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Develop a Strategic Recovery Plan
Published in Sandra Rasmussen, Developing Competencies for Recovery, 2023
My name is Josh N. I had some tough years with sports betting during my college and young adult years. Residential treatment for my gambling disorder helped. I attend GA once or twice a month, “just to keep my memory green.” Thank goodness my gambling days were before legal online sports betting. The growth and acceptance of gambling today, plus the easy access to online phone betting are scary. My life is good. I am married; we have two children, and I am beginning my third year as a District Sales Manager for a major appliance company. Recently, I was part of a leadership team that completed a 5-year Strategic Business Plan for the company. Why can’t I use the same strategic planning process to develop a Strategic Recovery Plan? One of my close co-workers has solid recovery from a drug problem. Perhaps we can support each other with parallel recovery plans, goals, and achievements.
Process Use Disorders
Published in Tricia L. Chandler, Fredrick Dombrowski, Tara G. Matthews, Co-occurring Mental Illness and Substance Use Disorders, 2022
Fredrick Dombrowski, Tara G. Matthews
These reported diagnoses have received limited attention as the research committed to treatment of these disorders is far less than that focused on traditional substance use. However, meta-analysis has found the benefit of using various evidence-based practices, such as motivational interviewing and CBT, in conjunction with pharmaceutical implementation (Goslar et al., 2020). As is similar with substance use disorders, process use disorders will provide options for pleasurable activities, although these activities will have a detrimental impact on the individual’s life. Motivational interviewing has been used to help individuals identify how their lives have been impacted by such behaviors (Pallesen et al., 2015) while for those engaging in online behaviors (gambling, gaming, internet use), treatment has often looked to assess the meaning and thoughts associated with these activities (King et al., 2017). Challenging these thoughts while helping identify other behavioral interactions has been helpful in improving outcomes for such disorders. Family members, social supports, etc. can also assist with maintaining limits on needed activities such as eating, shopping, and online usage. It is also important to assess the client for process use disorders that may cross the line into other diagnostic criteria, such as eating disorders, sexual dysfunctions, paraphilic disorders, and other conditions that may need clinical attention.
Addictions
Published in Cathy Laver-Bradbury, Margaret J.J. Thompson, Christopher Gale, Christine M. Hooper, Child and Adolescent Mental Health, 2021
The main characteristic of gambling addiction or ‘pathological gambling’ is frequent and repeated episodes of gambling that ‘dominate the patient’s life to the detriment of social, occupational, material, and family values and commitments’ (WHO, 2018). It aligns with the pattern seen in other addictions, such as escalating behaviour despite negative consequences, preoccupation with gambling and increasing time devoted to it. Gambling disorder has only recently been classified as an addiction, rather than an impulse control disorder.
Gambling behavior of husbands of married women living in Turkey and risk factors
Published in Journal of Substance Use, 2023
Esra Güney, Ömer Alkan, Aşır Genç, Ahmet Kamil Kabakuş
Individuals who are unable to control their gambling behavior, like those with alcohol or substance addiction, require help. For this reason, it is essential for governments, national and international public health authorities to intervene in this issue. It is vital for governments to establish and implement comprehensive preventative plans that combine the strengths of different policy approaches in order to be successful in combating this issue. In particular, betting advertisements have grown uncontrollable and can be viewed in many places via the internet and social media. Those under the age of 18, who can provide access to betting sites in an age when gambling is easily accessible via the internet, may gamble and expose themselves to further dangers. Gambling types organized by governments such as the lotto and national lottery also attract young individuals, and they become familiar with gambling at an early age in this fashion. When gambling behavior is developed at a young age and is performed frequently, it can develop into problem gambling and have a detrimental effect on an individual’s psychology.
The pharmacological management of gambling disorder: if, when, and how
Published in Expert Opinion on Pharmacotherapy, 2023
Mauro Pettorruso, Francesco Di Carlo, Vincenzo Maria Romeo, Susana Jimenez-Murcia, Jon E Grant, Giovanni Martinotti, Massimo Di Giannantonio
As for CBT, a Cochrane review of 11 studies indicated significant improvement in gambling severity, financial loss, and frequency of gambling at short-term evaluation (0–3 months), but a loss of any significant efficacy in all the three domains at follow-up evaluation (9–12 months). As for MI, the same review included four studies and showed a positive effect in reducing financial loss in the short term (0–3 months, three trials included) but not in the 9–12 months follow-up nor in reducing frequency of gambling (9–12 months, one trial included) [24]. The Australian National Health and Medical Research Council (NHMRC) guidelines recommend individual or group CBT to reduce gambling behavior, gambling severity, and psychological distress in people with gambling problems with an evidence level of B (i.e. the body of evidence can be trusted to guide practice in most situations) [25]. According to recent longitudinal studies based on latent class growth analysis (LCGA), psychopathological state (especially depression and anxiety symptoms) was the main predictor of CBT failure, followed by older age, less gambling severity at baseline, education, and personality traits (i.e. high levels of harm avoidance and low of persistence and reward dependence) [26]. Treatment dose, intended as the number of sessions attended by the participant, appeared to be positively related to outcome at post-treatment [27].
“I see myself”: Craving imagery among individuals with addictive disorders
Published in Journal of Addictive Diseases, 2023
Viktor Månsson, Jackie Andrade, Nitya Jayaram-Lindström, Anne H. Berman
Participants were recruited at The Center for Dependency Disorders Stockholm, Sweden, The Addiction Clinic, Region of Dalarna and through self-help groups for individuals with problem gambling. Inclusion criteria for the study were: (1) >18 years of age, (2) having had gambling problems OR problematic alcohol consumption within the last 12 months above threshold for AUD or GD as outlined in the DSM-5, (3) having experienced cravings related to gambling OR alcohol within the last month, (4) having had a period of at least five days of abstinence prior to the interview, (5) being fluent in the Swedish language, and (6) being treatment seeking. Participants were excluded if they reported primary cravings related to any other addictive behaviors or substances. All the study participants were enrolled or about to enroll in treatment within the above-mentioned health care services or at the municipalities’ addiction care services. Three of the participants had previously participated in self-help groups and one at a 12-step facilitation.