Pathological gambling is a common psychiatric condition that can present with a variety of symptoms. Treatment recommendations available for pathological gamblers, as well as resources for patients and their families in this Tipsheet.

Are there differences in the neuroimaging of persons who just gamble and those who pathologically gamble?

A panel of experts at the APA Annual Meeting discussed how changes in DSM-5 may affect clinical practice. Highlights here.

"Internet Addiction" may soon spread like wildfire. All the elements favoring fad generation are in place . . . the profusion of alarming books; the breathless articles in magazines and newspapers; extensive TV exposure; ubiquitous blogs; the springing up of unproven treatment programs; the availability of millions of potential patients; and an exuberant trumpeting by newly minted "thought leading" researchers and clinicians. So far, DSM-5 has provided the only restraint.

Data from neurobehavioral studies, brain imaging studies, epidemiological surveys, and clinical trials show that pathological gambling shares aspects of both impulsivity and compulsivity.

ADHD and impulsivity: ADHD is a highly prevalent disorder that persists across the lifespan in one form or another. There are often major impairments that result from persistent impulsivity symptoms

The paradigm for modern psychiatry is evidence-based medicine (EBM)—it represents proven treatments for defined diagnoses. But there are major problems with this position, starting with the fact that while they are superior to placebo, evidence-based treatments too often are ineffective.


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