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Cognitive Behavioral Therapy (CBT) 21 , Motivational Interviewing 22 , Contingency Management 23 , and Mindfulness-based interventions 24 have all shown efficacy, but often require trained personnel and structured setting resources that may be limited in low- and middle-income countries

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The Wisconsin teens reported symptoms similar to those seen with a serious respiratory illness such as the flu, including fever, difficulty breathing and nausea