Menurutnya, selisih itu menimbulkan parameter kepuasan kimiawi yang berbeda di otak, mendistorsi kemampuan kognisi otak sehingga menimbulkan perasaan bahwa ini perlu diulangi.
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Di sisi lain, terjadi kekacauan di sirkuit saraf yang seharusnya membuat keputusan rasional dan penuh pertimbangan, misalnya, tidak menggunakan uang cicilan rumah atau tagihan bulanan untuk berjudi.
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Secara umum, gangguan perjudian dapat diatasi melalui terapi perilaku kognitif, sejenis psikoterapi di mana pasien dan profesional kesehatan mengevaluasi dan judi online mendiskusikan perilaku dan pikiran, sehingga dapat dimodifikasi dari waktu ke waktu.
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Dengan mengobati gangguan mental yang mendasari seperti depresi atau kecemasan, perasaan negatif yang muncul akan berkurang sehingga kebutuhan untuk berjudi pun menurun.