Behavioral Addictions

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Behavioral Addictions

Author : Kenneth Paul Rosenberg MD
Publisher : Academic Press
ISBN 13 : 0124078583
Total Pages : 415 pages
Book Rating : 4.1/5 (24 download)

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Book Synopsis Behavioral Addictions by : Kenneth Paul Rosenberg MD

Download or read book Behavioral Addictions written by Kenneth Paul Rosenberg MD and published by Academic Press. This book was released on 2014-02-17 with total page 415 pages. Available in PDF, EPUB and Kindle. Book excerpt: DSM-V broke new ground in May of 2013, designating a new disorder called "behavioral addiction." Clinicians immediately wanted to know: how is a behavioral addiction different from an impulse control disorder? What are the criteria for determining that some behaviors are addictions rather than impulses? What, if anything, does this mean in terms of effective treatment?Behavioral Addictions is the first and most authoritative text ever written on the subject of behavioral addictions. This comprehensive work explains the criteria used to determine addiction, the evidence for identifying assorted behaviors as addictions, and the evidence-based treatment for each.With contributions from preeminent experts covering an exhaustive list of behavioral addictions, this book is unique in its coverage of behavioral addictions, their criteria, and treatment. It is a valuable and timely resource for any clinician treating addictions. A guide to understanding the new DSM-V designation of behavioral addiction Defines the criteria for behavior to be considered an addiction designation Discusses the evidence for behaviors meeting addiction criteria Identifies what is now, likely will be, and is not a behavioral addiction per evidence Discusses behaviors formerly considered impulse control disorders Presents evidence-based treatment for each behavioral addiction

The Behavioral Addictions

Author : Edited by Michael S. Ascher M.D.
Publisher : American Psychiatric Pub
ISBN 13 : 1585624853
Total Pages : 240 pages
Book Rating : 4.5/5 (856 download)

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Book Synopsis The Behavioral Addictions by : Edited by Michael S. Ascher M.D.

Download or read book The Behavioral Addictions written by Edited by Michael S. Ascher M.D. and published by American Psychiatric Pub. This book was released on 2015-04-01 with total page 240 pages. Available in PDF, EPUB and Kindle. Book excerpt: The Behavioral Addictions provides a pragmatic and engaging guide to help clinicians understand and contextualize conditions that may not be clearly delineated in the DSM-5 diagnostic system. Although not accorded a specific classification, the behaviors addressed in this book share the accepted hallmarks of addiction—continued engagement in an action despite negative consequences and loss of control over one’s own life. The editors begin with an overview of the behavioral addictions from neurobiological, theoretical, clinical, and forensic perspectives and then present 12 case studies focused on a variety of behaviors, from exercising to Internet gaming and from kleptomania to tanning. These real-life case studies are both fascinating and instructive, and along with accompanying videos, they help trainees and practicing clinicians alike to digest current research and gain “hands-on” experience with the diagnosis and treatment of these conditions. In the realm of behavioral addictions, there is much work to be done: figuring out reliable diagnostic criteria, building useful assessment tools, and developing effective psychosocial and pharmacological treatments, to name a few critical tasks. The Behavioral Addictions is an indispensable, case-based resource to guide clinicians in this rapidly changing field.

The Cambridge Handbook of Substance and Behavioral Addictions

Author : Steve Sussman
Publisher : Cambridge University Press
ISBN 13 : 1108632246
Total Pages : 1413 pages
Book Rating : 4.1/5 (86 download)

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Book Synopsis The Cambridge Handbook of Substance and Behavioral Addictions by : Steve Sussman

Download or read book The Cambridge Handbook of Substance and Behavioral Addictions written by Steve Sussman and published by Cambridge University Press. This book was released on 2020-08-06 with total page 1413 pages. Available in PDF, EPUB and Kindle. Book excerpt: Written by leaders in the addictions field, 100 authors from six countries, this handbook is a thoroughly comprehensive resource. Philosophical and legal issues are addressed, while conceptual underpinnings are provided through explanations of appetitive motivation, incentive sensitization, reward deficiency, and behavioral economics theories. Major clinical and research methods are clearly mapped out (e.g. MRI, behavioral economics, interview assessments, and qualitative approaches), outlining their strengths and weaknesses, giving the reader the tools needed to guide their research and practice aims. The etiology of addiction at various levels of analysis is discussed, including neurobiology, cognition, groups, culture, and environment, which simultaneously lays out the foundations and high-level discourse to serve both novice and expert researchers and clinicians. Importantly, the volume explores the prevention and treatment of such addictions as alcohol, tobacco, novel drugs, food, gambling, sex, work, shopping, the internet, and several seldom-investigated behaviors (e.g. love, tanning, or exercise).

Substance and Behavioral Addictions

Author : Steve Sussman
Publisher : Cambridge University Press
ISBN 13 : 1316943054
Total Pages : 419 pages
Book Rating : 4.3/5 (169 download)

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Book Synopsis Substance and Behavioral Addictions by : Steve Sussman

Download or read book Substance and Behavioral Addictions written by Steve Sussman and published by Cambridge University Press. This book was released on 2017-02-06 with total page 419 pages. Available in PDF, EPUB and Kindle. Book excerpt: Substance and Behavioral Addictions: Concepts, Causes, and Cures presents the concepts, etiology, assessment, prevention, and cessation of substance (tobacco, alcohol, other drugs, and food) and behavioral (gambling, Internet, shopping, love, sex, exercise, and work) addictions. The text provides a novel and integrative appetitive motivation framework of addiction, while acknowledging and referencing multi-level influences on addiction, such as neurobiological, cognitive, and micro-social and macro-social/physical environmental. The book discusses concurrent and substitute addiction, and offers prevention and treatment solutions, which are presented from a more integrative perspective than traditional presentations. This is an ideal text for upper-level undergraduates and graduate students, practitioners, and researchers.

A Clinical Guide to Treating Behavioral Addictions

Author : Amanda L. Giordano, PhD, LPC
Publisher : Springer Publishing Company
ISBN 13 : 0826163173
Total Pages : 309 pages
Book Rating : 4.8/5 (261 download)

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Book Synopsis A Clinical Guide to Treating Behavioral Addictions by : Amanda L. Giordano, PhD, LPC

Download or read book A Clinical Guide to Treating Behavioral Addictions written by Amanda L. Giordano, PhD, LPC and published by Springer Publishing Company. This book was released on 2021-06-22 with total page 309 pages. Available in PDF, EPUB and Kindle. Book excerpt: Giordano, an established scholar in behavioral addictions, has provided a landmark clinical reference book. This text provides the quintessential guide to understanding process addictions with detailed attention to assessment and treatment that is unparalleled in the literature. This is a must-have book for every clinician. - Craig S. Cashwell, Ph.D., LPC, NCC, ACS, CSAT-S, Professor, William & Mary ”This groundbreaking text, A Clinical Guide to Treating Behavioral Addictions, is a must-read for counselors and educators alike. As a former addictions counselor, now counselor educator, I found the information in this text timely, relevant, and instrumental to the work of treating persons with behavioral addictions. This go-to resource will prove to be invaluable for years to come!” --Michael K. Schmit, PhD, LPC, Hazelden Betty Ford Graduate School of Addiction Studies An innovative new text addressing 11 behavioral addictions in detail with a focus on recent neuroscience. This practical, approachable guide for clinicians comprehensively covers an array of behavioral addictions ranging from internet gaming addiction and sex addiction, to social media addiction and food addiction. Each chapter answers foundational questions to inform clinical practice including: How do I conceptualize it?, How do I identify it?, How do I assess it?, How do I treat it?, and How do I learn more? &Through this innovative resource, clinicians will gain valuable knowledge regarding the conceptualization, identification, assessment, and treatment of behavioral addictions. Each chapter highlights the most current research related to specific behavioral addictions, provides a synthesis of recent neuroscience, and examines diverse treatment approaches to fit the widest range of clinical styles. In addition, this book describes the evolving definition of addiction, provides examples of how to advocate for clients with behavioral addictions, and devotes an entire chapter to understanding the neuroscience of addiction. This clinical reference book will help counselors provide compassionate, effective services to clients with a variety of behavioral addictions. Purchase includes digital access for use on most mobile devices or computers. Key Features: Offers “Voices from the Field” sections in which clinicians describe their experiences working with each behavioral addiction Includes a chapter completely devoted to the neuroscience of addiction in addition to a synthesis of recent neuroscience in each chapter Synthesizes current research to aid in clinical conceptualizations Describes useful assessment instruments and how to access them Presents a wide range of treatment approaches and 12-step program options Provides abundant resources for further study

Behavioral Addictions

Author : Nancy M. Petry
Publisher : Oxford University Press, USA
ISBN 13 : 0199391548
Total Pages : 257 pages
Book Rating : 4.1/5 (993 download)

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Book Synopsis Behavioral Addictions by : Nancy M. Petry

Download or read book Behavioral Addictions written by Nancy M. Petry and published by Oxford University Press, USA. This book was released on 2015-09-02 with total page 257 pages. Available in PDF, EPUB and Kindle. Book excerpt: This book explains the rationale for changes in the DSM-5(R) related to incorporating behavioral addictions alongside substance use disorders; it also illuminates the significance of including the construct of behavioral addictions in this widely used psychiatric diagnostic manual. The chapters herien describe eight behaviors often considered addictions, including gambling disorder, internet gaming disorder, internet addiction, food addiction, hypersexuality, shopping addiction, exercise addiction, and tanning addiction. Also examined are prevalence rates in epidemiological samples, risk factors, and promising treatment approaches. The result is an easy-to-use resource and guide for clinicians, students, and researchers.

Mindfulness and Acceptance for Addictive Behaviors

Author : Steven C. Hayes
Publisher : New Harbinger Publications
ISBN 13 : 1608822184
Total Pages : 453 pages
Book Rating : 4.6/5 (88 download)

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Book Synopsis Mindfulness and Acceptance for Addictive Behaviors by : Steven C. Hayes

Download or read book Mindfulness and Acceptance for Addictive Behaviors written by Steven C. Hayes and published by New Harbinger Publications. This book was released on 2012-11-01 with total page 453 pages. Available in PDF, EPUB and Kindle. Book excerpt: As a clinician or researcher in the field of mental health or addictions, this book will offer you powerful insight into how acceptance and mindfulness-based interventions are being successfully used to treat a variety of addictive behaviors, ranging from substance abuse to gambling addiction. Edited by Steven C. Hayes, a founder of acceptance and commitment therapy (ACT) and a world renowned authority on mindfulness-based therapy, Mindfulness and Acceptance for Addictive Behaviors features chapters by leading substance abuse and addiction researchers. Each article illuminates the mindfulness and acceptance-based treatments that work best for particular addictive behaviors, reviews empirical data, and discusses future directions for research and treatment applications. An essential resource for mental health and addictions professionals, researchers, and students interested in the most effective treatments for addiction, this book will dramatically impact the way addictions of all kinds are viewed and addressed in therapy. In this book, you will learn to apply mindfulness and acceptance to help patients with: Alcoholism Substance abuse Smoking cessation Gambling addiction Pornography addiction Binge eating Detoxification Self-stigma and shame The Mindfulness and Acceptance Practica Series As mindfulness and acceptance-based therapies gain momentum in the field of mental health, it is increasingly important for professionals to understand the full range of their applications. To keep up with the growing demand for authoritative resources on these treatments, The Mindfulness and Acceptance Practica Series was created. These edited books cover a range of evidence-based treatments, such as acceptance and commitment therapy (ACT), cognitive behavioral therapy (CBT), compassion-focused therapy (CFT), dialectical behavioral therapy (DBT), and mindfulness-based stress reduction (MBSR) therapy. Incorporating new research in the field of psychology, these books are powerful tools for mental health clinicians, researchers, advanced students, and anyone interested in the growth of mindfulness and acceptance strategies.

Principles of Addiction

Author :
Publisher : Academic Press
ISBN 13 : 0123983614
Total Pages : 958 pages
Book Rating : 4.1/5 (239 download)

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Book Synopsis Principles of Addiction by :

Download or read book Principles of Addiction written by and published by Academic Press. This book was released on 2013-05-17 with total page 958 pages. Available in PDF, EPUB and Kindle. Book excerpt: Principles of Addiction provides a solid understanding of the definitional and diagnostic differences between use, abuse, and disorder. It describes in great detail the characteristics of these syndromes and various etiological models. The book's three main sections examine the nature of addiction, including epidemiology, symptoms, and course; alcohol and drug use among adolescents and college students; and detailed descriptions of a wide variety of addictive behaviors and disorders, encompassing not only drugs and alcohol, but caffeine, food, gambling, exercise, sex, work, social networking, and many other areas. This volume is especially important in providing a basic introduction to the field as well as an in-depth review of our current understanding of the nature and process of addictive behaviors. Principles of Addiction is one of three volumes comprising the 2,500-page series, Comprehensive Addictive Behaviors and Disorders. This series provides the most complete collection of current knowledge on addictive behaviors and disorders to date. In short, it is the definitive reference work on addictions. Each article provides glossary, full references, suggested readings, and a list of web resources Edited and authored by the leaders in the field around the globe – the broadest, most expert coverage available Encompasses types of addiction, as well as personality and environmental influences on addiction

Irresistible

Author : Adam Alter
Publisher : Penguin
ISBN 13 : 0735222843
Total Pages : 370 pages
Book Rating : 4.7/5 (352 download)

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Book Synopsis Irresistible by : Adam Alter

Download or read book Irresistible written by Adam Alter and published by Penguin. This book was released on 2018-03-06 with total page 370 pages. Available in PDF, EPUB and Kindle. Book excerpt: “Irresistible is a fascinating and much needed exploration of one of the most troubling phenomena of modern times.” —Malcolm Gladwell, author of New York Times bestsellers David and Goliath and Outliers “One of the most mesmerizing and important books I’ve read in quite some time. Alter brilliantly illuminates the new obsessions that are controlling our lives and offers the tools we need to rescue our businesses, our families, and our sanity.” —Adam Grant, New York Times bestselling author of Originals and Give and Take Welcome to the age of behavioral addiction—an age in which half of the American population is addicted to at least one behavior. We obsess over our emails, Instagram likes, and Facebook feeds; we binge on TV episodes and YouTube videos; we work longer hours each year; and we spend an average of three hours each day using our smartphones. Half of us would rather suffer a broken bone than a broken phone, and Millennial kids spend so much time in front of screens that they struggle to interact with real, live humans. In this revolutionary book, Adam Alter, a professor of psychology and marketing at NYU, tracks the rise of behavioral addiction, and explains why so many of today's products are irresistible. Though these miraculous products melt the miles that separate people across the globe, their extraordinary and sometimes damaging magnetism is no accident. The companies that design these products tweak them over time until they become almost impossible to resist. By reverse engineering behavioral addiction, Alter explains how we can harness addictive products for the good—to improve how we communicate with each other, spend and save our money, and set boundaries between work and play—and how we can mitigate their most damaging effects on our well-being, and the health and happiness of our children. Adam Alter's previous book, Drunk Tank Pink: And Other Unexpected Forces that Shape How We Think, Feel, and Behave is available in paperback from Penguin.

Impulsivity and Compulsivity

Author : John M. Oldham
Publisher : American Psychiatric Pub
ISBN 13 : 9780880486767
Total Pages : 314 pages
Book Rating : 4.4/5 (867 download)

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Book Synopsis Impulsivity and Compulsivity by : John M. Oldham

Download or read book Impulsivity and Compulsivity written by John M. Oldham and published by American Psychiatric Pub. This book was released on 1996 with total page 314 pages. Available in PDF, EPUB and Kindle. Book excerpt: Traditionally, impulsive and compulsive behaviors have been categorized as fundamentally distinct. However, patients often exhibit both of these behaviors. This common comorbidity has sparked renewed interest in the factors contributing to the disorders in which these behaviors are prominent. Impulsivity and Compulsivity applies a provocative spectrum model to this psychopathology. The spectrum model is consistent with a dimensional model for psychopathology and considers the dynamic interaction of biopsychosocial forces in the development of impulsive and compulsive disorders. In this important work on impulsive/compulsive psychopathology, leading researchers and clinicians share their expertise on the phenomenological, biological, psychodynamic, and treatment aspects of these disorders. Differential diagnosis, comorbidity of the impulsive-compulsive spectrum of disorders, and assessment by the seven-factor model of temperament and character are discussed. Chapters are also dedicated to the antianxiety function of impulsivity and compulsivity, defense mechanisms in impulsive disorders versus obsessive-compulsive disorders, and the unique aspects of psychotherapy with impulsive and compulsive patients. Clinical researchers and clinicians will be enlightened by this exceptional work. The information provided is supplemented with clinical vignettes, and the final chapter provides a synthetic summary that offers a unified, dynamic approach to impulsive and compulsive behavior.

Why Can't I Stop?

Author : Jon E. Grant
Publisher : Johns Hopkins University Press
ISBN 13 : 9781421419664
Total Pages : 0 pages
Book Rating : 4.4/5 (196 download)

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Book Synopsis Why Can't I Stop? by : Jon E. Grant

Download or read book Why Can't I Stop? written by Jon E. Grant and published by Johns Hopkins University Press. This book was released on 2016-06-01 with total page 0 pages. Available in PDF, EPUB and Kindle. Book excerpt: A life-changing book for anyone caught in the whirlpool of a behavioral addiction. At some point in our lives, we all engage in behaviors that are risky, irrational, or unwise. We might find it exciting and temporarily rewarding to gamble on the lottery or impulsively buy an expensive gadget. But just as substances like alcohol and narcotics have the potential to become addictive, so do certain behaviors. A person addicted to gambling, shopping, the internet, food, or picking at their skin may suffer shame in the shadows while their behavior consumes time and energy and disrupts their life. Some people with behavioral addictions lose their family, job, savings, and home. With a physical basis in the brain, behavioral addictions are serious illnesses—but simply willing yourself to stop is usually not enough. Why Can't I Stop? is for anyone who has a behavioral addiction, as well as their supportive families and friends. Examining seven of the most common and serious addictions—gambling, sex, stealing, internet use, shopping and buying, hair pulling and skin picking, and food—the authors bring together cutting-edge research to describe behavioral addiction, its causes, and how it can be diagnosed and treated. Featuring patient stories of behavioral addiction and recovery, as well as information about treatment centers, this compassionate guide will help readers better understand the complicated issues surrounding these addictions and teach family members how to help the addicted person while helping themselves.

Treatment Strategies for Substance Abuse and Process Addictions

Author : Robert L. Smith
Publisher : John Wiley & Sons
ISBN 13 : 111909836X
Total Pages : 347 pages
Book Rating : 4.1/5 (19 download)

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Book Synopsis Treatment Strategies for Substance Abuse and Process Addictions by : Robert L. Smith

Download or read book Treatment Strategies for Substance Abuse and Process Addictions written by Robert L. Smith and published by John Wiley & Sons. This book was released on 2015-03-05 with total page 347 pages. Available in PDF, EPUB and Kindle. Book excerpt: This distinctive and timely text examines the most prevalent substance and process addictions and focuses on current research and evidence-based treatment strategies. Major substance addictions discussed include alcohol, tobacco, marijuana, methamphetamines, and prescription drugs. Complete chapters are also devoted to the most frequently cited process addictions, making this text unique. Behavioral addictions covered in this text include pathological gambling, sex disorders, disordered eating, work, exercise, shopping, and Internet/gaming. Each chapter contains a listing of student learning outcomes, a case study with reflective questions, techniques for assessment and diagnosis, inpatient and outpatient treatment approaches, and resources for further study. With its emphasis on treatment strategies, this text can be used by practitioners as well as by professors in the classroom in introductory courses in addictions or in subsequent courses that focus on treatment strategies. *Requests for digital versions from the ACA can be found on wiley.com. *To request print copies, please visit the ACA website here. *Reproduction requests for material from books published by ACA should be directed to [email protected].

Cognitive-Behavioral Therapy of Addictive Disorders

Author : Bruce S. Liese
Publisher : Guilford Publications
ISBN 13 : 1462548849
Total Pages : 306 pages
Book Rating : 4.4/5 (625 download)

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Book Synopsis Cognitive-Behavioral Therapy of Addictive Disorders by : Bruce S. Liese

Download or read book Cognitive-Behavioral Therapy of Addictive Disorders written by Bruce S. Liese and published by Guilford Publications. This book was released on 2022-05-05 with total page 306 pages. Available in PDF, EPUB and Kindle. Book excerpt: Grounded in decades of CBT research and clinical practice, as well as cutting-edge cognitive science, this book provides critical tools for understanding and treating the full range of addictive behaviors. Bruce S. Liese and Aaron T. Beck explain how to systematically develop case conceptualizations and support clients in achieving their recovery goals. The authors use vivid case examples to illustrate CBT techniques, structure, psychoeducation, motivational interviewing, group treatment, relapse prevention, and other effective therapeutic components. Several reproducible forms can be downloaded and printed in a convenient 8 1/2" x 11" size. Reflecting nearly 30 years of important advances in the field, this entirely new book replaces the authors' classic Cognitive Therapy of Substance Abuse.

Gambling Disorder

Author : Andreas Heinz
Publisher : Springer
ISBN 13 : 3030030601
Total Pages : 320 pages
Book Rating : 4.0/5 (3 download)

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Book Synopsis Gambling Disorder by : Andreas Heinz

Download or read book Gambling Disorder written by Andreas Heinz and published by Springer. This book was released on 2019-01-05 with total page 320 pages. Available in PDF, EPUB and Kindle. Book excerpt: This book provides an overview of the state of the art in research on and treatment of gambling disorder. As a behavioral addiction, gambling disorder is of increasing relevance to the field of mental health. Research conducted in the last decade has yielded valuable new insights into the characteristics and etiology of gambling disorder, as well as effective treatment strategies. The different chapters of this book present detailed information on the general concept of addiction as applied to gambling, the clinical characteristics, epidemiology and comorbidities of gambling disorder, as well as typical cognitive distortions found in patients with gambling disorder. In addition, the book includes chapters discussing animal models and the genetic and neurobiological underpinnings of the disorder. Further, it is examining treatment options including pharmacological and psychological intervention methods, as well as innovative new treatment approaches. The book also discusses relevant similarities to and differences with substance-related disorders and other behavioral addictions. Lastly, it examines gambling behavior from a cultural perspective, considers possible prevention strategies and outlines future perspectives in the field.

Managing Addictions

Author : F. Michler Bishop
Publisher : Rowman & Littlefield
ISBN 13 : 0765702673
Total Pages : 504 pages
Book Rating : 4.7/5 (657 download)

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Book Synopsis Managing Addictions by : F. Michler Bishop

Download or read book Managing Addictions written by F. Michler Bishop and published by Rowman & Littlefield. This book was released on 2001 with total page 504 pages. Available in PDF, EPUB and Kindle. Book excerpt: This volume offers a range of techniques designed to address the complexity of treating addictive disorders. Understanding that one form of treatment will not work for all patients, Dr Bishop stresses the need for therapists to be flexible and to consider a variety of perspectives.

Impulse Control Disorders

Author : Jon E Grant
Publisher : W. W. Norton & Company
ISBN 13 : 9780393705218
Total Pages : 234 pages
Book Rating : 4.7/5 (52 download)

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Book Synopsis Impulse Control Disorders by : Jon E Grant

Download or read book Impulse Control Disorders written by Jon E Grant and published by W. W. Norton & Company. This book was released on 2008-01-29 with total page 234 pages. Available in PDF, EPUB and Kindle. Book excerpt: The first comprehensive and clinically oriented guide to "the new addictions." Impulse control disorders such as gambling and risky sexual behavior are increasingly recognized as treatable forms of addictions. This is the first comprehensive book on the topic for clinicians, providing clear clinical guidance on assessment, diagnosis, treatment, and follow-up.

Substance and Non-substance Addiction

Author : Xiaochu Zhang
Publisher : Springer
ISBN 13 : 9811055629
Total Pages : 357 pages
Book Rating : 4.8/5 (11 download)

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Book Synopsis Substance and Non-substance Addiction by : Xiaochu Zhang

Download or read book Substance and Non-substance Addiction written by Xiaochu Zhang and published by Springer. This book was released on 2017-11-02 with total page 357 pages. Available in PDF, EPUB and Kindle. Book excerpt: This book focuses on the similarities and differences between substance and non-substance addictions. It discusses in detail the mechanisms, diagnosis and treatment of substance and non-substance addictions, and addresses selected prospects that will shape future studies on addiction. Addiction is a global problem that costs millions of lives tremendous damage year after year. There are mainly two types of addition: substance addiction (e.g., nicotine, alcohol, cannabis, heroin, stimulants, etc.) and non-substance addiction (e.g., gambling, computer gaming, Internet, etc.). Based on existing evidence, both types of addiction produce negative impacts on individuals’ physical, mental, social and financial well-being, and share certain common mechanisms, which involve a dysfunction of the neural reward system and specific gene transcription factors. However, there are also key differences between these two types of addiction. Covering these aspects systematically, the book will provide researchers and graduate students alike a better understanding of drug and behavioral addictions.