The Behavioral Addictions is the first American Psychiatric
Publishing title to explore the diagnosis and treatment of patients
who suffer from behavioral addictions, extreme forms of which share
specific characteristics with severe forms of substance use
disorders. These characteristics include tolerance (the need to use
the substance or perform the troublesome behavior at higher doses,
or more and more frequently, in order to achieve the same effect);
withdrawal (feelings of restlessness, irritability, and discontent
following abrupt discontinuation of the substance or the behavior);
obsessive thinking and planning that block out anything other than
obtaining or engaging in the addictive agent or behavior; and
accompanying external consequences in related to finances, health,
interpersonal relationships, legal affairs, etc. Although not all
behavioral addictions are currently recognized as such by DSM-5,
both substances and behaviors can hijack a person's
pleasure-and-reward brain circuitry, causing great suffering. This
case-based volume is practical and engaging and offers many
features that make it not only informative but also accessible and
entertaining: * Behaviors covered, both those widely recognized and
those less commonly accepted, involve exercise, food, gambling,
Internet gaming, Internet surfing, kleptomania, love, sex,
shopping, work, tanning, and e-mailing/texting.* Introductory
chapters discuss the relationship of behavioral or process
addictions to substance use disorders across many spheres, and they
provide an overview of the behavioral addictions from
neurobiological, theoretical, clinical, and forensic perspectives.*
Gambling disorder is now classified in DSM-5 as a behavioral
addiction, lending credence to the construct of behavioral
addictions and providing precedent for future consideration of
other behavioral addictions, such as those highlighted in the
volume. * Each chapter focuses on a real-life case study of a
patient with a behavioral addiction. Videos that accompany the
volume demonstrate encounters between a clinician and a patient
exhibiting an addiction. This puts material on assessment,
treatment, etc. into a real-world context.* Key points for review
and multiple-choice questions are included at the end of each
chapter. Not simply an exaggeration of everyday social and personal
ailments, these behavioral conditions present clinicians with
unique and poorly researched challenges in everyday clinical
practice. The Behavioral Addictions helps the reader to determine
not only where to draw the line between healthy and unhealthy
levels of participation in a behavior, but also how to intervene in
ways that are therapeutic, effective, and evidence-based.
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