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Transcranial Direct Current Stimulation for Online Gamers

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Exposure therapy for problem gambling via Videoconferencing: a case report.

Jane Oakes¹, Malcolm W Battersby, Rene G Pols

¹Flinders Therapy Service for Problem Gamblers, Centre for Anxiety & Related Disorders, Flinders Medical Centre, Flinders University, Bedford Park, 5042, South Australia. jane.oakes@fmc.sa.gov.au

Journal of Gambling Studies

|September 12, 2007

Summary

This case report shows that exposure therapy (ET) via videoconferencing effectively treated pathological gambling in a rural patient. The treatment, supported by a therapy assistant, demonstrated lasting results over a four-year follow-up period.

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Area of Science:

Psychiatry
Psychology
Telemedicine

Background:

Pathological gambling is a significant mental health issue, particularly in rural areas with limited access to specialized treatment.
Traditional exposure therapy (ET) can be effective but faces logistical challenges for remote patients.

Observation:

A 31-year-old woman presented with uncontrollable urges to gamble on electronic gaming machines.
Treatment involved exposure therapy (ET) delivered via videoconferencing, with a clinical therapy assistant providing support.

Findings:

Six sessions of videoconferenced ET resulted in successful treatment of pathological gambling.
The treatment demonstrated effectiveness with a four-year follow-up, indicating long-term positive outcomes.
Videoconferencing facilitated ongoing client follow-up and provided education/support for rural healthcare professionals.

Implications:

Videoconferencing is a viable and effective modality for delivering mental health treatment, such as ET, to patients in rural settings.
This approach can improve access to care for individuals with problem gambling who face geographical barriers.
The model supports community mental health nurses and therapy assistants in rural areas, enhancing their capacity to treat complex conditions.