Personalized Approach Bias Modification in Heavy Drinking Veterans With Mild to Moderate Traumatic Brain Injury

Inclusion Criteria: * A history of mild-moderate TBI, as defined by American Congress of Rehabilitation Medicine (ACRM), in the chronic, stable phase of recovery (\>6 months from injury) * Heavy drinking defined by NIH/NIAAA criteria (\>7 drinks/week for women; \>14 drinks/week for men) for at least one week in the last 90 days * Moderate to severe criteria for current alcohol use disorder (AUD) by DSM-5 * Participants must also be engaged in VA outpatient AUD treatment and express a desire to reduce, stop, or maintain cessation of alcohol use Exclusion Criteria: * Unstable clinically significant psychiatric disorders or medical conditions that would create excessive risks, in the clinical judgment of the Principle Investigator * Current or history of the following: * intrinsic cerebral tumors * demyelinating and neurodegenerative diseases * aneurysm * arteriovenous malformations * cerebrovascular or peripheral vascular disease * severe or penetrating traumatic brain injury * documented learning disabilities * surgical implantation of neurostimulators or cardiac pacemakers and any other MRI contraindications * These conditions/diseases are known to influence the neurocognitive and MR-derived neurobiological measures proposed in this application * Female participant who is pregnant or actively attempting to conceive (to prevent any unnecessary exposure to high magnetic fields or radiofrequency energy to the unborn child) * Concurrent participation in a…