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A gambler who does not receive treatment for pathological gambling when in a desperation phase may contemplate suicide. A further 1.4% to 2.1% (230,000 to 350,000) of the Australian adult population experienced moderate risks making them likely to be vulnerable to problem gambling. Across all areas of Africa, sports betting and card-games serve to be the most prevalent forms of gambling; a supermajority of individuals gamble on weekends in particular. A majority of youths participate in lifetime gambling behaviors, and of those who gamble, over 70% reported consistent gambling within the last year. Dopamine dysregulation syndrome has been observed in the aforementioned theory in people with regard to such activities as gambling. The findings in one review indicated that behavioral disorders such as problem gambling and substance use disorder are closely linked; sensitization theory indicates that these disorders are marked by a compulsive drive towards unhealthy behaviors and an inability to control against them. This is due to the symptomatology of the disorder resembling an addiction not dissimilar to that of a substance use disorder. Problem gambling is an addictive behavior with a high comorbidity with alcohol problems. The DSM-5 has re-classified the condition as an addictive disorder, with those affected exhibiting many similarities to those with substance addictions.

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According to a 1997 meta-analysis by Harvard Medical School's division on addictions, 1.1 percent of the adult population of the United States and Canada could be called pathological gamblers.

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It can be challenging to avoid cravings if you find yourself near a casino or around triggers that might cause you to gamble. Do you look for excitement and find yourself gambling to combat boredom? Do negative feelings like depression or stress cause your gambling? Next, write down the thoughts, feelings and situations that occurred before and during the gambling session to understand what caused the craving. For instance, being around friends with the same habits triggers many problem gamblers. Additionally, for patients with both pathological gambling and a comorbid bipolar spectrum condition, sustained-release lithium has shown efficacy in a preliminary trial. In general, behavior analytic research in this area is growing There is evidence that the SSRI paroxetine is efficacious in the treatment of pathological gambling. As to behavioral treatment, some recent research supports the use of both activity scheduling and desensitization in the treatment of gambling problems.

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