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But what about the children?

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CA Problem Gambling Training Summit 2019

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But what about the children?

  1. 1. But what about the children? Linda Graves, PsyD, NCGC-II Linda@calpg.org 916-663-8714 Welcome
  2. 2. Re-sil-ience: • The ability to become strong, healthy, or successful again after something bad happens. • The ability of something to return to its original shape after it has been pulled, stretched, pressed, bent, etc. • An ability to recover from or adjust easily to misfortune or change. Merriam-Webster on-line: http://www.merriam-webster.com/dictionary/resilience 2 Resilience
  3. 3. Reward Deficiency Syndrome Dopamine controls feelings of well-being. Reward deficiency Syndrome is the impairment of the brain reward circuitry that results in hypo-dopaminergic function, producing abnormal craving behaviors.
  4. 4. Brain reward cascade Serotonin stimulates the hypothalamus enkephalin. enkephalin messages the substancia nigra to GABA. GABA the dopamine (DA) released at the nucleus accumbens, “reward” site, well-being & stress. Reward deficiency syndrome: a biogenetic model for the diagnosis and treatment of impulsive, addictive, and compulsive behaviors. Blum K, Braverman ER, Holder JM, Lubar JF, Monastra VJ, Miller D, Lubar JO, Chen TJ, Comings DE.. J Psychoactive Drugs. 2000 Nov;32 Suppl:i-iv, 1-112. Review. PMID: 11280926
  5. 5. Spectrum of addictive, compulsive and impulsive behaviors associated with the DAD2 receptor gene variant Addictive behaviors • Alcohol • Drugs • Tobacco • Food (glucose addiction) • Gambling disorder • Sexual addiction Compulsive behaviors • Obsessive compulsive disorder • Compulsive shopping • conduct disorders • Trichotillomania • Psychogenic excoriation or Dermatillomania (skin picking) • Kleptomania • Bulimia • Anorexia nervosa • Binge eating and glucose bingeing • Tourette’s syndrome • Autism spectrum disorders • Sexual compulsions Impulsive behaviors • Impulsive personality disorder • Dissociative disorder • Attention deficit disorder • Attention deficit hyperactivity disorder • Body dysmorphic disorder • Hypochondriasis • Antisocial behaviors
  6. 6. Risk and Protective Factors Genetic predisposition • Addictions • Resiliency • Personality traits Relationships with • Non gambling parent • Other significant Relationships Environmental learning • How do other children act? • How do other adults act? • What does the child watch on television? See in the news? Other support systems • Church • Boys & Girls Club • After school programs • Teachers 6
  7. 7. Determinants of health SOCIAL FACTORS ECONOMIC FACTORS POLITICAL FACTORS Living & School Conditions Social, family & community Conditions Biological Traits behavior Taken from 2004 Walla Walla Children’s Forum Priorities 7
  8. 8. Possible effects of problem gambling on the children • Neglect • Abuse • Trust • Parentification • Health issues • Behavioral problems • School problems • Emotional issues 8
  9. 9. 9 Profile of Children from Disordered Gambling Homes • Take on extreme family roles:  high achiever, scapegoat, lost child • Mediator, identified patient, invisible:  can be carried to adulthood • Strong sense of shame and guilt:  feeling they are bad but not knowing why • Super competent:  to build self esteem or acting out for attention Gizzi, FL, and Beck, JM, Children of Compulsive Gamblers, Opening Doors Conference, New Jersey Task force of Child Abuse and Neglect.
  10. 10. 10 Children May Suffer from Lack Validation Emotionally • Sense feelings and experiences are not confirmed or noted by authority figures. • Confusion about perceptions and knowledge of world. • Harder to judge, evaluate and cope with events around them. • Lack of confidence leads to insecurity and fear. Gizzi, FL, and Beck, JM, Children of Compulsive Gamblers, Opening Doors Conference, New Jersey Task force of Child Abuse and Neglect .
  11. 11. 11 Children may suffer from lack of environmental stability • Need for events to happen in familiar patterns. • Family rules and routines teach frustration tolerance and need to delay gratification. • Children feel stressed in households where gambling undermines family rules and routines. • Stability allows children to practice what they learn about the world and safety knowing what is there today will be there tomorrow. Gizzi, FL, and Beck, JM, Children of Compulsive Gamblers, Opening Doors Conference, New Jersey Task force of Child Abuse and Neglect.
  12. 12. 12 Children may suffer from lack of emotional predictability • Sense of self based on reaction of parents, approval messages important. • Gambling parent may be excessively indulgent, physically absent and self- focused. • Children may cope by identifying with gambler—magical thinking and magical solutions. Gizzi, FL, and Beck, JM, Children of Compulsive Gamblers, Opening Doors Conference, New Jersey Task force of Child Abuse and Neglect.
  13. 13. Re-sil-ience: • The ability to become strong, healthy, or successful again after something bad happens. • The ability of something to return to its original shape after it has been pulled, stretched, pressed, bent, etc. • An ability to recover from or adjust easily to misfortune or change. Merriam-Webster on-line: http://www.merriam-webster.com/dictionary/resilience 13 Resilience
  14. 14. 14 “Today you are You, that is truer than true. There is no one alive who is Youer than You.” -Dr. Seuss
  15. 15. Thank you for your participation today! Linda Graves, PsyD, NCGC-II California Council on Problem Gambling 916-663-8714 Linda@calpg.org 15 Questions or comments?

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