Wednesday 23 March 2016

March Madness and Gambling Addicts Are Often At Odds

We’re nearly halfway through NCAA® March Madness® tournament. The excitement is ramping up as the team in the Sweet Sixteen prepare for the next round. Those whose brackets aren’t already busted are anxiously waiting to see if their picks will help them reign supreme over their friends and co-workers, and maybe even allow them to take home a cash prize.

But some people—an estimated 6 million in fact— might instead be anxiously waiting for the tournament to be over. They are the people who struggle with pathological gambling addictions. For them, this time of year presents an overabundance of challenges and triggers. While many of us are cheering our teams on the road to the Final Four, they are fighting to stay on the road to recovery.

While participating in your friends’ or co-workers’ NCAA bracket pool doesn’t necessarily put you on the path to addiction, many problem gamblers did experience their first gambling-related rush from participating in a March Madness tournament bracket pool or purchasing a Super Bowl square. They are likely to have been introduced to these forms of gambling as teenagers by family members and middle school or high school classmates.

This may partially explain why the rate of gambling addiction is actually higher among young adults and adolescents. According to U.S. News and World Report, the rate of young adults addicted to gambling is up to four times as high as the adult rate, and 4 to 7 percent of college students meet the criteria for pathological gambling. However, it’s important to remember that gambling addiction can affect almost anyone, of any age, at any time—even if they are not entirely new to gambling.

Gambling Addiction and Its Consequences

Those who are addicted to gambling feel an uncontrollable urge to place bets, visit casinos, use Internet gambling sites, and/or buy lottery tickets in spite of the negative ways their behavior is affecting their lives and the lives of their loved ones. An untreated gambling disorder can lead to devastating personal debt and bankruptcies, and even prison time if the addicted person turns to stealing or fraud to support their gambling habits.

For those who are prone to addiction, gambling starts out as just another recreational activity but soon triggers strong, uncontrollable biological and psychological responses. Similarly to other forms of addiction, people who develop compulsive gambling behaviors tend to be those who feel disconnected in personal relationships, disconnected from a higher purpose, depressed, isolated and/or anxious. As a matter of fact, most pathological gamblers—68 percent, according to the Journal of Clinical Psychology—also have more than one addiction, often to alcohol and drugs. Another study found that people who struggle with both problem gambling and substance abuse were also more likely to have issues with sexual compulsivity and to have attempted suicide.
This suggests that gambling addiction can be a sign of a very complex set of intermingling behavioral health issues. If you or someone you know seems to be struggling with a gambling addiction, it’s important to seek out a high-quality, comprehensive treatment program right away.

Signs of Gambling Addiction and Treatment

The DSM-5 lists nine criteria for determining whether someone has a gambling disorder:
  • Needs to gamble with increasing amounts of money to achieve the desired excitement.
  • Is restless or irritable when attempting to cut down or stop gambling.
  • Has made repeated unsuccessful efforts to control, cut back, or stop gambling.
  • Is often preoccupied with gambling (e.g., having persistent thoughts of reliving past gambling experiences, handicapping or planning the next venture, thinking of ways to get money with which to gamble).
  • Often gambles when feeling distressed (e.g., helpless, guilty, anxious, depressed).
  • After losing money gambling often returns another day to get even (“chasing” one’s losses).
  • Lies to conceal the extent of involvement with gambling.
  • Has jeopardized or lost a significant relationship, job, or educational or career opportunity because of gambling.
  • Relies on others to provide money to relieve desperate financial situations caused by gambling

Get Help For Gambling Addiction

Since gambling addiction so often coincides with one or more additional addictions—drugs, alcohol, sex, etc.—it’s important to seek a treatment program that can address multiple conditions at the same time. Our staff spends time with each patient to develop a highly-individualized treatment program based on a thorough assessment of his or her primary and secondary conditions, and on releasing the hidden trauma at the heart of them all. Call our intake coordinators today at 800-244-4949 or contact us online to find out if one of our Meadows Behavioral Healthcare programs is right for you.

Tuesday 8 March 2016

Why Wasn’t I Enough? My Experience of Working with Partners of Sex Addicts

Finding out that your committed partner has sexually betrayed you is like: getting your heart ripped out, stomped on, thrown through a glass window, spit on, and perhaps lastly, smothered with gasoline and set on fire. Then, your partner asks you to forgive him or her; and you don't think you could ever be more furious and disgusted.
This is a common experience for the Partners of Sexual Addicts that I work with on a weekly basis at The Meadows. The stories and behaviors may be different but the underlying foundation of the damage is always Betrayal. Emotional, Physical, Sexual, and Financial betrayal is devastating and gut-wrenchingly painful for a partner who had dreams and hopes of having a healthy and committed relationship. Those dreams are now shattered and the Partner is left with the questions of "Why wasn't I enough?", "How could they do this to me?"; and "Where do I go from here?"
Sexual Addiction stems from a deep rooted intimacy and attachment disorder that often starts within childhood, teenage, or young adult years. Many of the patients I work with at The Meadows have been engaging in some type of dysfunctional, sexual fantasies, thoughts, and/or behaviors since they could remember, far before ever meeting their current partner or spouse. Sexual Addiction thrives off of Shame. Often times the addict's shame, due to their behaviors and lies, will be deflected or projected onto the partner and they are the ones that have to carry it.
Because sexuality and being sexual is so important and integral in intimate coupleships, when that is destroyed or taken outside the primary relationship, the partner has no choice but to take it personally and look at it as an attack on themselves and who they are or are not. Many spouses that I speak with will say to me, "Why wasn't I attractive enough, sexual enough, loved enough to keep him/her with me?" My message to them is: "If there is one thing I want you to learn this week, it is that this had nothing to do with what you have or have not done".
So if the partner did not cause the addiction and is not an addict themselves then why be a part of the patient's treatment and come to Family Week? I often hear from partners: "He is the sick one! He gets to go and get help and leave me here at home with the chaos and damage that he created! And now he is asking me to drop everything and come to Arizona for a week to help him?" My reply is: "Come here for YOU."
Within the Family Week program, partners are given resources and tools to start to stand on solid ground. Family Week is NOT about reconciliation, fixing the problem or hearing an excuse about why the patient acted out. The week long program is designed around boundary setting and healthy communication that allow the partner to be heard and protected.
Being betrayed will undoubtedly, for most partners, contribute to feelings of shame and worthlessness that creates a deep, dark wound within them. The Meadows and Pia Mellody define Trauma as "Anything less than nurturing". Sexual betrayal would obviously fit into this category based on the definition and many partners experience symptoms of trauma such as hypervigilance, despair, flashbacks and nightmares, among other experiences. The shame and trauma need to be addressed for the partner to start to heal that wound. Even if the partner decides to move on from that relationship he or she will continue to be plagued in life and through other relationships if not addressed.
Through my work at The Meadows, I have seen amazing growth and strength in men and women who thought that they could have never dug themselves out of the dark hole that sexual addiction created. Recovery work, for both the addict and partner, instills hope, perseverance, and self-worth that they thought they had lost. The Meadows Workshops such as Partners of Sex Addicts, Survivors, and Women's Intimacy Issues are great resources to help partners to gain awareness, understanding, and tools to help themselves and their families.
Lauren Bierman is a Family Counselor at the Meadows working with the Sex Addiction population. She is a Licensed Associate Counselor and has been trained through Patrick Carnes and IITAP's Certified Sex Addiction Therapist (CSAT) program. Her passion is working with Partners of Sex Addicts in their own healing process and helping them find hope after sexual betrayal.