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This literature review focuses on the use of Brief Alcohol Screening and Intervention for College Students (BASICS), Acceptance and Commitment Therapy (ACT), Mindfulness, and Brief Motivational Interventions (BMI) during individual evidence-based therapeutic interventions with college students engaging in high-risk drinking. A review of family history, drinking motives, and the collegiate environment is also examined for empirical and theoretical etiology of college student alcohol abuse.