while discouraging substance consumption. The treatment's success lies in simultaneously rewarding recovery and eliminating unhealthy behaviors.

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