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Medically Reviewed Content
Updated: August 2026
Sources: SAMHSA, NIDA

Depression & Addiction Treatment Centers Near You

Depression and addiction frequently co-occur, requiring integrated treatment approaches. Find dual diagnosis treatment centers addressing both mental health and substance use disorders through coordinated care and evidence-based therapies.

Found 7,770 rehab centers specializing in depression across the United States.

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Find Depression and Addiction Treatment Centers Near You

Browse dual diagnosis treatment centers below. Filter for programs treating depression and substance abuse together.

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People Acting to Help Inc (PATH)

PATH, located in Philadelphia, PA, provides outpatient treatment for adults dealing with substance use alongside significant mental health challenges. Their offerings include various therapeutic approaches such as anger management, brief interventions, and cognitive behavioral therapy. PATH is dedicated to addressing the unique needs of different groups, including adolescents, adult men, and women, thereby serving a diverse clientele. The center emphasizes high-quality care and supports individuals through consistent outpatient services. They also extend their programs to children and adolescents, ensuring a holistic approach to rehabilitation. PATH stands out as a vital support system for individuals pursuing tailored and research-backed recovery options.

Pennsylvania Recovery Center

The Pennsylvania Recovery Center in Phoenixville, PA, provides extensive care for substance use and co-occurring conditions affecting adults and youth. Their offerings include detoxification, intensive outpatient, outpatient, and partial hospitalization programs. The center emphasizes 12-step facilitation, anger management, and brief intervention, with specialized support for active military, men, and women. Serving a diverse adult and young adult population, the Pennsylvania Recovery Center is committed to delivering individualized, effective treatment solutions.

Pennyroyal Center
Hopkinsville, KY

Pennyroyal Center, situated in Hopkinsville, KY, delivers dedicated recovery support for adult males facing addiction and concurrent mental health challenges. Their residential and short-term residential options employ proven therapeutic strategies including 12-step facilitation, brief interventions, and cognitive behavioral therapy. Pennyroyal Center is equipped to serve adults, older adults, and younger adults, crafting personalized treatment paths. Their dedication to overall wellness and distinct programs for individuals with dual diagnoses establishes them as a vital provider of thorough and impactful rehabilitation.

Perfectly Imperfect
Albuquerque, NM

Situated in Albuquerque, NM, "Perfectly Imperfect" specializes in treating adults facing significant mental health challenges and children experiencing emotional difficulties. The facility offers a variety of treatment options, including intensive outpatient, outpatient, and standard outpatient programs, employing proven strategies such as anger management, cognitive behavioral therapy, and community reinforcement with vouchers. Additionally, "Perfectly Imperfect" has unique programs for active duty military personnel, teenagers, and adult males, ensuring services are available to adults and seniors of all gender identities. Clients will find personalized care and extensive support within a friendly setting designed to foster sustainable recovery.

Penn Medicine Princeton House

At Penn Medicine Princeton House in Moorestown, NJ, we provide dedicated care for adults facing substance use challenges alongside mental health concerns, and for children with significant emotional difficulties. Our programs include intensive outpatient, outpatient, and day treatment formats, all grounded in proven therapeutic methods like cognitive behavioral therapy, motivational interviewing, and relapse prevention techniques. We offer specialized tracks for active military personnel, teenagers, and adult men, ensuring our services are accessible and relevant to various demographics. Renowned for its high standards and all-encompassing support, this center is a leading destination for those desiring personalized and successful recovery from addiction.

Penny Lane Centers
Lancaster, CA

Penny Lane Centers, situated in Lancaster, CA, provides a wide range of rehabilitation services for those facing challenges with substance use and concurrent mental health disorders. The center offers intensive outpatient, outpatient, and standard outpatient treatments, employing effective methodologies such as anger management, brief intervention, and cognitive behavioral therapy. With tailored programs designed for adolescents, adult men, and adult women, Penny Lane Centers serves a varied clientele. By supporting individuals of all ages and gender identities, the center focuses on personalized care and high-quality treatment to facilitate enduring recovery and mental health improvement.

People Encouraging People Inc

People Encouraging People Inc, located in Baltimore, MD, specializes in providing rehabilitation services aimed at individuals dealing with substance use issues and simultaneous mental health challenges. The center offers various treatment options, including intensive outpatient and regular outpatient programs, designed for both adults and young adults. Emphasizing methods such as 12-step facilitation, anger management, and brief intervention techniques, this facility serves adult men and women, including those who have faced domestic or intimate partner violence. The center is dedicated to delivering personalized care and support, ensuring a nurturing atmosphere for those pursuing integrated addiction recovery and mental health assistance.

Pennsylvania Psychiatric Institute

The Pennsylvania Psychiatric Institute, located in Harrisburg, PA, specializes in providing a variety of targeted treatments for individuals dealing with substance use issues and accompanying mental health challenges. This center offers a comprehensive array of services, including intensive outpatient treatment, standard outpatient care, and medication-assisted therapies such as methadone, buprenorphine, or naltrexone. Emphasizing strategies like anger management, cognitive behavioral therapy, and brief interventions, the facility serves adults, children, and adolescents. Additionally, there are specialized programs designed to assist clients who have faced trauma. The Pennsylvania Psychiatric Institute is committed to delivering exceptional care to those in need of personalized support for their mental health and substance use treatment.

Penny Lane Centers
North Hills, CA

Penny Lane Centers, situated in North Hills, CA, provides extensive treatment for substance use and targeted support for individuals facing dual diagnoses of substance use disorders and significant mental health challenges, alongside children with serious emotional disturbances. The center offers a variety of therapeutic settings, including intensive outpatient, outpatient, and standard outpatient services. Their approach emphasizes personalized treatment plans, incorporating methods like anger management, brief intervention, and cognitive behavioral therapy. Penny Lane Centers serves a diverse population, including adolescents, adult men, and adult women, with programs designed for both adults and younger individuals. Committed to high-quality care and customized programming, the center is devoted to guiding individuals toward lasting recovery.

Peoples Healthcare Connection

Peoples Healthcare Connection, located in Tucson, AZ, provides outpatient treatment for substance use disorders along with specialized support for adults facing significant mental health challenges. The facility employs evidence-based methods, including anger management, brief intervention, and cognitive behavioral therapy, in its regular outpatient programs. Designed to meet the unique needs of each individual, the center supports adult men and women, including those who have been affected by intimate partner violence or domestic abuse. Catering to adults and young adults of all gender identities, the center is committed to delivering high-quality care and support for individuals in need of complete rehabilitation services.

Penn Medicine Princeton House

Penn Medicine Princeton House, located in North Brunswick, NJ, specializes in extensive treatment for substance use issues and offers tailored support for those battling both substance use and mental health challenges. The center features a range of treatment options, including intensive outpatient and day treatment services. By implementing research-backed methods such as cognitive behavioral therapy and motivational interviewing, the facility emphasizes the importance of preventing relapse and fostering overall wellness. Unique programs are designed for military personnel, teenagers, and adult men. With services available for both adults and youth, Penn Medicine Princeton House provides care that acknowledges the specific needs of males and females. Discover exceptional treatment at this esteemed center.

Penny Lane Centers
Los Angeles, CA

Penny Lane Centers, located in Los Angeles, CA, provides a wide variety of treatment options for individuals facing substance use challenges, including adults and children who also experience serious mental health issues. The center offers several treatment modalities, including intensive outpatient, outpatient, and standard outpatient programs. Through techniques like anger management, brief intervention, and cognitive behavioral therapy, Penny Lane Centers serves diverse populations, including active military members, teenagers, and adult males. Committed to addressing the distinct needs of each patient, the facility ensures high-quality care with specialized services designed for both men and women, promoting effective and empathetic rehabilitation.

PermiaCare
Odessa, TX

PermiaCare, situated in Odessa, TX, provides targeted rehabilitation solutions for individuals dealing with substance use issues and accompanying mental health challenges, catering to both adults and children. Their all-encompassing treatment options feature intensive outpatient therapies, 12-step support, cognitive behavioral interventions, and anger management programs. Emphasizing high-quality care, this center also offers outpatient treatments such as methadone/buprenorphine and naltrexone. Tailored programs designed specifically for active military personnel, teenagers, and adult males guarantee personalized attention. Committed to assisting both male and female patients, PermiaCare focuses on guiding adults and younger clients through their recovery process.

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Princeton, NJ

Penn Medicine, situated in Princeton, NJ, delivers extensive detox and substance use treatment services. The facility features inpatient detoxification, treatment options, and around-the-clock care for adults and young adults, regardless of gender. Emphasizing 12-step facilitation, brief intervention, and motivational rewards, this center supports clients with histories of trauma, sexual abuse, and those who have served in the military. With tailored programs and personalized care, Penn Medicine guarantees effective treatment for individuals pursuing recovery from addiction.

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Penndel Mental Health Center, located in Langhorne, PA, delivers targeted therapeutic services for individuals of all ages struggling with addiction and co-occurring mental health conditions. Their comprehensive offerings include intensive outpatient programs, standard outpatient services, and medication-assisted treatment with methadone, buprenorphine, or naltrexone. Emphasis is placed on evidence-based practices such as anger management, brief interventions, and cognitive behavioral therapy, with all care plans customized to meet each person's unique requirements. Specialized support is available for active duty military personnel, adult men, and adult women. The center is dedicated to providing high-quality, individualized care to adults and young adults across the gender spectrum.

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Hopkinsville, KY

Pennyroyal Center, situated in Hopkinsville, KY, is dedicated to providing exceptional rehabilitation services with a focus on addressing substance use disorders and co-occurring conditions among both adults and children. The center offers a range of residential and short-term residential programs that incorporate evidence-based practices, including 12-step facilitation, brief interventions, and cognitive behavioral therapy. Emphasizing support for adult women, individuals with concurrent mental health issues, and young adults, Pennyroyal Center serves a wide array of clients. Designed to meet the needs of adults, seniors, and young adults, this women-centered facility ensures high-quality care in a nurturing atmosphere, making it an excellent choice for those in need of thorough and specialized treatment.

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People United Behavioral Health in Monroe, LA, delivers a full spectrum of addiction recovery programs for adults and older adults. Services encompass detox, drug and alcohol rehabilitation, and tailored support for those facing both addiction and significant mental health challenges. Treatment options include intensive outpatient, standard outpatient, and day programs, emphasizing 12-step guidance, emotional regulation skills, and short-term counseling strategies. This center serves young people, adult men, and women, providing individualized care plans designed for specific requirements. Dedicated to high standards, People United Behavioral Health fosters a nurturing setting for healing and regaining sobriety.

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Situated in Ferriday, LA, People United of Louisiana provides extensive substance abuse rehabilitation services for adults, including those grappling with significant mental health challenges. The center offers various programs such as intensive outpatient, outpatient, and standard outpatient treatments. Emphasizing 12-step support, anger management strategies, and brief intervention methods, the facility serves both men and women adults as well as teenagers. Committed to offering high-quality care in a nurturing atmosphere, this center aims to address the unique requirements of each person seeking help for addiction.

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The Perinatal Substance Abuse Program, located in San Jose, CA, is dedicated to providing targeted substance use therapy for adult women struggling with addiction. This center offers a range of services including intensive outpatient care, general outpatient services, and medication-assisted treatment utilizing methadone, buprenorphine, or naltrexone. Their treatment methodology incorporates evidence-based practices like anger management, cognitive behavioral therapy, and motivational interviewing to meet each person's unique circumstances. Specifically designed to support adult women, including those who have experienced intimate partner violence, domestic abuse, or sexual assault, the program fosters a secure and supportive atmosphere for healing. They welcome adults of all ages, from young adults to seniors, prioritizing comprehensive care and overall well-being in their recovery journey.

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Odessa, TX

Situated in Odessa, TX, PermiaCare delivers a wide range of rehabilitation services aimed at adults and young adults facing challenges related to substance use disorders and concurrent mental health conditions. The center features inpatient detoxification and treatment options, including specific programs designed for individuals who have encountered intimate partner violence. Emphasizing methods such as 12-step facilitation, cognitive behavioral therapy, and motivational interviewing, this facility supports both male and female clients. With customized programs for adult men and women, PermiaCare is dedicated to providing high-quality care for individuals looking for a nurturing and successful recovery journey.

Depression & Substance Use Disorder: Key Facts

Classification

Major Depressive Disorder + Substance Use Disorder (Dual Diagnosis)

Co-occurrence

~1 in 3 people with depression also have SUD (NIDA)

Prevalence

21 million adults with major depressive episode/year (NIMH)

Self-medication

Depression is the #1 reason for substance self-medication

Treatment approach

Integrated dual diagnosis (treat both simultaneously)

Key therapies

CBT, DBT, medication management, group therapy

Medications

SSRIs (non-addictive), SNRIs — safe during addiction treatment

Prognosis

Significantly better outcomes with integrated treatment vs sequential

If you or someone you know is experiencing suicidal thoughts, call 988 (Suicide & Crisis Lifeline) or text 988 immediately. Help is available 24/7.

Depression and Addiction: The Dual Diagnosis Connection

How depression and addiction feed each other

Depression and substance use disorder share a deeply intertwined relationship. Depression causes persistent feelings of emptiness, hopelessness, and emotional pain that drive many people toward alcohol or drugs as a form of self-medication. Substances may provide temporary relief, but they alter brain chemistry in ways that worsen depressive symptoms over time — creating a destructive cycle that accelerates both conditions.

The self-medication cycle

The self-medication cycle is the most common pathway from depression to addiction. A person experiencing persistent sadness, fatigue, or emotional numbness turns to alcohol, opioids, or stimulants to feel better temporarily. As tolerance builds, they need more of the substance to achieve the same relief. Meanwhile, the substance disrupts serotonin and dopamine regulation in the brain, deepening the depression. When the substance wears off, the depression returns worse than before — driving further substance use.

Why treating one without the other fails

Treating addiction without addressing underlying depression leaves the root cause intact. The person achieves sobriety but continues suffering from untreated depression, making relapse nearly inevitable as they seek relief. Conversely, treating depression without addressing active substance use is ineffective because ongoing drug or alcohol use undermines the neurochemical changes that antidepressants and therapy work to achieve. This is why dual diagnosis treatment — addressing both conditions simultaneously — produces significantly better outcomes than treating either condition alone.

Signs of Co-Occurring Depression and Substance Abuse

Recognizing co-occurring depression and substance abuse can be challenging because symptoms overlap. Watch for these warning signs:

Emotional and behavioral signs

  • Persistent sadness combined with increased substance use
  • Withdrawal from friends, family, and activities once enjoyed
  • Using drugs or alcohol specifically to cope with emptiness or hopelessness
  • Feelings of worthlessness or excessive guilt alongside substance use
  • Loss of motivation or interest in recovery efforts

Physical signs

  • Significant changes in sleep patterns — insomnia or oversleeping
  • Appetite and weight changes (loss or gain)
  • Chronic fatigue even with adequate rest
  • Increased substance tolerance requiring higher doses
  • Neglect of personal hygiene and self-care

How Dual Diagnosis Treatment Works

Integrated approach

Dual diagnosis treatment treats depression and addiction as interconnected conditions rather than separate problems. Instead of completing addiction treatment first and then addressing depression (the sequential approach that often fails), integrated programs work on both simultaneously. This means therapy sessions address how depressive thoughts drive substance use, while psychiatric care stabilizes mood to support sobriety.

Psychiatric evaluation during early sobriety

Accurate diagnosis of depression requires evaluation during a period of sobriety, because many substances can mimic or mask depressive symptoms. Alcohol is a depressant that causes sadness and lethargy. Stimulant withdrawal causes profound depression. A psychiatrist experienced in dual diagnosis will conduct thorough assessments during early sobriety to distinguish substance-induced mood changes from underlying major depressive disorder, ensuring the right treatment plan.

Coordinated care teams

Effective dual diagnosis programs use coordinated care teams where psychiatrists, addiction counselors, therapists, and medical staff communicate about each patient's progress. The psychiatrist managing antidepressant medication works closely with the addiction counselor guiding recovery, so treatment decisions account for both conditions. This prevents the common problem of one provider unknowingly undermining another's treatment plan.

Medication management alongside addiction treatment

One of the most important aspects of dual diagnosis care is safe medication management. Antidepressants like SSRIs and SNRIs are non-addictive and can be prescribed safely during addiction treatment. A psychiatrist monitors medication effectiveness, adjusts dosages, and watches for interactions — all while the person is actively working on recovery from substance use disorder.

Evidence-Based Therapies for Depression in Recovery

Cognitive Behavioral Therapy (CBT)

Cognitive Behavioral Therapy (CBT) is the gold standard for treating co-occurring depression and addiction. CBT helps identify negative thought patterns that drive both depressive episodes and substance use — such as "nothing will ever get better" or "I can't cope without drinking." Patients learn to challenge these distortions and replace them with realistic, constructive thinking. Research consistently shows CBT reduces both depressive symptoms and substance use relapse rates.

Dialectical Behavior Therapy (DBT)

Dialectical Behavior Therapy (DBT) is particularly effective for people with severe depression, emotional dysregulation, or self-harm behaviors alongside addiction. DBT teaches four core skill sets: mindfulness, distress tolerance, emotion regulation, and interpersonal effectiveness. These skills directly address the emotional pain that drives self-medication and provide healthier alternatives to substance use.

Group therapy

Group therapy combats the isolation that is central to both depression and addiction. Hearing others share similar struggles reduces shame and hopelessness. Dual diagnosis groups specifically address how depression and substance use interact, offering peer support from people who understand both conditions. Group settings also build social skills and accountability that support long-term recovery.

Medication management

Antidepressant medications are a critical component of treatment for many people with co-occurring depression and addiction. SSRIs (selective serotonin reuptake inhibitors) like sertraline and fluoxetine are first-line treatments because they are effective, well-tolerated, and — importantly — non-addictive. They carry no abuse potential and do not produce euphoria, making them safe to prescribe during addiction recovery. SNRIs like venlafaxine and duloxetine are also effective alternatives.

Levels of Care for Depression and Addiction

When residential treatment is needed

Residential treatment is recommended when depression is severe — particularly when suicidal ideation is present, when the person has made previous suicide attempts, or when outpatient treatment has failed. Residential programs provide 24/7 psychiatric monitoring, immediate medication adjustments, and a safe environment removed from triggers. People with severe addiction alongside major depression often need this level of structured support to stabilize both conditions.

Intensive Outpatient Programs (IOP)

Intensive Outpatient Programs provide 9–20 hours of structured therapy per week while allowing patients to live at home. IOP is appropriate for moderate depression with addiction, for people stepping down from residential care, or when the person has a stable living environment and support system. Dual diagnosis IOP programs include both addiction counseling and psychiatric services.

Outpatient care with medication management

Standard outpatient treatment works well for mild to moderate depression with substance use disorder, especially when combined with antidepressant medication. This typically involves weekly therapy sessions, regular psychiatric check-ins for medication management, and support group participation. Outpatient care allows people to maintain work, family, and daily responsibilities while receiving treatment.

Choosing the right level of care

The appropriate level of care depends on several factors: severity of depression (mild vs. severe with suicidal thoughts), severity of addiction, previous treatment attempts and outcomes, strength of social support, co-occurring medical conditions, and safety concerns. A professional assessment by a dual diagnosis specialist can determine the best starting point. Many people move through multiple levels of care as they progress in recovery.

Antidepressant Medications in Recovery

SSRIs: the first-line treatment

Selective serotonin reuptake inhibitors (SSRIs) such as sertraline (Zoloft), fluoxetine (Prozac), and escitalopram (Lexapro) are the most commonly prescribed antidepressants for people in addiction recovery. They work by increasing serotonin availability in the brain, gradually improving mood, sleep, and motivation over 4–6 weeks. SSRIs are not addictive, do not produce a high, and have no abuse potential — making them fundamentally different from the substances being treated.

SNRIs and bupropion

Serotonin-norepinephrine reuptake inhibitors (SNRIs) like venlafaxine (Effexor) and duloxetine (Cymbalta) target both serotonin and norepinephrine, which can be helpful for depression with prominent fatigue or chronic pain. Bupropion (Wellbutrin) is another option that acts on dopamine and norepinephrine — it can help with depression, low energy, and is also used to support smoking cessation. None of these medications carry addiction risk.

Addressing the stigma around psychiatric medication

Many people in recovery resist antidepressants because they feel taking any medication contradicts sobriety. This misconception is dangerous. Antidepressants are not mood-altering substances in the way drugs of abuse are — they restore normal brain chemistry rather than creating artificial highs. Untreated depression is one of the strongest predictors of addiction relapse. Taking prescribed, non-addictive medication to manage a medical condition is not a failure of recovery — it supports it.

Why stopping psychiatric meds leads to relapse

A common and harmful pattern occurs when people in recovery stop their antidepressants because they feel better, believe they no longer need them, or face pressure from others to be "medication-free." When depression returns — often within weeks — the emotional pain drives them back to substances. Antidepressant treatment for co-occurring depression should be maintained for at least 12 months after stabilization, and many people benefit from long-term maintenance. Any changes to psychiatric medication should be made gradually under medical supervision.

Frequently Asked Questions About Depression and Addiction

What is dual diagnosis treatment for depression and addiction?

Dual diagnosis treatment addresses both depression and substance use disorders simultaneously through integrated care. This approach recognizes that mental health and addiction affect each other and must be treated together for lasting recovery. Treatment includes psychiatric care, medication management, therapy (CBT, DBT), and specialized counseling that addresses both conditions comprehensively.

Can depression cause substance abuse?

Yes, depression significantly increases the risk of substance abuse. Many people self-medicate depression symptoms with alcohol or drugs, seeking temporary relief from emotional pain, low energy, or insomnia. However, substance use worsens depression long-term by disrupting serotonin and dopamine regulation, creating a vicious cycle. Proper treatment addresses root causes of depression while providing healthier coping strategies than substances.

Will antidepressants interfere with addiction treatment?

No, appropriate antidepressant medication actively supports recovery. Quality dual diagnosis programs work with psychiatrists to find effective antidepressant treatment while addressing addiction. Medications like SSRIs and SNRIs are non-addictive and help stabilize mood, making it easier to engage in therapy and maintain sobriety. Never stop psychiatric medications without medical guidance.

How do I find a treatment center for depression and addiction?

Look for centers explicitly offering dual diagnosis or co-occurring disorder treatment. Verify they have licensed mental health professionals, psychiatric services, medication management capabilities, and experience treating both conditions together. Use our directory to filter for dual diagnosis programs, read reviews, and verify accreditation. Contact admissions teams to discuss your specific needs.

Is residential treatment necessary for depression and addiction?

Not always. Treatment level depends on severity of both conditions, previous treatment attempts, safety concerns, and support system. Some people do well with intensive outpatient care plus medication management. Residential treatment provides 24/7 support for severe depression, suicide risk, or when outpatient treatment hasn't succeeded. A professional assessment determines the most appropriate level of care.

Can addiction cause depression or does depression cause addiction?

The relationship is bidirectional — it works both ways. Depression can lead to substance abuse through self-medication, as people use drugs or alcohol to escape emotional pain. At the same time, chronic substance use alters brain chemistry in ways that cause or worsen depression — alcohol is a central nervous system depressant, stimulant withdrawal causes profound depression, and opioid use disrupts the brain's natural mood regulation. In many cases, both conditions develop and reinforce each other simultaneously, which is why integrated dual diagnosis treatment is essential for lasting recovery.

Will I need antidepressants forever?

Not necessarily. Many people take antidepressants for 12–24 months after their mood stabilizes, then gradually taper off under medical supervision. However, some people with recurrent major depression (three or more episodes) benefit from long-term maintenance medication. The decision depends on depression severity, number of past episodes, family history, and individual response to treatment. What is critical is never stopping antidepressants abruptly — doing so can cause withdrawal symptoms and trigger relapse in both depression and addiction. Always work with your prescribing psychiatrist to make any medication changes.

Medical Review and Sources

Medically Reviewed Updated April 10, 2026

Reviewed by licensed addiction specialists. Information reflects current clinical guidance.

Sources:SAMHSA·NIDA·CDC

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