reward system producing feelings of pleasure or being high Some psychiatrists

Reward system producing feelings of pleasure or being

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reward system, producing feelings of pleasure or being “high.” Some psychiatrists, including me, also believe that certain behaviors can activate reward systems similar to those activated by drugs of abuse. Compulsive gambling is generally recognized as one of those behaviors that can activate the reward system. 3. Gambling means that you are willing to risk something you value in the hope of getting something of even greater value. Gambling can stimulate the brain's reward system much like drugs such as alcohol can, leading to addiction. Compulsive gambling, also called gambling disorder, is the uncontrollable urge to keep gambling despite the toll it takes on your life. If you are prone to compulsive gambling, you may chase bets (continually trying to win back money), hide your behavior, deplete savings, accumulate debt, or even resort to theft or fraud to support your addiction. 4. The destructive behavior can and should be controlled, with intensive treatment of the source of the problem the addiction. 5. Some psychiatrists believe that an addict’s destructive behavior cannot be considered “intentional” because it is a by-product of an addictive disorder. I admit this is an area of
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84 11/19/14 controversy in my field. In my opinion, there is a big difference between addiction, which no one intends to have in their life, and the resulting destructive behavior, which I believe the addict knowingly and intentionally engages in. 6. The addict knows right from wrong. The addict might not be able to control the compulsion, but in my opinion s/he surely has the ability to choose behavior. Unfortunately the addict often chooses bad behavior. But that doesn’t mean the addict didn’t “intend” to behave that way. 7. Another huge challenge is trying to differentiate between problematic use and an addictive disorder. People can ingest perfectly legal substances, such as alcohol, or engage in perfectly legal behaviors, such as gambling. Depending on their social status and income, it is possible that no one would ever suspect they were addicts, especially when the consequences of their behavior do not really affect their lifestyles substantially. For example, a very wealthy person can afford to gamble and lose a substantial amount of money without suffering any serious financial consequences. But in my opinion, that person is just as much of a gambling addict as someone who gambles with, and loses, the grocery and rent money. 8. When evaluating or diagnosing a person, psychiatrists and psychologists use the most recent volume of a seminal manual titled, Diagnosing How We Act, Volume 5, or DHA-5 for short. The DHA-5 was created by teams of researchers from the top of the field in their various specialties, and it is primarily intended to guide the clinician in coming to accurate clinical judgments to diagnose and treat patients. To come to an accurate diagnosis, treating or clinical psychiatrists such as myself do an exhaustive clinical assessment, patient history, and sometimes neurological and medical assessments before coming to a conclusion. In my opinion, that is the
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  • Spring '17
  • mrs callman
  • attorney, new york state

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