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Nicole Kosanke

Nicole Kosanke

Clinical Director at the Center for Motivation and Change (CMC), licensed clinical psychologist specializing in substance use disorders, and co-author of Beyond Addiction.

Jul 27, 2026

41:05
Can you expand on that? Because I know you alluded to several approaches that you use in your adaptation of the framework, but I think it's important for our listeners to understand that.
41:17
Yeah, so, I mean, you're highlighting, like, how to make decisions in the here and now, how to assess whether or not there is...
41:33
I mean, to me, I focus on understanding.
41:36
So how do we understand what this behavior, what is the function of this behavior that we find so upsetting, right? Whether it's alcohol use, gambling, sexuality, like whatever is being compulsive and negatively impacting the family, the relationship, like how do we understand why this is happening? So we think of substance use disorder problems as a biopsychosocial problem.
42:09
It's not just, you know, like genetic.
42:12
They were always meant to be that way.
42:14
We know that's not the case.

18 MINS LATER

speaker_2PANELIST
60:39
And is that treated differently in your profession than substances are?

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