IndividualizIndividualizIndividualized Ted Ted Trrreaeaeatmentmentment t t    
         for Pfor for PPrrroblem Gamblersooblem Gamblersblem Gamblers
             PPaatientient Wt Workbookorkbook
       UCLAUCLA
               Gambling studies prGambling studies progrograamm
       California Alcohol and Drug ProgramCalifornia Alcohol and Drug Program
                Office of Problem GamblingOffice of Problem Gambling
     IndividualizIndividualizeed Td Trreeaattment ment   
       ffor Problem Gor Problem Gaamblersmblers
              Prepared by:
             Timothy W. Fong M.D.
            Richard J. Rosenthal M.D.
           UCLA Gambling Studies Program
              Sponsored by:
        California Office of Problem and Pathological Gambling
          Department of Alcohol and Drug Programs,
             State of California
               Version 1
              March 2009
         Table of Contents
       Introduction...............................................................................1
       Session 1: Assessment...............................................................6
       Session 2: Dealing With Consequences....................................15
       Session 3: Why it’s so hard to stop............................................20
       Session 4: Dealing With Urges and Triggers............................25
       Session 5: Lifestyle Changes.....................................................31
       Session 6: Preventing Relapses.................................................35
       Appendix....................................................................................38
       Acknowledgements...................................................................45
       Disclaimer for Patient CBT Workbook:
       This Patient Cognitive Behavioral Therapy (CBT) Workbook is designed to assist problem and  patho-
       logical gamblers in addressing negative consequences and issues that have occurred because of 
       gambling.  This preliminary publication should be used in conjunction with the corresponding 
       Therapist manual.  In addition, the workbook should also be used in the presence of and under the 
       guidance of a licensed treatment provider.  It is not intended to be used as a self-help workbook.  This 
       workbook is currently being evaluated for effectiveness and the results will be made available 
       through the Office of Problem Gambling.  There is no representation, warranty, or guarantee that this 
       compilation is error-free.
                                                                                                                           
                 Goals: 
                        To learn about this treatment program 
                        To learn about pathological gambling 
                  
                 Overview of the Program 
                  
                 This manualized treatment program has been designed to help pathological gamblers.  This 
                 program has been specifically designed to address the concerns that you, the patient, have 
                 about your gambling and its consequences. The first session, which you will complete today, 
                 will help you and your therapist analyze your gambling behaviors in detail. 
                  
                 This book is divided into 6 visits, each offering information and exercises that concern 
                 different aspects of your life as it relates to gambling. After each session there will be 
                 homework assignments to complete before the next visit. These homework assignments 
                 have a specific purpose. The assignments provide structure in your recovery to help to keep 
                 you focused on your treatment goals.  In addition, the assignments reinforce information and 
                 techniques learned in the previous visit and prepare you for the work to be done in the next 
                 session. 
                  
                 At the end of the 6 sessions, you will have learned some of the basic techniques and the 
                 general strategies needed to control your gambling and deal with the consequences that 
                 were caused by it.   Once you have completed this manual with your therapist, it is highly 
                 recommended that you continue with professional treatment.   By no means is this manual 
                 the end of treatment, instead, it is an introduction to the recovery process.
                 1