One of the most exciting members of our team is Dr. Jeff Marotta, whose work I came across through my own research, and has taught me so much about problem gambling. I founded a company called Evive and have assembled an incredible group of people to bring the idea to life. I think it gave me hope for the first time in a very long time. Understanding that there was a chemical component of what was happening in my brain when I gambled really allowed me to see my experience in a bit of a different way.
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A study by Wendy Slutske of the University of Missouri concluded one-third of pathological gamblers overcome it by natural recovery. Additionally, for patients with both pathological gambling and a comorbid bipolar spectrum condition, sustained-release lithium has shown efficacy in a preliminary trial. In general, behavior analytic research in this area is growing There is evidence that the SSRI paroxetine is efficacious in the treatment of pathological gambling.
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In Quebec, an estimated 0.8 percent of the adult population were pathological gamblers in 2002. In Ontario, a 2006 report showed 2.6 percent of residents experienced “moderate gambling problems” and 0.8 percent had “severe gambling problems”. In the United States, the percentage of pathological gamblers was 0.6 percent, and the percentage of problem gamblers was 2.3 percent in 2008. With gambling addiction on the rise worldwide and across Europe in particular, those calling gambling a disease have been gaining grounds. Numerous pharmaceutical approaches to treating gambling addiction have been suggested including antidepressants, atypical antipsychotic agents, mood stabilizers, and opioid antagonists, however the best approach for treatment, treatment regime including dosage and timing is not clear.
This type of therapy focuses on the identification of gambling-related thought processes, mood and cognitive distortions that increase one’s vulnerability to out-of-control gambling. One form of counseling, cognitive behavioral therapy (CBT) has been shown to reduce symptoms and gambling-related urges. The VGS has proven validity and reliability in population studies as well as Adolescents and clinic gamblers.citation needed The DSM-IV diagnostic criteria presented as a checklist is an alternative to SOGS, it focuses on the psychological motivations underpinning problem gambling and was developed by the American Psychiatric Association. Life History Theory further explains why some individuals are more vulnerable to problem gambling, proposing that those with a “fast” strategy (marked by impulsiveness and short-term planning) may be especially drawn to high-risk, high-reward scenarios.
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- One of the things that really helped me was learning about the neuroscience behind gambling.
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