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Pathological Gambling: Diagnosis and Treatment
Gambling continuing education social worker CEUs

CEU Answer Booklet
Psychologist CEs, Counselor CEUs, Social Worker CEUs, MFT CEUs

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Audio Transcript Questions The answer to Question 1 is found in Track 1 of the Course Content. The Answer to Question 2 is found in Track 2 of the Course Content… and so on. Select correct answer from below. Place letter on the blank line before the corresponding question. Do not add any spaces.
Important Note! Numbers below are links to that Section. If you close your browser (i.e. Explorer, Firefox, Chrome, etc..) your answers will not be retained. So write them down for future work sessions.

Questions:
1. What are three tools you can use in your pretreatment assessment?
2. How does the daily self monitoring diary work?
3. What are two steps to developing a controlled treatment plan?  
4. What are five types of exposure to gambling?
5. What are three steps to the Relationship Developing Technique?
6. What are three methods for attaining and maintaining abstinence from gambling?
7. What are three simple guidelines to avoiding relapse and staying stopped?

Answers:
A.  Three effective methods for attaining and maintaining abstinence from gambling are self help groups, photographs, and time management. 
B.  Five types of exposure to gambling are self exclusion, being near a gambling establishment, being in a gambling establishment, being alone in a gambling establishment, and receiving an invitation to gamble. 
C.  The three steps in the Relationship Developing Technique are to increase awareness of needs, focus on nurturing relationships which meet those needs, and journal positive relationship development.
D.  Three simple guidelines to relapse prevention are using support systems, watching company, and watching where they go
E.  With the daily self monitoring diary, the gambler rates his or her perception of being in control of gambling as well as their desire to gamble on a scale from 0 to 100.  Gamblers also specify the number of times they gambled during the day, the number of hours they spent gambling, and the amount of money they lost.  Lastly, gamblers are asked to write about the feelings they had throughout the day as well as any context or event that may have provoked their urge to gamble.
F.  Three tools for pretreatment assessment are the diagnostic interview, assessing comorbidity, and the daily self monitoring diary. 
G.  The two steps are establishing a peer group of counselors and making problem gamblers aware of peer counselors as a resource. 

Course Content Manual Questions The Answer to Question 8 is found in Section 8 of the Course Content… and so on. Select correct answer from below. Place letter on the blank line before the corresponding question.
Important Note! Numbers below are links to that Section. If you close your browser (i.e. Explorer, Firefox, Chrome, etc..) your answers will not be retained. So write them down for future work sessions.

Questions:
8. According to Tavares, what is the “thinking aloud” cognitive approach to treating pathological gambling?
9. What are three factors concerning Sharpe and Tarrier’s integration of behavioral and cognitive insights into treatment for pathological gambling?
10. What four innovations allow the Gordon House Association’s “conversational software” to echo the dynamics of face-to-face counseling?
11. According to Hodgins research, what are two exceptions to the general trend of resolved gamblers to resemble alcohol and other drug treatment seekers?
12. For what two reasons does Scarfe consider gambling to be a ‘hidden addiction?’
13. What are two factors in the cognitive theory of pathological gambling?
14. What are the two questions on the Lie/Bet screen for pathological gambling?
15. What were four strategies used by Bujold and colleagues in a cognitive-behavioral treatment plan for pathological gambling?
16. What is the difference between an ‘action gambler’ and an ‘escape gambler’?
17. What factor may hinder the effectiveness of Gamblers Anonymous?

Answers
A.  The questions are:‘Have you ever felt the need to bet more and moremoney?’ and ‘Have you ever had to lie to peopleimportant to you about how much you gamble?’
B. Four strategies were cognitive restructuring, problem solving, social skills training, and relapse prevention
C.  Two exceptions to this general trend are: 1. fewer gamblers reported engaging in an evaluation of the pros and cons of their behavior when making their decision; 2. fewer gamblers than drinkers also reported that a life-style change was significant in resolving their problem.
D. 1. Operant conditioning factors that relate to gambling prompt initial persistence at gambling; 2. continuous exposure to variable intermittent schedules of reinforcement foster the development of unrealistic expectations toward gambling and further investment in the activity; 3. repeatedly experiencing the arousing effects of gambling consolidates the establishment of conditioned cues that prompt reoccurrence of the behavior, even when the gambler contemplates reduction or abstinence.
E.  Many gamblers want to return to controlled betting instead of the abstinence required by Gamblers Anonymous principles.
F.  1. The client seeing the counselor via webcams (to read body language); 2. The option of either party using voice rather than text; 3. Art and drawing whiteboard options; 4. and the use of the conversational (text) software that allows the counselor to 'interrupt' the client and prevent the client from deleting those words or phrases the client may inadvertently use that can provide the counselor with valuable dues as to how the client is really feeling when in denial or avoidance.
G.  Two factors are 1. pathological gamblershave distorted cognitive patterns that lead themto misassess the odds of their bets, and the meaningof the results; and 2. pathological gamblershave recall bias, and tend to remember andoverestimate their wins, while they forget, underestimateor rationalize their losses.
H. This cognitive strategy includes subjects taking part in gambling and in talking about their reactions and interpretations of the outcome.
I.  Two reasons are: 1. Health organizations define addiction as substance addiction; 2. the general public judges gambling problems as self-inflicted
J.   Action gamblers are highly competitive and easily bored, tend to take unnecessary risks and make impulsive decisions. Escape gamblers are more likely to play passive games of pure chance.  They are often depressed or anxious and use gambling to numb or cheer themselves.


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