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<p>Gambling disorder (GD) poses hidden yet significant challenges for families and partners, often leaving concerned significant others (CSOs) in states of confusion, distress, and uncertainty. This article details the case of Mary, whose discovery of her partner’s concealed sports betting triggered acute emotional turmoil and relational disruption. The case illustrates how factors inherent to problem gambling such as secrecy, financial instability, and cultural normalization complicate coping and help-seeking among CSOs. Intervention emphasized comprehensive and ongoing assessment, integrative psychotherapy techniques, psychoeducation, and skills-based strategies to increase emotional processing and foster relational repair. Clinical reflections highlight the ethical dilemmas of disclosure, the balance of empathy with accountability, and the corrective impact of the therapeutic alliance as tailored to the unique relational experiences of CSOs.</p>

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Psychotherapeutic Support for Concerned Significant Others Impacted by Gambling Disorder

  • 期刊论文

  • 发表日期：

    2025年12月1日

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  • Noah S. Anderson,
  • Meredith K. Ginley

摘要

Gambling disorder (GD) poses hidden yet significant challenges for families and partners, often leaving concerned significant others (CSOs) in states of confusion, distress, and uncertainty. This article details the case of Mary, whose discovery of her partner’s concealed sports betting triggered acute emotional turmoil and relational disruption. The case illustrates how factors inherent to problem gambling such as secrecy, financial instability, and cultural normalization complicate coping and help-seeking among CSOs. Intervention emphasized comprehensive and ongoing assessment, integrative psychotherapy techniques, psychoeducation, and skills-based strategies to increase emotional processing and foster relational repair. Clinical reflections highlight the ethical dilemmas of disclosure, the balance of empathy with accountability, and the corrective impact of the therapeutic alliance as tailored to the unique relational experiences of CSOs.