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Some experts maintain that casinos in general arrange for self-exclusion programs as a public relations measure without actually helping many of those with problem gambling issues. A study by Wendy Slutske of the University of Missouri concluded one-third of pathological gamblers overcome it by natural recovery. Additionally, for patients with both pathological gambling and a comorbid bipolar spectrum condition, sustained-release lithium has shown efficacy in a preliminary trial. In general, behavior analytic research in this area is growing There is evidence that the SSRI paroxetine is efficacious in the treatment of pathological gambling. As to behavioral treatment, some recent research supports the use of both activity scheduling and desensitization in the treatment of gambling problems.
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