Mdedge Psychcast

MDedge Psychiatry live Twitter chat on the aftermath of losing a patient to suicide. April 24th, 6 - 7 p.m. EST. @MDedgePsych, #MDedgeChats Episode 54 Donald Black, MD, gives a masterclass lecture on behavioral addictions and Renee Kohanski talks about what normal is.  Show Notes By Jacquiline Posada, MD. Gambling disorder (previously pathological gambling) is widespread, though not commonly assessed Patients may not volunteer information related to gambling unless asked, so questions about gambling should be included in routine questioning Assessment should include questions about legal and illegal gambling Explore extent: Ask about the level of financial burden; impact on home life, such as marital problems and divorce; legal complications like bankruptcy. Finally, ask about suicide risk related to gambling  Treatment: There is strong data for SSRI medications and naltrexone for urges Therapy is more efficacious, such as CBT therapy and Gamblers Anonymous  In certain states, such as Io