Treatment of problem gambling. Pål Fylling Helland, Clinical Psychologist. Blue Cross Centre for Addiction Treatment, Oslo, Norway.

Presentasjon om: "Treatment of problem gambling. Pål Fylling Helland, Clinical Psychologist. Blue Cross Centre for Addiction Treatment, Oslo, Norway."— Utskrift av presentasjonen:

1 Treatment of problem gambling. Pål Fylling Helland, Clinical Psychologist. Blue Cross Centre for Addiction Treatment, Oslo, Norway.

2 Clinical observations Problem gamblers seeking help at a late stage Huge debts Family/work issues Anxiety / depression

3 Who are the problem gamblers? Man 44 years old, works as a carpenter. Gambles on horse racing and sports results. Man 56 years old, unemployed. Immigrant. Gambles on bingo machines. Man 28 years old, computer engineer. Poker player. Man 38 years old, stock broker. Sports betting via internet. Man 32 years old, works as an executive. “Gambles” in financial derivatives. Woman years 65 old, gambles on internet bingo. Man 19 years old, plays an excessive amount of computer games (non-gambling).

4 Our treatment services Individual therapy Group therapy Family and couples therapy ”Blå” meeting place

5 Therapy group for gamblers Startet in 2012 8-10 problem gamblers. Two group therapists Once a week 1hr 15 mins Slow open Process oriented and psychoeducational

6 Bli kjent, grupperegler. Målsetninger – hva vil du oppnå med gruppa? Hva slags endring vil man få til? Sammenhengen mellom tanker, følelser og atferd. Prinsipper for god gruppeterapi Endringshjulet Fordeler og ulemper ved spilling. Risikosituasjoner Spillets psykologi: Situasjonelle og strukturelle faktorer. Flaks og uflaks - tilfeldigheter og magisk tenkning. Hva motiverer ulike mennesker for spill? Sterke og svake øyeblikk. Verdier Se deg rundt, hvordan påvirker spillingen menneskene rundt. Hva sier man til barna? Roller, identitet. Hvem er når jeg ikke spiller? Hvilke andre roller har jeg? Forebygging av tilbakefall.

7 Projects Early intervention for problem gambling 2010- 2012 – Reach young men gambling on the internet – Web page: spillkontroll.no – Non-refered access to 1-3 treatment sessions – Motivational interviewing

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10 Projects cont. Gambling and ethnicity – Immigrants are at a higher risk of gambling problems – More severe consequenses – High drop out from treatment. – Treatment needs to be adapted. e

11 Procjects cont. Enkleråd.no – Self help for gambling problems delivered by web. – Under development – Creative commons