Photo of Steven Pappas - Dr. Steve, PsyD, Psychologist
Dr. Steve
Psychologist, PsyD
Verified Verified
Kapaa, HI 96746
Aloha :) Currently accepting new Kaiser Permanente and HMSA clients. I welcome individuals of all backgrounds and life experiences into this shared work. I provide professional therapeutic services to couples, families, individual adults, adolescents, and children addressing a range of clinical issues. I honor wherever you are on your journey and believe in cultivating space, and curiosity as we navigate this path together. I believe that understanding and compassion are vital for building trust, mutual respect, and openness, all of which are essential in forming a therapeutic relationship that can encourage change. ​
Aloha :) Currently accepting new Kaiser Permanente and HMSA clients. I welcome individuals of all backgrounds and life experiences into this shared work. I provide professional therapeutic services to couples, families, individual adults, adolescents, and children addressing a range of clinical issues. I honor wherever you are on your journey and believe in cultivating space, and curiosity as we navigate this path together. I believe that understanding and compassion are vital for building trust, mutual respect, and openness, all of which are essential in forming a therapeutic relationship that can encourage change. ​
(808) 707-7839 View (808) 707-7839

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Gambling Therapists

How do gambling rehabilitation programs work?

There are both inpatient and outpatient rehabilitation programs. However, for some individuals, an outpatient facility may not offer enough hands-on care, and for other individuals, an inpatient facility may be too much. Both types of care have knowledgeable health professionals including physicians (in the case of residential programs), psychologists, counselors, psychotherapists, and recovered mentors.

How do gambling 12-step programs combined with psychotherapy work?

Abstinence and maintenance are key for 12-step gambling disorder programs. Individuals in a 12-step group rely on each other for support and accountability. In addition, there is often a spiritual element to these programs, whereby belief in a higher power can help the individual overcome their tendencies. If an individual genuinely wants to cease gambling, attending a 12-step program along with regular psychotherapy can be highly effective.

How long does therapy take for gambling disorder?

Recovering from gambling disorder takes time and effort. There’s no precise timeline for treatment, but a person can see change if they stick with therapy and if they have the will and desire to stop. Treatment for gambling disorder requires honesty in therapy, a commitment to understanding triggers, as well as the development of coping skills. Making lifestyle changes is also important, such as staying away from lotteries, online gambling, and casinos.

Is relapse a problem for those with a gambling disorder?

Gambling disorder is often chronic and can be life-long; therefore relapse may present a problem for some individuals. But effective treatment can bring a person’s life under control. To remain healthy and on track, the individual may need to regularly check in with their support group or psychotherapist. Frequently refreshing their tools of recovery can be helpful.