The decision making process used in selecting the proper treatment modality can be complex in some cases. When considering the appropriate treatment for gambling and pathological gambling, Sober Strong generally asks the following questions:

1.) Is the person having strong suicidal thoughts?

2.) Are they facing serious legal problems?

3.) Have they tried to quit in the past unsuccessfully?

4.) Are there additional other serious addictions or psychiatric problems?

5.) Does the person have a weak social support system?

6.) How likely is it that an outpatient treatment program going to be enough treatment? 

In the event a client is unable to attend a 30-day inpatient program, or has failed, a gambling companion can provide an inpatient experience in the client’s home. This person will remain with a client for a minimum of 30 days and implement gambling detox strategies to grant the client skills and coping tools the client can practice in the real life setting. 

In general, the vast majority of gamblers can be helped sufficiently by a combination of a gambling companion, outpatient therapy and Gambler’s Anonymous meetings, with adjunctive psychiatric medication if needed. 

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