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Healthinmind/Mental
Health Disorders/Impulse Control DisordersPathological
Gambling
Unlike the other disorders classified as impulse
control disorders, pathological gambling is far from rare. The
best current estimate is that 2 to 3% of the citizens of the
United States are pathological gamblers. The costs to patients and
their families is almost incalculable. A summary of the criteria
for diagnosis from DSM-IV
includes the following: the person is preoccupied with gambling,
needs to gamble with increasing amounts of money to experience the
original thrill, has tried to cut back (without success, of
course), is restless when not gambling, lies to all concerned
about the gambling, has lost a relationship, job, and money, and
relies on others to get out of trouble. The typical pathological
gambler is affable, self-centered, and often likeable. Most are
male, and many have committed illegal acts to support their
habits. With the rise in the number of Indian casinos, there may
well be an associated increase in the number of pathological
gamblers.
Individual cures are extremely difficult to come
by. Gamblers Anonymous (GA), patterned after Alcoholics Anonymous,
offers some hope, and Gam-Anon offers support for families of
Pathological Gamblers. Few who only enter GA actually quit
gambling, but if they enter GA and go to an inpatient treatment
facility, recovery rates approach 50% for those who complete the
program. Families of pathological gamblers may have a better
chance of adapting to the problems than the gambler has of
stopping the creation of the problems.
These books may be helpful:
Losing
Your Shirt : Recovery for Compulsive Gamblers and Their
Families by Mary Heineman
Compulsive
by Jim Nelson
Go to the Gam-Anon
web site.
Go to the web site of Gamblers
Anonymous.
Read
the case history of a pathological gambler.
Last updated 12/19/03
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