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• The most common instrument used to screen for “probable pathological gambling” behavior is the South Oaks Gambling Screen (SOGS) developed by Lesieur and Blume (1987) at the South Oaks Hospital in New York City.
• 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.
• Problem gambling may be diagnosed as a mental disorder according to DSM-5 if certain diagnostic criteria are met.
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• In this framework, personality traits favoring present-oriented decision-making increase susceptibility to gambling addiction, mirroring risk-taking behaviors seen in other species.
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The opioid antagonist drug nalmefene has also been trialed quite successfully for the treatment of compulsive gambling. Additionally, CBT approaches frequently utilize skill-building techniques geared toward relapse prevention, assertiveness and gambling refusal, problem solving and reinforcement of gambling-inconsistent activities and interests. 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. Modeled after Alcoholics Anonymous, GA is a twelve-step program that emphasizes a mutual-support approach. The VGS has proven validity and reliability in population studies as well as Adolescents and clinic gamblers.citation needed

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