However, no one treatment is considered to be most efficacious and, in the United States, no medications have been approved for the treatment of pathological gambling by the U.S. Most treatment for problem gambling involves counseling, step-based programs, self-help, peer-support, medication, or a combination of these. The most common instrument used to screen for „probable pathological gambling” behavior is the South Oaks Gambling Screen (SOGS) developed by Lesieur and Blume (1987) at the South Oaks Hospital in New York City.
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Spain’s gambling watchdog has updated its 2019–2020 Responsible Gaming Program, classifying problem gambling as a mental disorder. This belief is then reinforced through the unpredictable and repeated financial losses that are intrinsic to gambling. Some gamblers often develop learned helplessness—a psychological state in which a person believes they have no control over their situation. Fourth, problem gamblers have several cognitive biases, including the illusion of control, unrealistic optimism, overconfidence and the gambler’s fallacy (the incorrect belief that a series of random events tends to self-correct so that the absolute frequencies of each of various outcomes balance each other out). Third, personality factors such as narcissism, risk-seeking, sensation-seeking, and impulsivity play a role.
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