Primary Care Companion for CNS Disorders

Letter to the Editor July 9, 2026

Alcohol Use Disorder and Pharmacotherapy: What’s Shame Got to Do With It?

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Prim Care Companion CNS Disord 2026;28(4):26lr04197

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  1. Terechin O, Lento RM, Braford MB, et al. Treatment and referral for alcohol use disorders in primary care. Prim Care Companion CNS Disord. 2026;28(1):25f04057. PubMed CrossRef
  2. Dearing RL, Stuewig J, Tangney JP. On the importance of distinguishing shame from guilt: relations to problematic alcohol and drug use. Addict Behav. 2005;30(7):1392–1404. PubMed CrossRef
  3. Luoma JB, Twohig MP, Waltz T, et al. An investigation of stigma in individuals receiving treatment for substance abuse. Addict Behav. 2007;32(7):1331–1346. PubMed CrossRef
  4. National Institute on Alcohol Abuse and Alcoholism.Stigma: Overcoming a Pervasive Barrier to Optimal Care. National Institutes of Health; 2025. Accessed January 23, 2026. https://www.niaaa.nih.gov/health-professionals-communities/core-resource-on-alcohol/stigma-overcoming-pervasive-barrier-optimal-care(NIAAA)
  5. Larimer ME, Palmer RS, Marlatt GA. Relapse prevention: an overview of Marlatt’s cognitive-behavioral model. Alcohol Res Health. 1999;23(2):151–160. PubMed
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