The development of music therapy using indigenous instruments combined with superimposed binaural beats to reduce mental health issues for individuals with alcohol-related problems in secondary healthcare settings.

INTERVENTION: Experimental Behavioral,Active Comparator Behavioral,Sham Comparator Behavioral Music therapy using Northern Thai indigenous instruments combined with Superimposed Binaural Beats (Experimental Group).,Music therapy using Northern Thai indigenous instruments combined with standard Binaural Beats (Active Comparator).,Sham control group wearing headphones without any audio stimulation (Control Group). Music therapy using Northern Thai indigenous instruments combined with Superimposed Binaural Beats (Experimental Group): This intervention consists of listening to a 20 minute loop of Northern Thai music featuring instruments like the Sa‐lor, Seung, and Thai flute. The audio is synthesized by shifting frequencies of individual instrument tracks to maintain a consistent 10 Hz difference between the left and right ears, supplemented by a 10 Hz pure binaural beat tone. Participants listen via headphones in a quiet, private room during clinic visits. Following the initial session, participants are assigned to listen at home for 20 minutes per day, 3 days per week, for a duration of 1 week.,Music therapy using Northern Thai indigenous instruments combined with standard Binaural Beats (Active Comparator): Participants listen to Northern Thai music integrated with standard binaural beats for 20 minutes per session. The administration mode, including the use of an MP3 player and headphones in a controlled environment, mirrors the experimental group. Participants in this arm are also required to adhere to the identical one‐week home‐based listening protocol.,Participants wear headphones for 20 minutes without any audio playback while resting in a private room. This group receives standard healthcare services identical to the other arms but without the audio intervention to account for the placebo effect. CONDITION: Mental health issues, specifically stress, anxiety, and depression, in individuals with alcohol‐related problems and alcohol dependence. ; Music Therapy , Indigenous Musical Instruments , Superimposed Binaural Beats , Binaural Beats , Alcohol Drinking , Alcohol Dependence , Mental Health , Stress , Anxiety , Depression , Secondary Healthcare , Crossover Design Music Therapy , Indigenous Musical Instruments , Superimposed Binaural Beats , Binaural Beats , Alcohol Drinking , Alcohol Dependence , Mental Health , Stress , Anxiety , Depression , Secondary Healthcare , Crossover Design PRIMARY OUTCOME: Depression Anxiety Stress Baseline before the first intervention session. Follow up at Week 2 and Week 4 after the intervention phase. Depression Anxiety Stress Scales 21 (DASS‐21) SECONDARY OUTCOME: Heart rate Body temperature Respiratory rate Heart rate variability Blood pressure Skin conductance Baseline before the first intervention session. Minute 10 and Minute 20 during each session to assess immediate effects . Follow up at Week 2 and Week 4 after the intervention phase. Biofeedback device for measuring physiological signs including Heart rate, Body temperature, Respiratory rate, Heart rate variability, Blood pressure, and Skin conductance ,Alcohol use identification Baseline before the first intervention session. Follow up at Week 2 and Week 4 after the intervention phase. Alcohol use identification INCLUSION CRITERIA: 1. Individuals diagnosed by a physician as having alcohol dependence. 2. Individuals who voluntarily provide informed consent to participate in the study.