Dr. Roxanne Dryden-Edwards is an adult, child, and adolescent psychiatrist. She is a former Chair of the Committee on Developmental Disabilities for the American Psychiatric Association, Assistant Professor of Psychiatry at Johns Hopkins Hospital in Baltimore, Maryland, and Medical Director of the National Center for Children and Families in Bethesda, Maryland.
Dr. Shiel received a Bachelor of Science degree with honors from the University of Notre Dame. There he was involved in research in radiation biology and received the Huisking Scholarship. After graduating from St. Louis University School of Medicine, he completed his Internal Medicine residency and Rheumatology fellowship at the University of California, Irvine. He is board-certified in Internal Medicine and Rheumatology.
Where can people find more information about gambling addiction?
NAADAC - The Association for Addiction Professionals
1001 N. Fairfax St.,
Suite 201
Alexandria, VA 22314
Phone: 1-800-548-0497
Fax: 1-800-377-1136
UCLA Gambling Studies Program
http://www.uclagamblingprogram.org
Massachusetts Council on Compulsive Gambling
1-800-426-1234
http://www.masscompulsivegambling.org
Gambling Addiction At A Glance
Compulsive gambling affects 2%-5% of Americans, can involve a
variety of ways and places to bet, and symptoms may differ somewhat between males
and females, as well as teenagers versus adults.
Although men tend to develop a gambling addiction at a higher rate and at
younger ages than women, women now make up more than one-quarter of all
compulsive gamblers, and women's symptoms tend to worsen faster once compulsive
gambling develops.
As opposed to pathological gambling, problem gambling involves more than
one but less than five symptoms of compulsive gambling.
Although direct causes of compulsive gambling are unusual, the manic
episodes associated with bipolar disorder and some medications that treat
Parkinson's disease and restless leg syndrome have been associated with the
development of this disorder.
Risk factors for pathological gambling include schizophrenia, mood
problems, antisocial personality disorder, alcohol, or cocaine addiction.
The diagnosis of compulsive gambling involves identifying at least five
symptoms that indicate poor impulse control when it comes to gambling, as well
as ruling out other potential causes of the behaviors.
As with any mental-health condition, accurate diagnosis of gambling
addiction requires a complete physical and psychological evaluation, including a
mental-status examination and appropriate laboratory tests to rule out other
possible causes of the symptoms that are being observed.
The treatment of compulsive gambling usually uses more than one approach,
including psychotherapy, medication, financial counseling, support groups,
12-step programs, and self-help techniques.
Although pathological gambling may resolve with time on its own in many
individuals, the devastating effects it usually has on the person's financial,
family, legal, and mental-health status indicates that treatment should be
attempted anyone who is motivated to get help for this disorder.
REFERENCES:
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Disorders, Fourth Edition, Treatment Revision. American Psychiatric
Publishing: Washington, D.C., 2000.
Cunningham-Williams, R.M., R.A. Grucza, L.B. Cottler, et al. "Prevalence and Predictors of Pathological Gambling: Results From the St. Louis Personality, Health and Lifestyle (SLPHL) Study." Journal of Psychiatric Research
39.4 July 2005: 377-390.
Dodd, M.L., K.J. Klos, J.H. Bower, Y.E. Geda, et al. "Pathological Gambling Caused by Drugs Used to Treat Parkinson Disease." Archives of Neurology
62 (2005).
Fong, T.W. "Pathological Gambling: Update on Assessment and Treatment." Addictive
Disorders 27 Aug. 2009.
George, S., and V. Murali. "Pathological Gambling: An Overview of Assessment and
Treatment." Advances in Psychiatric Treatment 11 (2005): 450-456.
Grant, J.E., and S.W. Kim. "Medication Management of Pathological Gambling." Minnesota
Medicine 89.9 Sept. 2006: 44-48.
Hall, G.W., N.J. Carriero, R.Y. Takushi, et al. "Pathological Gambling Among
Cocaine-Dependent Outpatients." American Journal of Psychiatry 157 July 2000:
1127-1133.
Korn, D.A., and H.J. Shaffer. "Practice Guidelines for Treating Gambling-Related
Problems: An Evidence-Based Treatment Guide for Clinicians." Massachusetts
Council on Compulsive Gambling Jan. 2004.
Ledgerwood, D.M., J. Weinstock, B.J. Morasco, and N.M. Petry. "Clinical Features and
Treatment Prognosis of Pathological Gamblers With and Without Recent
Gambling-Related Illegal Behavior." Journal of the American Academy of Psychiatry
and the Law 35.3 (2007): 294-301.
Leung, K.S., and L.B. Cottler. "Treatment of Pathological Gambling." Current Opinion in
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Moreyra, P., A. Ibanez, J. Saiz-Ruiz, et al. "Review of the Phenomenology,
Etiology and Treatment of Pathological Gambling." German Journal of Psychiatry
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Nower, L., and A. Blaszcznski. "Binge Gambling: A Neglected Concept." International
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Pathological Gambling: Cultural Considerations." American Journal of Psychiatry
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Petry, N.M. "Internet Gambling: An Emerging Concern in Family Practice Medicine?"
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Petry, N.M, and C. Armentano. "Prevalence, Assessment and Treatment of Pathological
Gambling: A Review." Psychiatric Services 50 Aug. 1999: 1021-1027.
Potenza, M.N., M.A. Steinberg, S.D. McLaughlin, et al. "Gender-Related Differences in
the Characteristics of Problem Gamblers Using a Gambling Helpline." American
Journal of Psychiatry 158 Sept. 200: 1500-1505.
Slutske, W.S. "Natural Recovery and Treatment-Seeking in Pathological Gambling:
Results of Two U.S. National Surveys." American Journal of Psychiatry 163
Feb. 2006: 297-302.
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Community Health." Sampan 19 Mar. 2009: 40.
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