21. Parkinson's Drugs Linked To Pathological Gambling - CME Teaching HELP CENTER Parkinson's Drugs Linked to pathological gambling. By Jeff Minerd, MedPage Today Staff Writer Reviewed by Zalman S. Agus, MD; http://tmsyn.wc.ask.com/r?t=an&s=hb&uid=24312681243126812&sid=343126

22. Pathological Gambling Evidencebased Mental Health Information Education from McMaster University, CANADA. http://www.psychdirect.com/forensic/Criminology/impulse/gambling.htm

23. The Compulsive Gambling Center, Inc.- Treatment For Gambling Providing treatment, education, training, research, and expert testimony on compulsive gambling. Based in Baltimore, Maryland. http://tmsyn.wc.ask.com/r?t=an&s=hb&uid=24312681243126812&sid=343126

24. Psych Central: Pathological Gambling Symptoms General symptoms of pathological gambling. pathological gambling. SYMPTOMS. Persistent and recurrent maladaptive gambling behavior as indicated by five http://psychcentral.com/disorders/sx62.htm

home resource directory disorders quizzes ... support forums Pathological Gambling SYMPTOMS Persistent and recurrent maladaptive gambling behavior as indicated by five (or more) of the following: is preoccupied with gambling (e.g., preoccupied with reliving past gambling experiences, handicapping or planning the next venture, or thinking of ways to get money with which to gamble) needs to gamble with increasing amounts of money in order to achieve the desired excitement has repeated unsuccessful efforts to control, cut back, or stop gambling is restless or irritable when attempting to cut down or stop gambling gambles as a way of escaping from problems or of relieving a dysphoric mood (e.g., feelings of helplessness, guilt, anxiety, depression) after losing money gambling, often returns another day to get even ("chasing" one's losses) lies to family members, therapist, or others to conceal the extent of involvement with gambling has committed illegal acts such as forgery, fraud, theft, or embezzlement to finance gambling

25. Problem Gambling Council Of South Carolina, Inc. Resources for those seeking information about or treatment of problem or pathological gambling. http://www.pgcosci.org/

Connecting those suffering the effects of problem gambling with the help and information they need Our Mission Statement: It is the mission of Problem Gambling Council of South Carolina to generate awareness, promote education and advocate quality treatment options for those affected by problem or pathological gambling. SOUTH CAROLINA HELP LINE: (877) 452-5155 Please take your time and browse our pages. You will be given the opportunity to obtain literature and treatment information, apply for membership, donate, and to offer comments and suggestions. We thank you for your visit! Home Page About Us Contact Us Membership and Literature ... GA Meetings PGCOSCI Logo designed by JD Massie art www.jdmassie.com

26. 1-800 GAMBLER Council On Compulsive Gambling Of New Jersey since 1983. The Council on Compulsive Gambling of New Jersey, Inc. was one of the pioneers in the compulsive (pathological) gambling field and http://tmsyn.wc.ask.com/r?t=an&s=hb&uid=24312681243126812&sid=343126

27. Arch Neurol -- Pathological Gambling Caused By Drugs Used To Treat Parkinson Dis Background pathological gambling is a rare potential complication related to Results All 11 patients with PD and pathological gambling were taking http://archneur.ama-assn.org/cgi/content/full/62.9.noc50009v1

Select Journal or Resource JAMA Archives of Dermatology Facial Plastic Surgery Family Medicine (1992-2000) General Psychiatry Internal Medicine Neurology Ophthalmology Surgery Student JAMA (1998-2004) JAMA CareerNet For The Media Meetings Peer Review Congress Early Release Article, posted July 11, 2005 Featured Link E-mail Alerts Original Contribution Article Options Abstract PDF Send to a Friend Readers Reply Submit a reply Read replies Similar articles in this journal Literature Track Add to File Drawer Download to Citation Manager PubMed citation Articles in PubMed by Dodd ML Ahlskog JE Contact me when this article is cited Topic Collections Parkinson Disease/ Parkinsonian Disorders Psychiatry Obsessive-Compulsive Disorder Drug Therapy ... Topic Collection Alerts Pathological Gambling Caused by Drugs Used to Treat Parkinson Disease M. Leann Dodd, MD Kevin J. Klos, MD James H. Bower, MD Yonas E. Geda, MD ... J. Eric Ahlskog, PhD, MD Arch Neurol. ABSTRACT Pathological gambling is a rare potential complication related to treatment of Parkinson disease (PD). However, the etiology of this behavior is poorly understood.

28. Arch Neurol -- Abstract: Pathological Gambling Caused By Drugs Used To Treat Par Background pathological gambling is a rare potential complication related to In 7 patients, pathological gambling developed within 3 months of starting http://archneur.ama-assn.org/cgi/content/abstract/62.9.noc50009v1

Select Journal or Resource JAMA Archives of Dermatology Facial Plastic Surgery Family Medicine (1992-2000) General Psychiatry Internal Medicine Neurology Ophthalmology Surgery Student JAMA (1998-2004) JAMA CareerNet For The Media Meetings Peer Review Congress Early Release Article, posted July 11, 2005 Featured Link E-mail Alerts Original Contribution Article Options Full text PDF Send to a Friend Readers Reply Submit a reply Read replies Similar articles in this journal Literature Track Add to File Drawer Download to Citation Manager PubMed citation Articles in PubMed by Dodd ML Ahlskog JE Contact me when this article is cited Topic Collections Parkinson Disease/ Parkinsonian Disorders Psychiatry Obsessive-Compulsive Disorder Drug Therapy ... Topic Collection Alerts Pathological Gambling Caused by Drugs Used to Treat Parkinson Disease M. Leann Dodd, MD Kevin J. Klos, MD James H. Bower, MD Yonas E. Geda, MD Keith A. Josephs, MST, MD J. Eric Ahlskog, PhD, MD Arch Neurol. Pathological gambling is a rare potential complication related to treatment of Parkinson disease (PD). However, the

29. Pathological Gambling Whatever the reasons for gambling, pathological gamblers frequently end up pathological gambling is not only associated with important money losses, http://nypisys.cpmc.columbia.edu/anxiety/pathological gambling.htm

HOME FAQ's DIRECTIONS PATHOLOGICAL GAMBLING What are its main features? Although each person is different, most people with pathological gambling have some or all of the following characteristics: Preoccupation with gambling; Need to gamble with increasing amounts of money; Difficulty controlling or stopping gambling behavior; Returning to the place where they lost their money to recoup losses. Some people gamble to escape from problems or to relieve depression, some because of the excitement. Whatever the reasons for gambling, pathological gamblers frequently end up having to lie to people they care for about how much they gamble or the consequences of their gambling. It is not unusual for them to engage in fraud or other criminal activities to obtain the money they need to gamble. What are the consequences of pathological gambling? Pathological gambling is not only associated with important money losses, but with a progressive disruption of the individual’s life and, in many cases, of the lives of the people close to him. Many pathological gamblers lose their jobs and have increased emotional and medical problems. These serious personal and social problems, including financial, legal, occupational, medical and psychological difficulties, result in important costs to the individual, the family and society. What are the treatment options for pathological gambling?

30. NCRG : Research : Institute For Research On Pathological Gambling & Related Diso by pathological gambling through support of rigorous scientific research. Advancing understanding of pathological gambling and related psychiatric http://www.ncrg.org/research/institute.cfm

Why is Research Necessary? NCRG Research Research Publications Investigators ... Scientific Achievement Awards Institute for Research on Pathological Gambling and Related Disorders Institute for Research on Pathological Gambling and Related Disorders Modeled after the National Institutes of Health, the Institute supports both internal core gambling research and competitively funded external research at educational, medical, and research institutions worldwide. Scientific advisory panels ( program advisory board and peer-review panel ) evaluate research proposals and determine through peer review the priority of research to be funded. The Institute is located at the Division on Addictions at Harvard Medical School Under the agreement with Harvard, the NCRG will provide annual support to the Institute to perform the academic and scientific functions that had previously been performed by the Center. The NCRG continues to fulfill its other mission of expanding public education efforts in the field of pathological and youth gambling. Howard J. Shaffer, Ph.D., C.A.S., is the principal investigator for the Institute.

31. National Center For Responsible Gaming “The NCRG has helped bring the study of pathological gambling into a new era.” Ken Winters, Ph.D. University of Minnesota http://www.ncrg.org/

Ken Winters, Ph.D. University of Minnesota Linda Cottler, Ph.D. Washington University School of Medicine ADVANCEMENT OF AN EMERGING SCIENCE The National Center for Responsible Gaming (NCRG) is committed to funding research that someday will identify the risk factors for gambling disorders and determine methods for not only treating the disorder but preventing it, much like physicians can identify patients at risk from cardiovascular disease long before a heart attack. In a field that is just emerging, continued research is critical to the advancement of scientific breakthroughs that will aid in developing tools for prevention and treatment. What's New Register for the NCRG Conference on Gambling and Addiction Sixth Annual Conference Explores Collaborative Approach to Responsible Gaming REGISTER Scientists Recognized for Exceptional Contributions to Research on Gambling Disorders READ Early Report On Gambling Disorder Study Holds Promise For Public Health Planners READ Briefing Presentation: Impact of NCRG On The Field Of Gambling Research VIEW POWERPOINT PRESENTATION Harvard Survey Shows Rate Of College Gambling Lower Than Previous Estimates READ DID YOU KNOW?

32. Does Parkinson's Therapy Cause Pathological Gambling? A recent Online journal article described a bizarre sideeffect of Parkinson’s disease therapy. Eleven patients taking a dopamine agonist developed http://mentalhealth.about.com/b/a/185042.htm

zJs=10 zJs=11 zJs=12 zJs=13 zc(5,'jsc',zJs,9999999,'') zfs=0;zCMt='a14' About Mental Health Resources Mental Health Essentials ... Help zau(256,140,140,'el','http://z.about.com/0/ip/417/C.htm','');w(xb+xb+' ');zau(256,140,140,'von','http://z.about.com/0/ip/496/6.htm','');w(xb+xb); FREE Newsletter Sign Up Now for the Mental Health Resources newsletter! See Online Courses Search Mental Health Resources Does Parkinson's Therapy Cause Pathological Gambling? Mental Health Resources Blog Main From Leonard Holmes, Ph.D. Your Guide to Mental Health Resources FREE Newsletter. Sign Up Now! July 13, 2005 Does Parkinson's Therapy Cause Pathological Gambling? A recent Online journal article described a bizarre side-effect of Parkinson’s disease therapy. Eleven patients taking a dopamine agonist developed pathological gambling behavior. Dopamine agonist therapy is used to control movement problems caused by Parkinson’s disease. Read more about this fascinating side-effect. Email to a Friend Display Latest Headlines Read Archives powered by Movable Type Advertisement Most Popular MAO Inhibitors Cymbalta gets Mixed Reviews Video Game Violence Psychiatric Medications - Introduction, Antipsychotics

33. Does Parkinson's Therapy Cause Pathological Gambling? A journal article reported that 11 patients with Parkinson’s disease developed pathological gambling behavior following dopamine agonist therapy, http://mentalhealth.about.com/od/mindbody/a/none.htm

var zLb=8; var zIoa1 = new Array('Elsewhere on the Web','Read the Full Article','http://archneur.ama-assn.org/cgi/content/full/62.9.noc50009v1'); zJs=10 zJs=11 zJs=12 zJs=13 zc(5,'jsc',zJs,9999999,'') zfs=0;zCMt='a14' About Mental Health Resources Mind and Body Does Parkinson's Therapy Cause Pathological Gambling? Mental Health Essentials Improve Your Mental Health Psych Medications ... Help zau(256,140,140,'el','http://z.about.com/0/ip/417/C.htm','');w(xb+xb+' ');zau(256,140,140,'von','http://z.about.com/0/ip/496/6.htm','');w(xb+xb); FREE Newsletter Sign Up Now for the Mental Health Resources newsletter! See Online Courses Search Mental Health Resources Stay up to date! Compare Prices Email to a friend ... Print this page Elsewhere on the Web Read the Full Article Most Popular MAO Inhibitors Cymbalta gets Mixed Reviews Video Game Violence Psychiatric Medications - Introduction, Antipsychotics ... Schizophrenia: How Is It Treated? zCMtSav=zCMt;zCMt='a25' adunitCM(140,180,'x51') zCMt=zCMtSav What's Hot Schizoaffective Disorder Metaphors for Life Mars and Venus Video Games to treat ADD? ... Antipsychotic Meds adunitCM(150,100,'x55') Does Parkinson's Therapy Cause Pathological Gambling?

34. Postgraduate Medicine: Editorial: Pathological Gambling pathological gambling is typically a progressive disease, consisting of the winning It has been estimated that the prevalence of pathological gambling http://www.postgradmed.com/issues/1997/10_97/editorial.htm

Pathological gambling When do social issues become medical issues? Peter A. Setness, MD VOL 102 / NO 4 / OCTOBER 1997 / POSTGRADUATE MEDICINE Gambling. For some people, a mere mention of the subject conjures up images of glitz and glamor, fun and socializing, a chance at "The Big Win," and all the accoutrements of whatever the good life means to them. But what it really is becoming is the addiction of the '90s, with all the personal and societal costs created by any addictive disease. It's interesting to me that just a generation ago, gambling was almost entirely an illegal, underworld activity, while today it is legal in some form in 48 states (Utah and Hawaii being the only holdouts). In the majority of states, proceeds from gambling (also known by its more innocuous name, gaming) fund everything from environmental causes to school band uniforms. Revenues from legal gambling have grown from about $3 billion on the $17 billion wagered in 1974 to $44 billion on the $550 billion wagered in 1996an increase of 1,500% (1). The upside Lotteries are considered by many to be a legitimate government-sanctioned way of raising money for worthy causes, a type of painless tax. Lottery tickets are available along with food and fuel at practically every corner convenience store and gas station. It's true that legalized gambling has provided jobs and enabled selected groups, such as the Native Americans who own casinos, to better their economic circumstances. In some areas, the resultant revenue stream has allowed such things as reductions in property taxes and improved healthcare for the underserved. Many casinos are building playgrounds, amusement parks, and day-care centers, albeit to entice parents to make a trip to the casino a family activity.

35. Parkinson's Disease Drugs May Cause Pathological Gambling Eleven patients with Parkinson s disease (PD) developed pathological gambling behavior following dopamine agonist therapy, a drug therapy to control http://www.eurekalert.org/pub_releases/2005-07/jaaj-pdd070705.php

Public release date: 11-Jul-2005 E-mail Article Contact: Lisa Lucier JAMA and Archives Journals Parkinson's disease drugs may cause pathological gambling CHICAGO – Eleven patients with Parkinson's disease (PD) developed pathological gambling behavior following dopamine agonist therapy, a drug therapy to control movement problems caused by Parkinson's disease, according to a study posted online today which will appear in the September print issue of Archives of Neurology, one of the JAMA/Archives journals. Parkinson's disease, a degenerative disorder marked by the death of the neurons of an area of the brain called the substantia nigra, is primarily treated by drugs that restore or improve brain chemical signaling system dependent on dopamine, according to background information in the article. Brain dopamine, a chemical that helps regulate movement, balance and walking, also plays a central role in the behavioral reward system, reinforcing a myriad of behaviors. It has been implicated in the reward of gambling behavior. M. Leann Dodd, M.D., of the Mayo Clinic, Rochester, Minn., and colleagues, present reports of eleven patients seen and evaluated between 2002 and 2004 in the Mayo movement disorders clinic with Parkinson's disease who had recently developed pathological gambling and review similar cases from the medical literature. Pathological gambling is defined as a failure to resist gambling impulses despite severe personal, family or vocational consequences

36. Parkinson's Medication Appears To Trigger Excessive Gambling pathological gambling induced by a drug is really quite unusual. They noted that in seven patients, pathological gambling developed within one to three http://www.eurekalert.org/pub_releases/2005-07/mc-pma070805.php

Public release date: 11-Jul-2005 E-mail Article Contact: Lisa Lucier newsbureau@mayo.edu Mayo Clinic Parkinson's medication appears to trigger excessive gambling Mayo Clinic findings strengthen uncommon but reversible link between dopamine agonist drugs and pathological gambling ROCHESTER, Minn. Habitual, compulsive gambling with losses up to $200,000 within six months by those who previously never or only occasionally gambled recreationally has been tied to Parkinson's disease drugs called dopamine agonists, according to a new Mayo Clinic case series analysis to be published in Archives of Neurology, http://archneur.ama-assn.org "This is a striking effect," says J. Eric Ahlskog, M.D., Ph.D., Mayo Clinic neurologist who treated most of the patients in the series. "Pathological gambling induced by a drug is really quite unusual." The good news, according to Dr. Ahlskog and M. Leann Dodd, M.D., Mayo Clinic psychiatrist who spearheaded the analysis, is that excessive gambling behavior only occurs in a small number of patients given the drugs, and it can be stopped as suddenly as it came on. "It's a very rare side effect and reversible if you get off the drug, but you have to make the association," says Dr. Ahlskog. The Mayo Clinic neurologists treating the Parkinson's patients reported in the case series analysis learned about the gambling issues of the 11 patients in the series during routine clinic visits. Four had never gambled before starting dopamine agonist treatment. "Most of the time, the patient came in for a routine exam and would sheepishly admit 'I've been gambling too much,' or family members would mention that their loved one had been gambling excessively, that this behavior was totally out of character for them, and that the gambling was causing problems in their lives," says Dr. Dodd.

37. NIH Guide: PATHOLOGICAL GAMBLING: BASIC, CLINICAL AND SERVICES RESEARCH This PA, pathological gambling þ Basic, Clinical and Services Research, The extant research concerning pathological gambling suggests a number of http://grants.nih.gov/grants/guide/pa-files/PA-98-106.html

http://www.nih.gov/grants/guide/notice-files/not98-024.html jbreilin@nih.gov APPLICATION PROCEDURES Applications are to be submitted on the grant application form PHS 398 (rev. 5/95). Application kits are available at most institutional offices of sponsored research and may be obtained from the Division of Extramural Outreach and Information Resources, National Institutes of Health, 6701 Rockledge Drive, MSC 7910, Bethesda, MD 20892-7910, telephone (301) 435-0714; fax: (301) 480-0525 Email: GrantsInfo@NIH.GOV jbreilin@nih.gov Darryl Bertolucci, M.A. Epidemiology Branch National Institute on Alcohol Abuse and Alcoholism 6000 Executive Boulevard, Suite 514, MSC 7003 Bethesda, MD 20892-7003 Telephone: (301) 443-4898 FAX: (301) 443-8614 Email: db46e@nih.gov Meyer D. Glantz, Ph.D. Division of Epidemiology and Prevention Research National Institute on Drug Abuse 5600 Fishers Lane, Room 9A-53 Rockville, MD 20857 Telephone: (301) 443-2974 FAX: (301) 443-2636 Email: mg115g@nih.gov

38. NIH Guide: PATHOLOGICAL GAMBLING: BASIC, CLINICAL AND SERVICES RESEARCH Illumination of factors that lead problem and pathological gamblers to seek ADVERSE EFFECTS ON OTHERS OF pathological gambling The prevalence, http://grants.nih.gov/grants/guide/notice-files/not99-153.html

PATHOLOGICAL GAMBLING: BASIC, CLINICAL AND SERVICES RESEARCH Release Date: October 14, 1999 National Institute of Mental Health National Institute on Alcohol Abuse and Alcoholism National Institute on Drug Abuse Program Announcement PA-98-106, "Pathological Gambling: Basic, Clinical and Services Research," was published in the NIH Guide on September 16, 1998 and is located at http://grants.nih.gov/grants/guide/pa-files/PA-98-106.html http://grants.nih.gov/grants/funding/modular/modular.htm . Potential applicants are also encouraged to consider the array of NIH grant mechanisms which may be submitted at other regular receipt dates. Potential applicants are encouraged to contact program staff to discuss funding mechanisms. INQUIRIES For further information on program issues, please contact: Jim Breiling, Ph.D. Adult Psychopathology Branch Division of Mental Disorders, Behavioral Research and AIDS National Institute of Mental Health 6001 Executive Boulevard, Room 6179 Bethesda, MD 20892-9625 Telephone: 301-443-3527 Fax: 301-443-4611 Email: jbreilin@mail.nih.gov

39. Pathological Gambling - Wikipedia, The Free Encyclopedia pathological gambling, as defined by American Psychiatric Association is an impulse control disorder associated with gambling. http://en.wikipedia.org/wiki/Pathological_gambling

You did it! Over US$240,000 was donated in the 21 day fund drive. Thank you for your generosity! You are still welcome to make a donation or purchase Wikimedia merchandise Pathological gambling From Wikipedia, the free encyclopedia. It is requested that this article (or a section of this article) be expanded. See the request at Wikipedia:Requests for expansion or elsewhere on this talk page. Pathological gambling , as defined by American Psychiatric Association is an impulse control disorder associated with gambling . It is a chronic and progresive mental illness . It is estimated that 4-6% of gamblers are subject to the disease and that adolescents are three times more succeptible than adults. 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. This screen is undoubtedly the most cited instrument in psychological research liturature. A difficulty with treatment is recognition of the problem by the person, i.e., overcoming the denial. Treatment involves individual and group psychotherapy . There are self-support groups, such as

40. Beyond The Odds -- Screening For Pathological Gambling Short screening instruments for identifying pathological gambling can be useful in The lie/bet questionnaire for screening pathological gamblers. http://www.miph.org/gambling/bto/jun00/screen.html

June 2000 Screening for pathological gambling <10% in the general adult population). This test, like most gambling screens, would therefore not do very well in classifying as "positive" those who were pathological gamblers, but would do very well in classifying as "negative" those who were not pathological gamblers, since most people are not disordered gamblers.* DISEASE STATE 2-Item Outcome Pathological Gamblers Controls Positive True Positive: 190 False Positive: 16 Negative False Negative: 1 True Negative: 155 Sources: Psychological Reports, 80 Journal of Clinical Psychology, 44(6) Two-Question Assessment Tool Have you ever felt the need to bet more and more money? Have you ever had to lie to people important to you about how much you gamble? These two questions aid interviewers in identifying gambling problems. Answering "yes" to one or both questions classifies as a pathological gambler. Four-Question Assessment Tool Have you ever borrowed money in order to gamble or cover lost money? Have you ever thought you might have a gambling problem, or been told that you might? Have you ever been untruthful about the extent of your gambling, or hid it from others?

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