Document Detail

The impact of comorbidity on the management of pathological gambling.
MedLine Citation:
PMID:  16041292     Owner:  NLM     Status:  MEDLINE    
A 30-year-old woman with severe pathological gambling and cyclothymia presented to our program with no previous history of pharmacologic or psychotherapeutic treatment. Pathological gambling is an impulse -control disorder not otherwise specified (Diagnostic and Statistical Manual of Mental Disorders, Fourth Edition) in which comorbidity is common, particularly with substance abuse, obsessive-compulsive disorder and mood disorders. As described in this case, pathological gamblers with bipolar comorbidity may be effectively treated with mood stabilizers such as lithium. After receiving 10 weeks of lithium treatment, the patient showed improvement in both gambling behavior and affective instability. The identification of specific subtypes among patients with pathological gambling may be relevant to the choice of pharmacologic treatment.
Bernardo Dell'Osso; Eric Hollander
Publication Detail:
Type:  Case Reports; Journal Article; Research Support, N.I.H., Extramural; Research Support, Non-U.S. Gov't; Research Support, U.S. Gov't, P.H.S.    
Journal Detail:
Title:  CNS spectrums     Volume:  10     ISSN:  1092-8529     ISO Abbreviation:  CNS Spectr     Publication Date:  2005 Aug 
Date Detail:
Created Date:  2005-07-25     Completed Date:  2005-11-10     Revised Date:  2006-11-15    
Medline Journal Info:
Nlm Unique ID:  9702877     Medline TA:  CNS Spectr     Country:  United States    
Other Details:
Languages:  eng     Pagination:  619-21     Citation Subset:  IM    
Department of Psychiatry, Mount Sinai School of Medicine, New York, NY 10029, USA.
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MeSH Terms
Drug Administration Schedule
Gambling / psychology*
Impulse Control Disorders / drug therapy*,  epidemiology*
Lithium Carbonate / administration & dosage,  therapeutic use*
Obsessive-Compulsive Disorder / drug therapy*,  epidemiology*
Reg. No./Substance:
554-13-2/Lithium Carbonate

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