The Dopamine Dialogues

How Contingency Management Drives Real Behavior Change | Dr. Thomas Freese | Ep. 4


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What drives real, lasting change in addiction treatment?In Episode 4 of The Dopamine Dialogues, we are joined by Dr. Thomas Freese, a leader in behavioral health, to explore how contingency management (CM) supports engagement, retention, and long-term recovery in substance use disorder treatment.Contingency management is one of the most effective evidence-based interventions in addiction treatment. In this episode, Dr. Freese explains how CM works beyond incentives, helping individuals recognize the value of change in their own lives.In this episode, we discuss:✅ How contingency management improves engagement and retention✅ Why consistency and structure are key to behavior change✅ The role of reinforcement in sustaining recovery✅ Common challenges in implementing CM programsThis episode is designed for clinicians, program leaders, and public health professionals working to improve outcomes in addiction treatment.

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The Dopamine DialoguesBy Contigency Management Innovations