Gambling - Treatments

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  1. Biological - Naltrexone
    • Antagonist - inhibits dopamine at the synapse, by blocking dopamine at receptor site of the post synaptic neuron
    • Produces 'satiety'feelings of having enough long before when they would normally
    • Excitement is decreased making gambler less likely to continue as it no longer gives the same pleasure
  2. Psychological - CBT
    • Aims to alter distorted/erroneous thoughts and beliefs about gambling (i.e. gambler's fallacy & illusions of control) 
    • by teaching an individual the role of chance and randomness in gambling
    • as well as how to cope with the urges and emotions that may cause them to gamble (imaginal disensitisation)
  3. CBT - Cognitive Aspect
    • The first step of the cognitive component is to obtain info about the gambler's patterns and distortions. (role plays, diaries)
    • Gambler's fallacy: false belief that in a series of independent chance events, future events can be predicted from past ones 
    • Illusion of control: the belief (illusion) that the outcomes of random unpredictable events can be influenced by one's thoughts or actions
    • Outcome: educate and assist the client to develop awareness of the relevant concepts such as randomness, probability, betting systems.
  4. CBT - Behavioural Aspect
    • Assists the individual to manage arousal, anxiety or tension that is associated with the urges to gamble
    • Imaginal desensitisation: in this technique the gambler is asked to imagine being in a typical gambling situation while in a state of relaxation
    • Outcome: the goal is to extinguish the arousal and gambling and replace it with relaxation.
  5. Psychological - Psychodynamic Psychotherapy
    • Helps people understand the cause of the emotional distress which the problem of gambling revolves around through a range of techniques:
    • Free association: client is encouraged whatever comes to mind
    • Dream interpretation: client shares dreams which symbolically represent info stored in the unconscious
    • Identification of defence mechanisms: necessary as it prevents unconscious conflicts to be explored and resolved
    • Transference: respond to therapist as though they are a significant person in their life
  6. Social - Social Networks
    • Various individuals or groups who maintain a relationship within an individual in different aspects of their lives
    • Provides social support in the form of appraisal, tangible, informational and emotional support
  7. Social - Recovery Groups
    • A group run by and for people who interact on the basis of common interest or experiences to support one another
    • Recovery is possible and can be achieved through a step by step process (starting with surrendering to a higher power)
Card Set:
Gambling - Treatments
2013-09-16 11:40:01
Biopsychosocial model

Biopsychosocial model
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