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As an embodiment of the therapeutic contract, the OBT fostered a more intimate connection between patient and therapist, echoing previous findings that digital health technologies often weave emotional and social ties with healthcare providers (39, 50)

[62] An officer with the North Carolina Department of Public Safety described the conflicting laws: "We're in limbo trying to figure out what we can and cannot do," [63] As of January 2026, North Carolina Alcohol Law Enforcement does not enforce the federal law

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