Decision Making in Chronic Pain and Alcohol Use Disorder

The objective of this within-subject study is to test the effects of Episodic Future Thinking (EFT) and Low-intensity Focused Ultrasound (LIFU) interventions on the pain of subjects who have chronic pain and alcohol use disorder(s).

Inclusion Criteria: 1. 21 years old or older 2. Report chronic pain 3. Have sufficiently stable self-reported mental and physical health in order to complete the survey 4. Meet DSM-V clinical criteria for alcohol use disorder (i.e., four or more criteria) 5. Not have unmanaged medical or psychiatric conditions the survey Exclusion Criteria: 1. Claustrophobia (scanning environment may be uncomfortable) 2. Contraindications to MRI: including pacemaker, aneurysm clips, neurostimulators, cochlear implants, metal in eyes, steel worker, or other implants. 3. Contraindications to CT: pregnancy 4. Active medical disorder or treatment with potential CNS effects (e.g. Alzheimer's) 5. History of neurologic disorder (e.g. Parkinson's, Epilepsy, or Essential Tremor) 6. History of head injury resulting in loss of consciousness for \>10 minutes 7. Failure to provide a Social Security Number or Tax ID number. This is required for tax purposes.