In ""Problem Gambling"", Dr. Nancy M. Petry discusses and illustrates her brief, cognitive - behavioral approach to treating clients with gambling problems. Her manualized approach includes handouts and homework emphasizing self-monitoring and motivation to change. In this session, Dr. Petry works with a 21-year-old man named Brian who gambles four to five times per week. He works delivering pizzas and makes good tips, attends junior college, and plans to go to a 4-year college. He gambles on riverboat casinos, regularly plays poker with friends, and also places bets with bookies. Dr. Petry illustrates the first of her eight-session program, demonstrating the start of the treatment process. Brian is typical of a younger problem gambler who has begun to develop some substantial issues related to gambling but, nevertheless, is in some degree of denial. Dr. Petry demonstrates how to integrate the cognitive - behavioral therapy within this context and thereby highlights the adaptability of this approach for a variety of individuals with gambling problems.