This book provides an overview of the state of the art in research on and treatment of gambling disorder. As a behavioral addiction, gambling disorder is of increasing relevance to the field of mental health. Research conducted in the last decade has yielded valuable new insights into the characteristics and etiology of gambling disorder, as well as effective treatment strategies. The different chapters of this book present detailed information on the general concept of addiction as applied to gambling, the clinical characteristics, epidemiology and comorbidities of gambling disorder, as well as typical cognitive distortions found in patients with gambling disorder. In addition, the book includes chapters discussing animal models and the genetic and neurobiological underpinnings of the disorder. Further, it is examining treatment options including pharmacological and psychological intervention methods, as well as innovative new treatment approaches. The book also discusses relevant similarities to and differences with substance-related disorders and other behavioral addictions. Lastly, it examines gambling behavior from a cultural perspective, considers possible prevention strategies and outlines future perspectives in the field.
Seventeen years since the first edition and eight years since DSM-5 reclassified "pathological gambling," Gambling Disorder: A Clinical Guide to Treatment is here to provide clinicians with the latest thinking about gambling disorder. It is an exciting moment in the history of gambling research, with scholarly inquiry into the epidemiology, etiology, neurobiology, and treatment of this disorder growing by leaps and bounds. However, many clinicians remain unaware of the disorder's symptoms, though common, and are uninformed about available treatments, many developed quite recently. Acting on this knowledge, the editors set out to compile a guide that would equip clinicians to recognize patients exhibiting signs of the disorder, competently assess them, and work to identify effective treatment options. In addition, the book explores different ways the disorder may manifest across genders and among older and younger patients, forensic issues, and the relatively new area of study, online gambling and gambling-gaming convergence. Not so much a revision as a reconceptualization, Gambling Disorder: A Clinical Guide to Treatment brings a new cast of contributors, a totally restructured text, and the research and clinical wisdom amassed over the past decade and a half to bear on this critically important, yet often overlooked, disorder.
This handbook provides mental health professionals with a thorough understanding of the biopsychosocial nature of disordered gambling and shares current evidence-based theories, interventions and strategies to use in clinical practice. It provides guidance for working with individuals of any age and covers different gambling modes, activities and subtypes, including new forms of gambling through online and virtual platforms. Drawing on the authors' substantial experience working with and researching gambling addiction, it considers how treatment can be specialized for particular client groups, including trauma survivors, military, older adults, adolescents and diverse communities. It provides detailed diagnostic and screening resources and includes important information on the financial and legal aspects. This is essential reading for any therapist treating clients with gambling disorder.
This book brings together an international selection of academics with expertise in problem gambling issues in women, with chapters reflecting ongoing work with female gamblers across the world in both group and individual settings. In choosing such a specific patient group, the authors aim to raise the profile of gambling disorders in women and also provide fellow professionals across the world with a shared understanding of evidence based treatment and recovery in problem gambling literature and research. Gambling Disorders in Women: An International Female Perspective on Treatment and Research will provide professionals working in addictions and policy-making with much-needed knowledge about a seriously under-represented area, and about which many professionals feel they would like to know more. The book will also highlight different international approaches to the provision of treatment for women in each country as well as the epidemiology of the illness.
This international survey addresses gaps in the knowledge base on problem gambling, emphasizing evidence-based best practices for working with this diverse and notably resistant client population. A detailed introduction offers current findings on behavioral, affective, and neurological manifestations of disordered gambling, with prevalent types of resultant psychological, financial, and social harm. The book’s conceptual discussion examines clinical and sub-clinical presentations as well as the complex interplay of psychological and social factors that create barriers to seeking help. And on the practical side, up-to-date chapters detail widely-used and newer treatment options for compulsive gambling with the best chances of reducing treatment non-compliance and post-treatment relapses, including: · Psychoeducation. · Motivational interviewing. · Cognitive behavioral therapy. · Metacognitive and mindfulness approaches. · Acceptance and Commitment Therapy. · Dialectical Behavior Therapy. · Schema therapy. · Pharmacology. · Relapse Prevention. Evidence-Based Treatments for Problem Gambling is a ready source of insights, data, and strategies for counselors working in problem gambling treatment centers, and for psychologists and counselors operating in public or private practice who see individuals with problem gambling as a primary or comorbid presentation. Researchers, lecturers, and treatment clinic managers will find this presentation both informative and immediately useful.
As states have moved from merely tolerating gambling to running their own games, as communities have increasingly turned to gambling for an economic boost, important questions arise. Has the new age of gambling increased the proportion of pathological or problem gamblers in the U.S. population? Where is the threshold between "social betting" and pathology? Is there a real threat to our families, communities, and the larger society? Pathological Gambling explores America's experience of gambling, examining: The diverse and frequently controversial issues surrounding the definition of pathological gambling. Its co-occurrence with disorders such as alcoholism, drug abuse, and depression. Its social characteristics and economic consequences, both good and bad, for communities. The role of video gaming, Internet gambling, and other technologies in the development of gambling problems. Treatment approaches and their effectiveness, from Gambler's Anonymous to cognitive therapy to pharmacology. This book provides the most up-to-date information available on the prevalence of pathological and problem gambling in the United States, including a look at populations that may have a particular vulnerability to gambling: women, adolescents, and minority populations. Its describes the effects of problem gambling on families, friendships, employment, finances, and propensity to crime. How do pathological gamblers perceive and misperceive randomness and chance? What are the causal pathways to pathological gambling? What do genetics, brain imaging, and other studies tell us about the biology of gambling? Is there a bit of sensation-seeking in all of us? Who needs treatment? What do we know about the effectiveness of different policies for dealing with pathological gambling? The book reviews the available facts and frames the intriguing questions yet to be answered. Pathological Gambling will be the odds-on favorite for anyone interested in gambling in America: policymakers, public officials, economics and social researchers, treatment professionals, and concerned gamblers and their families.
A gripping, true story of one man’s forty-year struggle with compulsive gambling and his hard-won recovery. "My history of gambling really began before I was born." So opens Born to Lose, Bill Lee's self-told story of gambling addiction, set in San Francisco's Chinatown and steeped in a culture where it is not unheard of for gamblers (Lee's grandfather included) to lose their children to a bet. From wagering away his beloved baseball card collection as a youngster to forfeiting everything he owned at black jack tables in Las Vegas, Lee describes what gambling addiction feels like from the inside and how recovery is possible through the Twelve Step program.
Wexler's compulsive gambling spiraled out of control....after forty-plus years in recovery, he's become a nationally known expert on gambling addiction.
The past five years have witnessed dramatic advances in research on pathological gambling -- a diagnosis often overlooked by clinicians who are unaware not only of the personal and social consequences of pathological gambling, but also of the possible treatment options. Today, clinicians can choose from an array of treatment options to substantially improve the lives of patients with this disabling illness. Eloquently attesting to this extraordinary progress, this remarkable clinician's guide comprises the most extensive coverage on public health, clinical characteristics and treatment, psychotherapy and psychopharmacology, and interventions for adolescents, adults, and older adults. Written by the world's leading researchers on psychiatric aspects of gambling, this truly comprehensive volume discusses how to diagnose pathological gambling and provides the tools to do so. Here, 32 experts detail the clinical phenomenology, etiology, and treatment of pathological gambling, highlighting the current clinical approaches most likely to lead to early identification, symptom remission, and improvement maintenance. Useful appendixes provide specific tests, scales, and diagnostic criteria following four major sections of the book: Public Health and Epidemiology discusses prevalence and definitions of recreational, problem, and pathological gambling; the relationship between the different levels of gambling severity; and gambling's effects on societal, familial, and individual health and well-being. Clinical Characteristics covers the symptoms and sequelae of pathological gambling and the differences among adolescents, older adults, and men and women, and shows that pathological gambling -- rather than being categorized as a single disorder -- shares important features with many disorders, among them obsessive-compulsive spectrum disorders, affective spectrum disorders, addiction, and impulse-control disorder. Etiology details the realms of both psychology (behavioral, cognitive, and dispositional theories) and neurobiology (noradrenergic, serotonergic, dopaminergic, and opioidergic systems as well as familial and inherited factors) to explain the behavior of pathological gambling -- knowledge that may prove useful in understanding a range of addictive and impulsive disorders. Prevention and Treatment emphasizes the vital role of the clinician in prevention efforts, including a prevention strategy tailored specifically for adolescents and young adults; discusses a variety of behavioral and pharmacological interventions for patients including self-help and professional-based interventions for family members; and concludes with assessments useful in diagnosing pathological gambling and monitoring symptom change. Psychiatrists, psychiatric researchers, and other mental health care professionals will welcome this book as their most up-to-date source for invaluable knowledge about and research from the world's recognized experts on pathological gambling.
Lancelot takes a revealing look at the nightmare that had become her life--beginning with her alcohol addiction, followed by abuse of prescription drugs, overeating, and eventually gambling. This is her journey back from the hell she had created.
