- [Voiceover] Exactly and cigarettes, well, they can't do that in jail anymore, because it's a nonsmoking facility. - [Voiceover] Oh, right. - [Voiceover] But they used to gamble with cigarettes, but it doesn't have to be money, I guess, is really the point I wanna make about that. And then the last definition of addiction that I wanted to share with you was a progressive disorder characterized by a continuous or periodic loss of control over gambling, a preoccupation with gambling and with obtaining money with which to gamble, irrational thinking, and continuation of the behavior, again, despite adverse consequences. So Denise has a great example of a woman that she worked with not too long ago.
- [Voiceover] I do and let me share that before I forget. Are you referring to the gal that had the Facebook problem? - [Voiceover] Yes, exactly. Exactly. - [Voiceover] In fact, I see that one of my interns is on the line, so she'll remember this when we talked about it in our group supervision call casinoslots nz. There was a gal who presented for treatment at New Frontier Treatment Center, which most of you know is in Fallon, Nevada, and they have everything from outpatient to intensive outpatient to residential to other placement availability in Fallon. So this gal presented with, I believe it was either meth or alcohol as her primary addiction. What we came to find out as the assessment unfolded, because those of you that have worked around residential treatment before certainly know that it takes more than the initial assessment to get the whole picture of the person. Over the first few days that she was in treatment, we came to discover that this lady had a gambling problem and when they were doing the gambling assessment, which we use the Gambling Patient Placement Criteria, the gypsy assessment here at the Reno Problem Gambling Center and also at Bristlecone Family Resources and at New Frontier in Fallon, where there are gambling interns applying it and using it all the time. Come to find out that her gambling in a casino was rare, the majority of what we determined was her process addiction and it was gambling related, was on Facebook. She was doing gambling activities on Facebook and when asked what the highest amount she had ever spent on avatars and points and helpful hints and that sort of thing, she spent 12,000 dollars in one year, doing that and we advised her to take all the gambling treatment that she could while she was there at New Frontier, because that was the essence of her gambling disorder. Talk about progressive and adverse consequences, even though there was no possibility for her to get a return on her investment in the way of cash, it was all just status and other things that she got online, she had spent 12,000 dollars and was out of control. So thank you for reminding me of that case, while we're on this slide, when you look at the names that you give gamblers, going all the way back to ancient times, so to speak, they used to call some gamblers degenerate gamblers. That was a pet name that right up until this century they were sometimes called, so if you hear terms like pathological gambler, compulsive gambler, bandied about it probably depends on the culture or the environment that you're in and in Gamblers Anonymous that is still what people will call themselves, however, in the DSM-5, which we'll be talking about in a minute or two, the current term is gambling disorder. So this next slide, you can see that it's occasionally called gaming instead of gambling and those of you that know Nevada history and have lived here for awhile will have heard a number of advocates of gambling, namely the casino industry as a business, put a little spin on the name because they wanna make it more attractive, more entertainment focused and I can't blame them as far as business marketing goes, you wanna put as much fun and glitz on the term as you possibly can and Denise jump in anytime here if you have any of your favorite stories about that.
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