You Bet Your Life: Gambling as an Addiction DASA Treatment Institute July 6-8, 2006 Linda Graves,...
-
Upload
joella-booth -
Category
Documents
-
view
215 -
download
0
Transcript of You Bet Your Life: Gambling as an Addiction DASA Treatment Institute July 6-8, 2006 Linda Graves,...
You Bet Your Life: Gambling as an Addiction
DASA Treatment InstituteJuly 6-8, 2006
Linda Graves, MA, NCGC-IIProblem Gambling Program ManagerDivision of Alcohol and Substance Abuse
DSM-IV CriteriaSubstance Dependence 303.90
A maladaptive pattern of substance use, leading to clinically significant impairment or distress, as manifested by three (or more) of the following, occurring at any time in the same 12-month period:
• Tolerance, as defined by either of the following:– A need for markedly increased amounts of the substance to achieve intoxication
or desired effect– Markedly diminished effect with continued use of the same amount of the
substance.
• Withdrawal, as manifested by either of the following:– The characteristic withdrawal syndrome for the substance– The same (or closely related) substance is taken to relieve or avoid withdrawal
symptoms
• The substance use is continued despite knowledge of having a persistent or recurrent physical or psychological problem that is likely to have been caused or exacerbated by the substance
DSM-IV CriteriaSubstance Dependence 303.90
DSM-IV criteriaPathological Gambling 312.31
A. PERSISTENT AND RECURRENT MALADAPTIVE GAMBLING BEHAVIOR AS INDICATED BY AT LEAST FIVE OF THE FOLLOWING:
1. Is preoccupied with gambling
2. Needs to gamble increasing amounts of money in order to achieve the desired excitement
3. Has repeated unsuccessful efforts to control, cut back, or stop gambling
4. Is restless or irritable when attempting to cut down or stop gambling
5. Gambles as a way of escaping from problems or of relieving a dysphoric mood
6. After losing money gambling, often returns another day in order to get even
7. Lies to family members, therapist, or others to conceal the extent of involvement with gambling
DSM-IV criteriaPathological Gambling 312.31
DSM-IV criteriaPathological Gambling 312.31
8. Has committed illegal acts, such as forgery, fraud, theft, or embezzlement, in order to finance gambling
9. Has jeopardized or lost a significant relationship, job, or educational or career opportunity because of gambling
10. Relies on others to provide money to relieve a desperate financial situation caused by gambling
B. THE GAMBLING BEHAVIOR IS NOT BETTER ACCOUNTED FOR BY A MANIC EPISODE.
ACTION GAMBLERS
Poor coping and intimacy skills
Traditional use of Gambler’s Anonymous
Use of the first step is important
Importance of surrender theme
ACTION Gamblers
Quantity theme, meeting size & length
Abstinence is the beginning of a normal life
Support from family and friends
Improvement seen early
Escape Gamblers Poor assertiveness skills
Poor coping skills
Non-traditional use of Gambler’s Anonymous
Use of other first step programs Women for sobriety)
Escape Gamblers Importance of empowerment model
Quality theme, meeting intimacy, depth
Abstinence=the loss of a best friend, safety
Lack of support
Lie/Bet Tool• 1) Have you ever felt the need to bet more and more money?
• 2) Have you ever had to lie to people important to you about how much you gambled?
Reference: Johnson, E.E., Hamer,R., Nora, R.M., Tan, B., Eistenstein, N., & Englehart, C. (1988). The lie/bet questionnaire for screening pathological gamblers. Psychological Reports, 80, 83-88.
Administer Lie-Bet Screening Instrument
“Yes” to one or both questions “No” to both questions
Further assessment needed. Refer client to gambling treatment program.
Call the Problem Gambling Helpline:1-800-547-6133
No referral.Follow-up as necessary.
CrimeFinancial problems
AlcoholismDrug abuse
Other mental health issues
Linda [email protected]