In Italy, the Pathological Gambling Disorder (PGD), categorized by DSM-5 as a pathological addiction, has reached alarming levels. For some time it has been quite clear that this disorder is the result of the intertwining of several variables: genetic, bio-temperamental, psychological-cognitive, and socio-environmental. The guidelines developed by countries who have long been concerned with this issue and the international literature consider the cognitive-behavioral approach the most effective (and indeed the most studied) for the treatment of PGD. Essential elements of this treatment include the motivational interview, psychoeducation, individual or group psychotherapy aimed at correcting erroneous beliefs on gambling and more generally in cognitive restructuring, social deployment skills and coping, a restructuring of the lifestyle system (up to that point based on gambling behavior), and finally the relapse prevention. Such treatment is intended to be supplemented with drug therapy, if necessary, with intervention on the family, possibly in collaboration with other spatial services.
Keywords: Gambling Disorder; Cognitive-Behavioral Therapy; Craving; Cognitive Distortions; Relapse Prevention.