What is outpatient gambling treatment

Outpatient gambling treatment is aform of therapy that allows individuals with a gambling addiction to continue their normal lives while regularly attending treatment sessions at a therapy center or with a professional counselor.

This type of gambling treatment is ideal for those who have a stable home environment while needing the flexibility to continue their daily activities.

How outpatient gambling treatment works

Initial assessment

At the beginning of treatment, an assessment is conducted that includes a diagnosis of gambling addiction, an assessment of the client's mental and physical health, and an evaluation of the client's social and family circumstances. This information helps to develop an individualized treatment plan.

Creating a treatment plan

Based on the initial assessment, the therapist develops a treatment plan, which may combine individual therapy, group sessions, or even drug therapy. The plan tends to be flexible and is adjusted according to the client's progress.

Individual therapy

Individual therapy focuses on personal problems and strategies for coping with addiction. Clients meet regularly with therapists to work on identifying and changing behaviors and thought patterns that lead to gambling. Cognitive-behavioral therapy (CBT) is a frequently used method to help discover and develop new ways to deal with stress and conflict without relying on gambling.

The basic elements of cognitive behavioural therapy for gambling

• Identifying problem gambling thoughts: clients learn to recognize thoughts that lead to gambling, such as illusions of control, the belief that they can control the outcome of the game, or that a big win is "within reach." This phase involves working to break down myths and misconceptions about "systems" of winning.
• Reconstructing ideas: The therapist helps clients challenge their irrational thoughts and replace them with more realistic and constructive considerations.
• New behaviour training: clients learn new ways of problem solving and stress management that do not involve gambling. This includes strategies to resist the strong urge to gamble, such as the technique of procrastination and planning alternative activities.
• Impulse control for gambling: CBT helps clients develop skills for better impulse control and constructive decision-making, which is crucial in situations where the client faces strong temptations to engage in gambling.
• Improving problem solving: Clients learn how to effectively solve personal and interpersonal problems in ways other than through gambling.
• Relapse prevention: CBT includes planning for future situations that may trigger a relapse (a return to the original behavior and problem gambling). Clients learn how to recognize warning signs and how to effectively use the techniques they have learned in therapy to manage these critical situations.

Group therapy

Clients may also participate in group therapy sessions where they share their experiences and learn from others who are struggling with similar issues. Thus, group therapy can foster motivation for treatment for gambling addiction by providing support from other people who have been in similar situations, hearing their authentic stories and being inspired by their experiences.

Educational programmes

Many outpatient programs also include an educational component where clients learn about the causes of addiction, the consequences of gambling, managing finances, and techniques for preventing relapse.

Immediate family or loved ones may also participate in the educational programs, allowing them to better understand the issue of gambling addiction and learn how to best support their loved ones during the recovery process.

Relapse prevention

Programmes also focus on teaching strategies to recognise and manage triggers that lead to gambling. Clients learn how to build a healthier lifestyle and avoid situations that could trigger a return to problem gambling.

Ongoing support

Outpatient gambling treatment usually involves ongoing monitoring and support to ensure that clients continue to make progress and avoid returning to gambling. This may include regular follow-up appointments after the more intensive phase of treatment.

Outpatient treatment may be appropriate for individuals with a milder form of gambling addiction or for those who have already undergone a more intensive form of treatment and need support in maintaining abstinence.

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When is outpatient treatment for gambling addiction appropriate

Outpatient gambling treatment can be effective for some stages of gambling, but may not be sufficient for all stages of problem gambling or for every individual. It always depends on the individual situation, which is why it is recommended to see a therapist who will expertly assess the severity of the addiction and suggest the most appropriate course of treatment.

• Winning stage: In this stage, players experience initial wins that lead to excessive optimism and unrealistic expectations that the wins will continue. At this stage, outpatient treatment may be sufficient because the player has not yet experienced significant losses and may be more open to behavior change.
• Losing Phase: Players begin to lose more money, leading to stress and attempts to "win back" losses. At this stage, the addiction may become more deeply entrenched, but outpatient treatment may still be appropriate if the player has sufficient support and is not completely overwhelmed by debt and psychological problems.
• Despair stage: The player is deeply involved in gambling, leading to significant financial, family, legal and emotional problems. At this stage, outpatient treatment may no longer be sufficient due to the severity of the problems and the need for a more intensive and structured approach. However, in some cases it may still help, depending on the individual case.
• Hopelessness phase: This phase is characterized by an extreme loss of hope, where the player may experience deep depression, thoughts of suicide, or complete social and financial collapse. In this phase, residential treatment is often necessary as intensive measures are often needed to protect the player's health and safety.

When residential treatment for gambling is appropriate

Residential treatment is usually recommended for individuals who are in a phase of despair or hopelessness where outpatient treatment may not be sufficient due to the severity of gambling addiction and its effects.

Residential programs provide intensive therapeutic services in a controlled environment, allowing gamblers to remove themselves from opportunities to gamble and focus on recovery without outside influences or pressures.

The choice between outpatient and residential treatment should be based on the individual's assessment of their addiction, the stage they are in and their overall ability to manage their behaviour in a normal environment. An initial interview with a therapist and consultation with addiction treatment specialists who can best recommend the appropriate type of treatment is also important.

Where to find help for gambling addiction

Fortunately, there are many ways to find help for problem gambling today. You can check out the Responsible Gambling website's help map to find your nearest addiction services, or seek psychotherapeutic help on the Czech Association for Psychotherapy website.

Resources

• Roadmap to Recovery: Your Gambling Addiction Treatment | Plan J. Flowers Health Institute [online] [cited 2024 Apr 12]. Available from: https://jflowershealth.com/gambling-addiction-treatment-plan/
• Problem Gambling Treatment Options | National Council on Problem Gambling [online]. [cited 2024 Apr 12]. Available from: https://www.ncpgambling.org/help-treatment/problem-gambling-treatment-options/
• What is cognitive behavioural therapy | Mindwell [online]. [cited 2024-04-12]. Available from: https://mindwell.cz/co-je-kbt
• Cognitive behavioural therapy | Psychopomoc.cz [online]. [cited 2024-04-12]. Available from: https://www.psychopomoc.cz/2-1kognitivne-behav-terapie/
• Compulsive gambling | Mayo Clinic [online]. [cited 2024-04-12]. Available from: https://www.mayoclinic.org/diseases-conditions/compulsive-gambling/diagnosis-treatment/drc-20355184
• Outpatient Problem Gambling Treatment | Vinland Center [online]. [cited 2024 Apr 12]. Available from: https://www.vinlandcenter.org/treatment-programs/outpatient-gambling-treatment/