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A study by Wendy Slutske of the University of Missouri concluded one-third of pathological gamblers overcome it by natural recovery. 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.
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. Problem gambling may be diagnosed as a mental disorder according to DSM-5 if certain diagnostic criteria are met.
