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| Acknowledgments | |
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| Series Preface | |
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| Preface | |
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| About the Authors | |
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| Conceptual Foundations of Gambling Disorders | |
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| Introduction to Gambling | |
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| Definitions of Problem and Pathological Gambling | |
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| Definitional Distinctions | |
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| An Introduction to the Three Cs of Problem and Pathological Gambling | |
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| Myths versus Facts about Problem and Pathological Gambling | |
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| Transient versus Chronic Problems | |
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| Spontaneous Remission and Maturing Out | |
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| Clinical versus Nonclinical Populations: Why Some Gamblers Do Not Mature Out | |
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| Risk Factors for Gambling Disorders | |
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| Exposure, History, Attitudes, and Expectancies | |
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| Personality Variables | |
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| Blaszczynski's Types | |
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| Specific Contradictory Personality Variables | |
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| Comorbid Psychiatric Disorders | |
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| Biology and Genetic Factors | |
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| Coexisting Addictive Disorders | |
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| Epidemiology of At-Risk Populations | |
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| Gender Differences | |
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| Gambling, the Family, and Multicultural Considerations | |
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| What the Future Holds for the Treatment of This Disorder | |
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| Where the Field Is Going | |
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| Summing Up | |
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| Key Terms | |
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| Recommended Reading | |
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| Recognizing Gambling Disorders: Signs and Symptoms | |
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| Developmental Stages in the Progression of Problem and Pathological Gambling Behavior's | |
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| The Gambling Continuum | |
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| Recognizing Gambling Disorders | |
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| The Signs and Symptoms of Pathological Gambling | |
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| Client Information | |
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| Coexisting Addictive Disorder Screening | |
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| Other Client Signs | |
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| What Spouses or Others May Report | |
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| Employers and Supervisors | |
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| Traditional Psychological Assessment | |
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| Complicating Diagnostic Issues | |
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| Healthy versus Problematic Attitudes and Behaviors | |
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| Social Settings | |
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| Professional Collaboration, Accountability, and Responsibility in the Screening-Intake Process | |
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| Summing Up | |
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| Key Terms | |
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| Recommended Reading | |
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| Utilizing Optimal Professional Resources | |
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| Referral Benefits and Disadvantages | |
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| Screening Reports, Documentation, and Responsibility | |
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| How to Develop a Professional Referral Network | |
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| State and National Councils on Compulsive and Pathological Gambling | |
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| Gambling Hotlines | |
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| Liaison with Gamblers Anonymous | |
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| GamAnon | |
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| Psychiatrists and Emergency Facilities | |
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| Matching Clients with the Best Professional Options | |
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| Referrals to Counselors under Contract in the Private Sector | |
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| Referral Do's and Don'ts | |
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| Motivation Strategies and Techniques for Getting a Person to Professionals | |
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| Ambivalence | |
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| Using Motivational Interviewing | |
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| Avoiding Anger and Shame: The Rapid Demotivators | |
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| Procrastination | |
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| Overcoming Client Obstacles | |
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| Common Practical Obstacles | |
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| The "Controlled Gambling Experiment" | |
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| Preventing and Dealing with Crisis Situations | |
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| Family and Concerned Others Involvement | |
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| Risk Management Strategies and Techniques to Protect Clients and Families | |
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| Suicide and Suicidal Ideation | |
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| Six Step Model | |
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| Define the Problem | |
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| Ensure the Person's Safety | |
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| Provide Support | |
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| Explore Options and Alternatives | |
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| Make a Plan | |
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| Get a Commitment | |
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| Risk Management Strategies and Techniques to Protect Counselors | |
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| Duty to Warn for Property Damage | |
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| Referral Follow-Up and Cautionary Notes | |
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| Summing Up | |
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| Key Terms | |
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| Recommended Reading | |
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| Developing an Effective Treatment Plan | |
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| Therapeutic Benefits of Treatment | |
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| Initial Attrition | |
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| Telephone Contact and Crisis Intervention | |
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| Client Intake | |
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| The Counselor's Tasks During the Intake | |
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| Questions That You Might Need to Ask Yourself | |
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| Helpful Information Before the Intake | |
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| Informed Consent and Limits of Confidentiality | |
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| HIPAA, Intake, and Client Records | |
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| Intake Do's and Don'ts | |
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| Formal Assessment Processes | |
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| Assessment Measures and Instruments Commonly Used and Why They Are Useful | |
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| Diagnostic Processes and Determinations | |
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| Treatment Planning | |
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| Fees and Insurance Coverage | |
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| Managed Care | |
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| Filing for Insurance: The Practice of Responsible Client Billing | |
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| Ethics of Insurance: Modeling Financial Responsibility for the Pathological Gambler | |
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| Family and Concerned Others Involvement | |
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| Recovery Contracts | |
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| Action Plans | |
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| Summing Up | |
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| Key Terms | |
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| Recommended Reading | |
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| Resource for General Paperwork | |
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| HIPAA | |
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| Dual-Diagnoses Clients | |
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| Recovery Theories, Programs, and Tools | |
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| An Overview: What We Know from Other Addictions | |
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| Levels of Traditional Gambling Treatment | |
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| Applying ASA Levels of Care To Gambling Treatment | |
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| Recovery Theories and Models | |
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| The Disease Model | |
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| The Alternative Model | |
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| Motivational Therapies | |
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| Social Interventions | |
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| Medical Treatments | |
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| Responsible Gambling | |
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| Teaching How Video Gambling Works | |
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| Family Therapy | |
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| Psychosocial Therapies | |
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| Insight and Psychodynamic Therapies | |
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| Grief Counseling | |
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| Behavioral Therapies | |
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| Cognitive and Cognitive-Behavioral Models | |
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| Existential and Spiritual Interventions | |
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| Holistic and Alternative Treatments | |
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| Financial Counseling | |
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| Support Groups | |
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| Internet Treatment | |
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| Formal Treatments | |
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| Very Minimal Treatment | |
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| Develop a Gambling Intervention Tool Box | |
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| Workbook and Journaling Programs | |
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| Cultural Pathways of Recovery | |
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| Summing Up | |
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| Key Terms | |
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| Recommended Reading | |
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| Continuing Care: When and How Should Clients Be Discharged | |
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| Recovery-What Are the Goals? | |
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| Criteria for Exiting Clients from Supervised Treatment | |
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| Discharge Criteria For Different Problem Intensities | |
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| Gambling Problems and Mastery-Based Discharge: Using Cognitive Corrections | |
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| Gambler Discharge or Step-Down Criteria | |
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| Discharge Criteria and Concerns during Various Stages of Recovery | |
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| Discharge and the Developmental Recovery Processes | |
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| Continuing Care Plan Procedures and Guidelines | |
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| Legal, Moral and Ethical Issues | |
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| Proper and Improper Methods of Termination | |
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| Abandonment | |
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| Assessing Community Resources | |
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| Organizing Recovery Supports Where Lacking | |
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| Styles of Recovery: Methods of Disease Management | |
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| Spheres of Recovery | |
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| Family and Concerned Others Involvement and Spheres of Recovery | |
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| Rates of Recovery and Failure | |
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| Summing Up | |
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| Key Terms | |
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| Recommended Reading | |
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| Posttreatment Recovery Management: Models and Protocols of Relapse Prevention | |
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| Relapse Prevention | |
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| Models of Relapse Prevention | |
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| Behavioral Models of Relapse Prevention | |
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| Cognitive Models of Relapse Prevention | |
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| Cognitive-Behavioral Models | |
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| Belief that relapses are inevitable | |
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| Belief that relapses are impossible | |
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| Belief that God intervenes to allow chance to favor people in need | |
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| Belief that all problems (finance, stress, etc.) need immediate solutions | |
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| Belief that "What did not work in the past will suddenly start to work." | |
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| An Integrated Model of Relapse Prevention | |
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| Baumeister's Model of Self-Regulation | |
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| Proactive Strategies for Preventing and Dealing with "Triggers" for Relapse | |
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| Cognitive Triggers | |
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| Triggers in Cognitive Behavioral Therapy | |
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| Developing Relapse Prevention Plans | |
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| Common Themes in Relapse Prevention | |
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| Emergence of Sadness and Subclinical Depression | |
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| Sleep | |
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| Modification of Social Networks | |
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| Reduction in Other Addictive Substances | |
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| Exercise | |
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| Monitoring and Negotiating Follow Up in Recovery | |
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| Emergency Plans | |
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| Obstacles in Relapse Prevention: Emerging Difficulties | |
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| Emergence of Psychiatric Disorders | |
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| Emergence of Physical Problems | |
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| Emergence of Couples and Family Problems | |
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| Community Linkage as Relapse Reversion Prevention | |
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| Community-Based Vocational Counseling | |
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| Academic Counseling | |
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| Financial Counseling | |
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| Pastoral Counseling | |
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| Leisure Counseling | |
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| Health Counseling | |
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| Telephone and Internet Follow Up | |
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| Family and Concerned Others Involvement during Posttreatment Recovery | |
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| Preventing Chronic Relapses | |
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| Mindfulness | |
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| Summing Up | |
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| Key Terms | |
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| Recommended Reading | |
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| New Beginnings: Moving Beyond the Addiction | |
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| Moving Beyond | |
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| Recovery in Psychological and Mental Health Domains | |
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| Personality Changes | |
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| Psychotherapies | |
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| Psychodynamic Therapy | |
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| Narrative Psychotherapy | |
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| Humanistic Psychotherapies | |
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| Increasing Positive Emotions and Happiness | |
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| Moral Development | |
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| Beyond Selfhood | |
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| Family Recovery | |
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| Vocational Recovery | |
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| Physical Health and Spirituality | |
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| Summing Up | |
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| Key Terms | |
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| Recommended Reading | |
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| References | |
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| Index | |