Abstract
ABSTRACT Impulse control disorders (ICDs) such as pathological gambling frequently co-occur with a broad range of other psychiatric disorders. Relatively little research has investigated the nature of the relationships between ICDs and other psychiatric disorders. Important theoretical and clinical considerations exist regarding how best to conceptualize and treat ICDs within a dual diagnosis framework. Common genetic and environmental contributions have been reported for ICDs and other psychiatric disorders. Clinically, individuals with an ICD and another co-occurring disorder typically fare more poorly than those with either. Data suggest that ICDs frequently go undiagnosed in psychiatric patients. In order to optimize treatment, improved methods for screening individuals for ICDs should be developed and implemented in clinical settings. With increase in the emeregence of empirically validated treatments for ICDs, it is important to investigate their efficacies and tolerabilites in dually diagnosed groups and their effectiveness in general clinical settings.
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