Article

Assessment and Treatment of Pathological Gambling

Hermano Tavares

in The Oxford Handbook of Impulse Control Disorders

Published in print August 2011 | ISBN: 9780195389715
Published online September 2012 | | DOI: http://dx.doi.org/10.1093/oxfordhb/9780195389715.013.0091

Series: Oxford Library of Psychology

Assessment and Treatment of Pathological Gambling

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As gambling becomes more popular, more people will be exposed to it; thus, the prevalence of and demand for gambling-related treatments are expected to increase. Pathological gambling (PG) is the most severe level of gambling compromise, characterized by unrestrained gambling to the point of financial and psychosocial harm. Classified among the impulse control disorders, PG resembles other addictive disorders. A host of scales for screening and diagnosing PG are available for both the specialist and the general practitioner. The diagnosis of PG, like that of other addictions, is based upon signs of loss of control over the target behavior (i.e., gambling), dose escalation (increasing amounts wagered to get the same excitement as in previous bets), withdrawal-like symptoms, psychosocial harm, persistent desire, and persistent betting despite the negative consequences. Its treatment requires thorough assessment of psychiatric related conditions, motivational intervention, gambling-focused psychotherapy, relapse prevention, and support for maintenance of treatment gains. Psychopharmacological tools to treat craving and gambling recurrence are an incipient but promising field.

Keywords: gambling; pathological gambling; assessment; gambling progression; comorbidity; personality; related medical conditions; risk behavior; psychotherapy; psychopharmacology

Article.  25773 words. 

Subjects: Psychology ; Clinical Psychology ; Psychological Assessment and Testing

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