Mina Margaret Ogbanga (PhD)

River State University

mina.ogbanga@ust.edu.ng

Idongesit Gladys Hilary

Department of Sociology, Ignatius Ajuru University of Education, Rumuolumeni Port Harcourt

Abstract

The study investigated football betting and depression among youths in Obio/Akpor Local Government Area, Rivers State. The study was guided with one research question, one objective as well as one hypothesis. The scope of the study was delimited into geographical scope and the content scope which addressing the issue football betting and depression. They were synthesized to explain the nexus between football betting and depression. Methodologically, the study adopted a correlation research design using quantitative research approach to get the view of the sample respondents. The sample size of 400 was used to determine through census sampling technique. The research instrument was questionnaire. The validity of the instrument was content validity, while the reliability was obtained through test-retest technique which gave an index of 0.80. The method of data analysis included the chart, mean and T-test. The findings of the study revealed the reasons for football betting among football betting youths in Obio/Akpor Local Government Area, Rivers State and also found that various depressed symptoms characterized the football betting games such as financial constraints, conflict with family members, emotional traumas and many more. It was recommended among others the need for youths to consider reaching out to mental health professionals, such as a therapist or counselor, or social workers who can provide personalized support and guidance as this can help them to understand and address the underlying causes of their depressive symptoms related to football betting.

Introduction

Football (soccer) is one of the most popular sports in the world which is associated with important betting activities (Armstrong & Carroll, 2017). A common belief, widely spread among those who participate in football betting activities, is that knowledge and expertise on football lead to better prediction skills for match outcomes (Armstrong & Carroll, 2017). This belief precipitated the high increase in the number of youths who participate in football betting. Football betting is the activity of predicting football results and placing a wager on the outcome. The frequency of football bet varies from culture to culture. Uzochukwu and Ohiri (2021) maintained that in recent times, the economic hardship in Nigeria is becoming unbearable hence, most people are finding it difficult to meet their basic needs. They further stated that unemployment and underemployment rate is on the increase, and businesses are collapsing and depression rate is increasing daily which all result to people involving in different risky behaviour to survive. One of the risky behaviour is gambling which has been reported to be related to some criminal behaviour and prominent amongst then is football betting which most Nigerian youths are addicted to. (Oyebisi, et al., 2012).

The Nigerian sports betting (online and offline) and gaming industry has grown geometrically in the past few years (Uzochukwu & Ohiri, 2021). Accordingly, to them, this remarkable growth can be attributed to the country’s population and increased access to the internet via enabled internet devices such as mobile phones, tablets, laptop, desktops etc. Many adolescents, youths, young adult, educated and non-educated Nigerians are involved in football betting (Eboh, 2015). Football betting has become part of mainstream culture through the entertainment, leisure, sport, and tourism industries and it is a significant source of revenue to governments and private enterprises (Eboh et al., 2012). It also comes in different forms `ranging from betting and prediction, lottery, casino betting and virtual games. Football betting also poses a source of harm and concern to some Nigerians due to its negative impact on individuals, families and communities through problem gambling (Deans et al., 2017). While most people handle recreational football betting in a controlled way, many get addicted. It is therefore essential that football betting and problem gambling are well understood, and that the regulation of football betting at individual, community, industry and government levels is well informed.

Statistically, about 60 million Nigerians between the ages of 18 and 40 are involved in active sports betting. On average, these punters spend roughly ₦3,000 Naira every day on bets enterprise (Eboh et al., 2012). For instance, data report from Klynveld and Goerdeler (2016) revealed that a leading sports betting company in Nigeria makes an average monthly turnover of $10 million dollars. Sport betting shops can now be spotted in almost every street in Lagos and new ones are popping up daily. In Nigeria gambling is regulated by the National Lottery Regulatory Commission (NLRC) and it is worthy to note that all forms of gambling including football betting are restricted from all residents of Nigeria below 18 years enterprise (Eboh et al., 2012). The present paper is on the trends of football betting and the change in the appetite of youths who engage in this game in Obio/Akpor Local Government Area, Rivers State

Objective of the Study

The main objective of this study is to investigate the nexus between football betting and depression among football betting youths in Obio/Akpor Local Government Area, Rivers State. In specific terms, the objective is to;

1. To investigate how the trends of football betting how the trends of football betting affect change in the appetite of youths who engage in this game in Obio/Akpor Local Government Area, Rivers State.

Hypothesis

Ho₁ The more the youths involves themselves in football betting and also becomes unsuccessful in the game, the more they become depress in Obio/Akpor Local Government Area, Rivers State

Significance of the Study

This study would be useful as it will reveal the relationship between football betting and depression among football betting youths in Nigeria. The study will be of a huge benefit to government, parents, teachers, counsellors, social workers and future researchers. The study would be beneficial to government in the sense that the study will reveal the prevalence of pathological betting and its negative effects on the mental health of the youths. This will enable government to initiate laws that will regulate football betting and other gambling activities. The government through this study will be informed of the importance of social workers in addressing some of these social issues.

Operational Definition of Terms

The following terms are operationally defined;

Depression: This is a mental disorder characterized by persistent sadness and loss of interest in activities one usually enjoys.

Betting: Betting is the action of gambling money, possessions, time, or something else on the outcome of something, such as a game or race. In other words, the act or practice of playing games of chance for a stake; usually money. We can also, in most cases, use the word ‘gambling’ with the same meaning.

Football betting: This refers to the activity of predicting football results and placing a wager on the outcome.

Football Betting Youths: These are young people between the ages of 18-40 who engage in football betting in Obio/Akpor Local Government Area, Rivers State.

Trends of Football Betting in Nigeria

Motorcycle Racing: With the rest of the events, the situation is similar. Motorcycle racing allows us to bet on the winner of the test or make a combine. They are motorcycle races on a speedway-type circuit where you only turn to the left side. Each participant has their quotas, and the race lasts only 1 minute.

Virtual Motorcycle Racing: In these speed cycling races, you can bet on the winner from a group of 8 runners or make a combine. As in other virtual sports, the race is short but exciting.

Greyhound Racing: Greyhound racing is practically identical to motorcycle racing. In them, the virtual dogs must go around a circular circuit, and before it, we can bet on the winner or make a combined. The dog with the lowest odds does not have to win here, as it does in real life.

Horse and Trotter Racing: You can also bet on horse races. As with the other specialties, you bet only on the winner or in combinations. You will see a race in a virtual racetrack with a quite successful setting. Trotting competitions are a bit slower and maybe a bit more boring.

Match Bet: This is the simplest form of football betting in which you pick the result of a football match. You can bet on the three different outcomes which are a home team to win, the away team to win or a draw. It’s important to note that match bets are paid out on the outcome after 90 minutes, so if the scores are level then, the draw is the winning bet, irrespective of the outcome after extra time or penalties.

Bet Builder/Same Game Multi: Bet builders are one of the newer additions to football betting and have become one of the more popular ways to bet on the sport in recent years. Sometimes referred to as same game multis, these bets are effectively an accumulator of outcomes from a single match rather than a number of matches. These bets are obviously less likely to come in because of the number of outcomes that need to happen. However, they are perfect if you are knowledgeable about both teams and want to place small-stake bets at the bigger odds that can be realised by combining numerous outcomes, such as the number of yellow cards, corners and goal scorers, rather than betting on each individual market.  You can also include player props, which we explain below, in bet builders. Player props are also becoming a popular form of betting on their own.

Player Props/Player Stats: This is a way of showing how the football betting market has continued to evolve with an in-depth set of markets released for various Premier League and international matches. This is different to the goal scoring or card markets, and includes the ability to bet on players to have a certain number of shots, tackles and even off sides. There are also ever-growing prop markets that lead to some intriguing bets such as how many free-kicks, goal-kicks and throw-ins there are in a match. What’s on offer differs widely from bookmaker to bookmaker, but one of the bookies with the most player props available is bet365. There is also now the option to bet on the number of passes a player makes in a match, which can be a fascinating bet to follow and allows customers to use their own research before making the specific bet (Hing, Lamont, Vitartas & Fink 2015)..

Whole-goal handicap: Liverpool -1, Arsenal +2. The figures next to each team are applied to their score in the match.  If you bet on Liverpool, you win if they win by a two-goal margin or more. You lose if they draw or lose. And you get your stake back if they win by a one-goal margin, which is cancelled out by the -1, making the handicap result a draw. If you bet on Arsenal, you win if they win, if they draw or if they lose by only a one-goal margin. You lose if they lose by a three-goal margin or more. And you get your stake back if they lose by a two-goal margin, which is cancelled out by the +2, making the

European handicap bet: A European handicap is similar to an Asian handicap but with two main differences: one is that the draw remains an option and the other is that the handicaps are only ever whole numbers. 

Half-time/full-time: You can bet on the result of the first half and/or the second half. You can bet on the home team, away team or draw for one or both halves. This bet is for the more advanced football fan who has prior knowledge to indicate the teams who start or finish matches strongly or weakly. Knowing the starting line-ups and whether key players are missing through injury or being rested can also be an advantage with this type of bet.

Double Chance: You can bet on two of the three outcomes of the match to increase your chance of winning. The combinations are:

• Home team or draw
• Away team or draw
• Home team or away team

If either of your combinations wins you will be paid out. The odds are lower than betting on just a single match outcome as there is more chance of winning, but this bet is good for bettors who want to reduce the element of risk.

Goal scorer Betting: As it suggests, this is a bet on a particular player to score during a match. You can bet on various outcomes, such as your selection to be the first or last goalscorer in the match or to score at any time during it. The odds on them scoring at any time will be shorter because there is obviously a greater chance of that happening. These bets are often quite good to take a chance on when a player has been in a rich vein of form, or if a team is overall better than their opponents making a player more likely to find the back of the net. You can choose from any of the players on the pitch, with bookmakers often having good offers to go with some of the markets within goal scoring and boosts throughout the different matches, depending on how they’re going.

Correct Score/Scorecast/Wincast: A correct score bet is one in which you predict the final score of a match. Remember that this will be the outcome after 90 minutes in cup ties that could go to extra time and/or penalties. The prices for correct score bets are often attractive but, of course, predicting the exact score is far from easy. A Scorecast is a bet that combines selecting a goalscorer and the correct score. For example, you can bet on Mohamed Salah to score and Liverpool to win 2-0. Again, the odds on such bets have higher odds because you are betting on the likelihood of two outcomes. Some bookmakers will also let you choose the goalscorer in a Scorecast to be the first, last or at any time. A Wincast is similar to a Scorecast, but involves selecting a goalscorer and the outcome of the match rather than the correct score. The odds will not be as high as a Scorecast because it is easier to predict the outcome rather than the scoreline. 

Over and Under Betting: This is a bet on the total number of times an event (for example, goals, corners, yellow cards) will happen during a match.  Bookmakers allocate a baseline number to a match and you can bet on whether there will be more (over) or fewer (under) than that number. The baseline number will never be a whole number, which guarantees that the outcome will be one of two: over or under. (You can’t score half a goal.) So in a match where a bookmaker is offering Over or Under 2.5 goals, you win if you bet on Over and three or more goals are scored, but you lose if the total is none, one or two. Likewise, if you bet on Under, you win if none, one or two goals are scored and lose if the total is three or higher. 

Draw No Bet: This is where you bet on the outcome of a match, but if it ends in a draw then you will get your stake back. However, this means the odds will usually be lower than other markets.

In-play betting: As the name suggests, in-play betting involves making a bet on an outcome during an event, such as backing the next team to score in a match you are watching on television. Bookmakers offer several markets, such as the next goalscorer, which team will win the next corner or throw-in, or who will be the next player to be shown a yellow card. There are also some great markets to follow on in-play sites such as ‘corner races’ and on bet365 certain specials within the prop markets available such as shots and player shots.

Research Methodology

Research Design

Correlation research design was adopted in this study. The correlation research design refers to a relationship between two variables that have nothing to do with any extraneous variable. It is a non-experimental research method where the researcher has to assess the statistical relationship between the two variables to reach the desired outcome (Wilson, 2020).

Area of Study

Obio-Akpor is a local government area in the metropolis of Port Harcourt, one of the major centres of economic activities in Nigeria, and one of the major cities of the Niger Delta, located in Rivers State. The local government area covers 260 km² and at the 2006 Census held a population of 464,789. Its postal code or ZIP code is 500102. Obio-Akpor has its headquarters at Rumuodomaya. The original indigenous occupants of the area are the Ikwerre People

Population of the Study

The population of the study is not known. Thus, it comprised of all betting youths in Obio/Akpor Local Government Area, Rivers State, both males and female  who engage in any form of football betting formed the targeted population of this study.

Sample Size and Sampling Technique

Sample size of 400 was adopted. To determine the sample size for the study, the convenience sampling technique was used. The reason is because since the population of football betting youths is not known in Obio Akpor LGA, the researcher used the numbers of respondents that could be easily accessed and reached. The convenience sampling technique again was used to select five communities given the availability of time and resources to represent the entire communities where betting are done. These zones are Elimgbu, Rumuolumeni, Choba, Rumuodumaya and Rumuokoro. After this, purposive sampling technique was used to identify 4 betting centers in each zone, having 20 betting centres Furthermore, the researcher allocated 80 samples to each zone and each betting unit had 20 samples using purposive sampling.

Types of Data and Instrument for Data Collection

The researcher utilized the integration of both primary and secondary data. The primary data invoived the use of questionnaire. As for the secondary data, it adopted the use of published and unpublished material. As for the questionnaire instrument which is a form of primary data, a self-designed instrument titled Football Betting and Depression Questionnaire (FBDQ) were used as instruments for data collection. The instruments was segmented into two sections, such as A and B. The section A is known as Socio-demographic data, it was used for the collection of personal information from the respondents like location, gender, socio-economic background, age and class. Section B consisted of items that elicit responses from the respondents based on their feelings and opinions given the variables of the study. The section B of the instrument patterned alongside the Likert scale. All the items responded to a 4-points modified Likert scale of Strongly Agreed (SA) = 4, Agreed (A) = 3, Disagreed (D) = 2, and Strongly Disagreed (SD) = 1, respectively.

Validity of the Instruments for Data Collection

The content validity was used. To achieve this, the researcher submitted the designed instrument to the supervisor and two other experts in Department of Sociology for content validity. The experts will vet and make corrections were necessary. These corrections were incorporated in structuring the final draft of the instruments. The instrument therefore adjudged reliable to be used.

Reliability of the Instruments for Data Collection

To determine the reliability of the instrument, a test-retest technique was used. The researcher visited and administered the same instrument to a sample of 40 football betting youths in Ikwerre local government area, Rivers State which was outside the sample of the study at two weeks interval. The 40 respondents represent 10 percent of total sample size which is standard in research agendum (Wilson, 2020).  A reliability coefficient above 0.80 was obtained as the data was subjected to Pearson’s Product Moment Correlation Coefficient.

Method of Data Collection

The researcher visited the sampled betting centres in Obio/Akpor Local Government Area that were used for the study and administered the 400 copies of the questionnaire to the respondents (football betting youths). The researcher also sought the services of research assistance for distribution of questionnaire and its retrieval. The essence of this was to ensure high percentage return. The researcher at each occasion explained the purpose of the study, the content of the questionnaire and mode of completion to the respondents.

Methods of Data Analysis

Various statistical tools were adopted to analyze the data. The charts, mean () and and independent T-test were used for analysis. The researcher used these tools in different ways. First, the bio-data was used to analyze the socio-demographic characteristics. The mean () was used as statistical tools to answer the research questions. Finally, the independent t-test was used to test the null hypotheses at 0.05 level of significance.

Data Presentation and Analysis

Research Question One: How do the trends of football betting affect the change in appetite of youths who engage in this game in Obio/Akpor Local Government Area, Rivers State?

Table 1: Showing statistical scores for how the trends of football betting among football betting youths affect the change in appetite of youths who engage in this game

S/N	Items	SA (4)	A (3)	D (2)	SD (1)	Mean	Dec
1	I often engage in football betting	150	160	50	40	3.50	A
2	Correct Score is one of the games introduced	174	160	36	30	3.72	SA
3	Football betting has become more popular among youths in recent years	142	170	48	40	3.32	A
4	Do you accept that some betting youths plays double chance	140	175	65	20	3.52	SA
5	Do you agree most youths bet on Virtual football and Motorcycle Racing	192	150	45	13	3.51	SA

Source: Fieldwork, 2023.

The above table shows statistical score for how the trends of football betting among football betting youths affect the change in appetite of youths who engage in this game in Obio/Akpor Local Government Area, Rivers State. First, item 1 on often engagement in football betting had the mean score of 3.50. Secondly, item 2 on correct score is one of the games introduced had a mean score of 3.72. Also, item 3 on football betting has become more popular among youths in recent years had a mean score of 3.32.  Item 4 that that some betting youths plays double chance had a mean score of 3.52.  Finally, item 5 on  mean score of 3.5. With the homogeneity in the result, it implies that all the items support they are the trends of football betting youths that affect the change in appetite of youths who engage in this game in Obio/Akpor Local Government Area, Rivers State.

Test of Hypothesis

Ho₁ The more the youths involves themselves in football betting and also becomes unsuccessful in the game, the more they become depress in Obio/Akpor Local Government Area, Rivers State

Table 1: T–Test analysis for youths football betting, becoming unsuccessful in the game, and becoming depress

Variable	Mean	SD	Standard error	DF	Calculated T-value	Critical T-value	Remark
1. I felt emotionally depressed whenever I lose a bet.	3.51	.88	.02526	398	7.453	1.064	Sig.
2. My family always see me as not responsible due to my habit of betting	3.50	.76	.05104

Source: Research Fieldwork (2023).

Two items were selected to test the hypothesis. First item specified emotionally depressed whenever I lose a bet and the second was my family always see me as not responsible due to my habit of betting. The table shows that the calculated t-value is 7.453, while the critical t-value is 1.064 at 0.05 level of significant and at 398 degree of freedom. Since the calculated T-value is greater than the critical t-value at 0.05 level of significance, the result shows that the alternate hypothesis is accepted. This means that the more the youths involves themselves in football betting and also becomes unsuccessful in the game, the more they become depress in Obio/Akpor Local Government Area, Rivers State.

Discussion of Findings

Trends of Football Betting among Football Betting Youths

The study was able to find the trends of football betting among football betting youths in Obio/Akpor Local Government Area, Rivers State. First of all, it was found that most youths often engage in football betting, and they usually play correct score which is one of the games introduced in football betting. Again, football betting has become more popular among youths in recent years and some betting youths play double chance as well as bet on Virtual football and Motorcycle Racing. All these trends and others are football betting that in one way or the other affected youths by making them depressed. Despite all this, study by Sen (2016) revealed that there are increasing Popularity of Football betting and this has experienced significant growth in popularity over the years. The ease of online betting platforms and the widespread availability of mobile apps have contributed to this trend. Also, he added that football is a globally popular sport, and as a result, football betting has a wide international reach as major football events like the FIFA World Cup and UEFA Champions League attract a substantial amount of betting activity. Chuks (2019) who looked at trends in football betting presented that there has been a rise in in-play or live betting. This allows bettors to place wagers during a match, taking advantage of real-time events and changing odds. In-play betting offers an interactive and dynamic experience for football bettors. More importantly was the mobile betting; this technology has revolutionized the way people bet on football. With the availability of dedicated betting apps, users can easily place bets from their smartphones or tablets, making it convenient and accessible.

Summary of the Findings

The result showed the trends of football betting include correct score, more popular of betting, plays double chance, and virtual football and motorcycle racing, thus, that it has adverse effect that prompt change in appetite of youths who engage in this game in Obio/Akpor Local Government Area, Rivers State.

Summary and Conclusion

The study investigated how the trends of football betting affect change in the appetite of youths who engage in this game in Obio/Akpor Local Government Area, Rivers State. The study carefully considered how the the fact that football betting is becoming a disturbing trend following the psychosocial issues arising from such activity in Obio-Akpor and other areas. Thus, the scope of the study was delimited into geographical scope which covers the study within Obio/Akpor Local Government Area Rivers State, while the unit of analysis will be selected football betting youths in Obio/Akpor Local Government Area in Rivers State; and the content scope, addressing the issue football betting and depression. In the same line, the study operationalized some concepts vital concepts that relate to the study such as football betting, betting, depression, etc. Methodologically, the study adopted a correlation research design as it helps to employ the use of quantitative research approach (questionnaire) to get the view of the sample respondents. The sample size of 400 was used determined through convenience sampling technique. The research instrument used was questionnaire. The validity of the instrument was content validity, the help of my supervisor and two other experts were given a draft to effect corrections. The method of data analysis included the following: chart, mean and T-test. The study has been able to explain the issue of football betting and depression among youths. Depression is not a positive concept and that necessitated the study findings with the intent to give some justifiable recommendations. While some people engage in sports betting without any notable at-risk behaviours, for others it can become a dangerous addiction and trigger depressive symptoms. Left untreated, sports betting addiction can have many negative social, psychological and physical repercussions. These include relationship conflict and breakdown; debt, financial problems and bankruptcy; work issues and job loss; stress, anxiety and depression; and insomnia, lack of appetite and stomach problems. In extreme cases it can lead to suicidal thoughts and attempts.

Recommendations

It may not be easy for youths to completely avoid various aspect of betting as new ones keeps unfolding without considering its implications, there should be need for total abstinence. Secondly in situation where it becomes difficult to abstain, the youths should conduct thorough research and analysis. This is because successful betting requires knowledge and understanding of the teams, players, and various factors that can influence match outcomes. Before placing a bet, invest time in researching team form, injury news, head-to-head records, home and away performances, and other relevant statistics. Relying on informed decisions based on accurate and up-to-date information can help you.

References

American Psychiatric Association (2013). Diagnostic and Statistical Manual of Mental Disorders, 5th Edn. doi: 10.1176/appi.books.9780890425596

Armstrong, A., & Carroll, M. (2017). Gambling activity in Australia—fndings from wave 15 of the HILDA survey. Australian Gambling Research Centre, Australian Institute of Family Studies.

Ayandele, O., Popoola, O., &Obosi, A. (2019). Infuence of demographic and psychological factors on attitudes toward sport betting among young adults in Southwest Nigeria. Journal of Gambling Studies, 35(5) 343–354.

 Bandura, A. (1977). Social learning theories. Prentice Hall.

Browne, M., Langham, E., Rawat, V., Greer, N., Li, E., Rose, J., Rocklof, M., Donaldson, P., Thorne, H., Goodwin, B., Bryden, G., & Best, T. (2016). Assessing gambling-related harm in Victoria: A public health perspective. Victorian Responsible Gambling Foundation.

 Bunn, C., Ireland, R., Minton, J., Holman, D., Philpott, M., & Chambers, S. (2019). Shirt sponsorship by gambling companies in the English and Scottish Premier Leagues: Global reach and public health concerns. Soccer and Society, 20(6), 824–835.

Burke, W. J. (2009). Fitting and interpreting Cragg’stobit alternative using Stata. The Stata Journal, 9(4), 584–592.

Chikotora,P. (2016). Motives for gambling in sports betting among Gweru residents. A dissertation submitted to the Faculty of Social Sciences in partial fulfilment of the requirements for the BSC honours degree in PsychologyGweru, Zimbabwe, Midlands State University

Cowlishaw, S., & Kessler, D. (2016). Problem gambling in the UK. Implications for health, pyschosocial adjustment and healthcare utilisation. European Addiction Research, 22(10)90–98.

Cragg, J. G. (1971). Some statistical models for limited dependent variables with application to the demand for durable goods. Econometrica, 39(5), 829–844.

Deans, E. G., Thomas, S. L., Daube, M., &Derevensky, J. (2016). I can sit on the beach and punt through my mobile phone: The influence of physical and online environments on the gambling risk behaviours of young men. Social Science and Medicine, 166,(9) 110–119.

Deans, E. G., Thomas, S. L., Daube, M., &Derevensky, J. (2017). The role of peer infuences on the normalisation of sports wagering: A qualitative study of Australian men. Addiction Research and Theory, 25(2), 1–11.

 Deans, E. G., Thomas, S. L., Daube, M., Derevensky, J., & Gordon, R. (2016a). Creating symbolic cultures of consumption: An analysis of the content of sports wagering in advertisements in Australia. BMC Public Health, 16, 208–215.

 Deans, E. G., Thomas, S. L., Derevensky, J., &Daube, M. (2017b). The infuence of marketing on the sports betting attitudes and consumption behaviours of young men: Implications for harm reduction and prevention strategies. Harm Reduction Journal, 14(1), 1–12.

Deans, E.G., Thomas, S.L, Derevensky, J. &Daube, M. (2017). The influence of marketing on the sports betting attitudes and consumption behaviours of young men: Implications for harm reduction and prevention strategies. US National Library of Medicine National Institutes of Health.

Dehalwar, K., & Sharma, S. N. (2023). Fundamentals of Research Writing and Uses of Research Methodologies. Edupedia Publications Pvt Ltd.

Dowling, N. (2014).  The impact of gambling problems on families (AGRC Discussion Paper No. 1). Australian Gambling Research Centre, Melbourne.

 Dowling, N., Oldenhof, E., Cockman, S., Suomi, A., Merkouris, S., & Jackson, A. (2019). Problem gambling and family violence: Factors associated with family violence victimization and perpetration in treatment-seeking gamblers. Journal of Interpersonal Violence, 36(15–16), 7654–7669.

Eboh, V.C. (2015). Prevalence and determinants of gambling behaviour among undergraduate students. (A case study of Federal University OyeEkiti). A research project submitted to the Department of Sociology, Faculty of Social Sciences and Humanities FOYE for the award of Bachelor of Science.

 Fulton, C. (2017). Developments in the gambling area: Emerging trends and issues supporting the development of policy and legislation in Ireland. Department of Justice and Equality

Gainsbury, S. M. &Derevensky, J.L. (2013).Betting patterns for sports and races: a longitudinal analysis of online wagering in Australia. Journal of Gambling Studies, 11(8), 1-16

Gainsbury, S. M. &Derevensky, J.L. (2013).What do we currently know about the impact of new media gambling games upon current and future gambling among young people? Presented at the 15thInternational Conference on Gambling & Risk Taking, Las Vegas, Nevada

Gainsbury, S. M., Hing, N., Delfabbro, P., Dewar, G., & King, D. (2014). An exploratory study of interrelationships between social casino gaming, gambling, and problem gambling. International Journal of Mental Health and Addiction, 13(1), 136–153.

Georgiu, D (2015).Trends in Gambling Behaviour 2008-2014. London.

Greene, W. H. (2018). Econometric analysis (8th ed.). Pearson Education.

Haba, S. (2020). What is the difference between betting and gambling?https://pediaa.com/what-is-the-difference-between-betting-and-gambling/

Hing, N., Lamont, M., Vitartas, P., & Fink, E. (2015). Sports-embedded gambling promotions: A study of exposure, sports betting intention and problem gambling amongst adults. International Journal of Mental Health and Addiction, 13(1), 115–135.

Hing, N., Russell, A. M., & Browne, M. (2017). Risk factors for gambling problems on online electronic gaming machines, race betting and sports betting. Frontiers in Psychology, 8, 779. [11].

Hing, N., Russell, A., Lamont, M., &Vitartas, P. (2017). Bet anywhere, anytime: An analysis of Internet sports bettors’ responses to gambling promotions during sports broadcasts by problem gambling severity. Journal of Gambling Studies, 33, 1051–1065.

Hing, N., Russell, A., Thomas, A., &Jenkinson, R. (2019). Wagering advertisements and inducements: Exposure and perceived infuence on betting behaviour. Journal of Gambling Studies, 35, (9) 793–811.

Hing, N., Russell, A., Vitartas, P., & Lamont, M. (2016). Demographic, behavioural and normative risk factors for gambling problems amongst sports bettors. Journal of Gambling Studies, 32(5) 625–641.

Ogbanga, M. M. (2024). Communication Skills in Social Work. EduPedia Publications Pvt Ltd.

Ogbanga, M. M. (2024). Oil, Gender and Unemployment: Social Issues in the Niger. Eduindex.

Sharma, S. N. (Ed.). (2016). New perspectives in sociology and allied fields. EduPedia Publications (P) Ltd.

Uzochukwu, C. & Ohiri, K.E. (2021). An assessment of patterns, risks and effects of online sports betting among youths in South-East Nigeria. International Journal of Innovative Science and Research Technology, 6(4), 172-179

Mina Margaret Ogbanga

River State University

Mina.Ogbanga@ust.edu.ng

&

Secundus Esther Sobeye

Ignatius Ajuru University of Education

Abstract

Post-Traumatic Stress Disorder (PTSD) is a severe mental health condition that affects individuals who have experienced traumatic events, often leading to long-term psychological, emotional, and physical challenges. This study investigates the impact of counseling on the treatment of PTSD, exploring how different therapeutic approaches contribute to symptom reduction and overall well-being. A mixed-methods approach, including quantitative symptom assessment and qualitative interviews, was used to evaluate the effectiveness of counseling interventions such as Cognitive Behavioral Therapy (CBT), Eye Movement Desensitization and Reprocessing (EMDR), and supportive counseling. The findings suggest that counseling significantly improves PTSD symptoms, including reductions in anxiety, flashbacks, and emotional distress. Moreover, counseling enhances coping mechanisms and emotional resilience, leading to improved quality

Keywords: Counseling; Post-Traumatic Stress Disorder; Post-Traumatic Stress Disorder

1. INTRODUCTION:

Posttraumatic stress disorder has been a known diagnosis in            psychology for many years. It was during and after World War I             that      instances of “shellshock” or “combat fatigue” were first             becoming        prevalent. By World War II, it was noted many        gains in therapy           made during the past decades or so seemed to evaporate in a         haze of            PTSD. Since then, wars in many parts of the world have            exposed many             more soldiers to things no human should have to      see.             However, several        factors have kept PTSD on     the back burner                       until recent years.             It was commonly referred to as          many different            things and        considered one of the “lesser”            disorders. PTSD is a   modern disorder,         in that it is a signature             disorder of the modern            era.

 This paper examined the impact of counseling in treating post-                   traumatic stress disorder (PTSD). The overall objective was to                        determine how effective counseling can be in helping those who are experiencing or looking to recover from the trauma of PTSD. A brief         discussion of PTSD is presented to help in the understanding of the         subject matter, and it will be discovered how PTSD can be treated by

counseling.     

1.1.      BACKGROUND OF PTSD

The Diagnostic and Statistical Manual of Mental Disorders IV (DSM-IV), a          manual used by psychiatrists and psychologists to diagnose and        classify            presenting mental disorders, defines post-traumatic stress           disorder (PTSD)          as a severe anxiety paradigm that develops after       exposure to a traumatic         event. Exposure can include events such as   war experience, interpersonal             violence, childhood abuse, natural         disasters, and even exposure to terrorist         incidents. The symptoms             generally involve re-experience of the traumatic       event, avoidance of     reminders, emotional numbing, and hyperarousal.   Almost anyone            exposed to a life-threatening event could develop PTSD,             but it is well    recognized that some people are more prone to developing it.          Some   of these risk factors include being female, having a lower level of            education, being a member of a minority group, and the loss of a                      significant other. However, some protective factors have also been identified.             These include better functional adaptation, being optimistic,            having better social support, having higher levels of education, and           being   employed. Drug, as well as psychosocial treatments such as             counseling,      are widely used to treat PTSD.

1.2       IMPORTANCE OF COUNSELING IN PTSD TREATMENT

Counseling plays a crucial role in addressing Post-Traumatic Stress            Disorder (PTSD) by providing individuals with a safe and supportive       environment to process their experiences, learn coping strategies, and work towards healing and recovery. Here are several key reasons why        counseling is essential in the treatment of PTSD:

1.2.1    Trauma-Informed Care: Counselors trained in trauma-informed              approaches understand the complex interplay of biological,                     psychological, and social factors contributing to PTSD. They can                         provide specialized care that acknowledges the impact of trauma on           an individual’s thoughts, emotions, and behaviors.

1.2.2    Emotional Regulation: Counseling helps individuals learn healthy                        ways    to regulate their emotions, reducing symptoms of hyperarousal and      emotional dysregulation commonly associated with PTSD.                 Through          techniques such as mindfulness, relaxation exercises,           and emotion-            focused therapy, individuals can develop skills to     manage distressing      emotions more effectively.

1.2.3    Trauma Processing: Counseling provides a structured framework for        individuals to explore and process traumatic memories in a controlled   and      supportive manner. Therapeutic modalities such as Cognitive        Behavioral       Therapy (CBT), Eye Movement Desensitization and                        Reprocessing (EMDR), and exposure therapy help individuals confront      and      reframe distressing thoughts and memories, reducing their          intensity and    emotional impact over time.

1.2.4    Cognitive Restructuring: PTSD often involves distorted beliefs about                  oneself, others, and the world, leading to feelings of guilt, shame, and     hopelessness. Counseling helps individuals identify and challenge         these    negative beliefs, replacing them with more adaptive and realistic     perspectives. Cognitive restructuring techniques empower individuals      to         regain a sense of control over their thoughts and emotions.

1.2.5    Skill-Building: Counseling equips individuals with practical coping           skills and strategies to manage PTSD symptoms in their daily lives.            These may include problem-solving skills, communication techniques,      assertiveness training, and stress management techniques. By          enhancing        coping resources, individuals can navigate triggers and        stressors more             effectively, reducing the impact of PTSD on their             functioning.

1.2.6    Support and Validation: Counseling provides a nonjudgmental                and      empathetic space for individuals to express their feelings, fears,    and      experiences without fear of stigma or rejection. The therapeutic      relationship between counselor and client serves as a source of                    validation, support, and encouragement, fostering a sense of safety         and trust          necessary for healing.

1.2.7    Prevention of Secondary Complications: Untreated PTSD can lead        to a      range of secondary complications, including depression, anxiety             disorders,       substance abuse, and relationship problems. Counseling      interventions aim        to mitigate these risks by addressing underlying                    trauma-related issues and promoting resilience and adaptive coping.

counseling offers a holistic and integrative approach to addressing the                    complex and multifaceted nature of PTSD. By combining evidence-         based interventions with empathy, understanding, and collaboration,       counselors play a vital role in supporting individuals affected by     trauma on        their journey towards healing, recovery, and resilience.

• UNDERSTANDING PTSD

• DEFINITION AND SYMTOMS OF PTSD

2.1.1    Definition:

The Diagnostic and Statistical Manual (DSM-5; American Psychological Association, 2013) defines post-traumatic stress   disorder (PTSD) as a mental health disorder that occurs following a          traumatic event. Symptoms of PTSD include intrusive distressing      memories of the traumatic      event, flashbacks, nightmares, and intense          psychological distress and      physical reactivity upon exposure to reminders of the trauma. Following the       traumatic event, an individual            with PTSD will often make effortful             attempts to avoid reminders of the     trauma, resulting in unhealthy behavior         patterns and negative coping           mechanisms. Most concerning, PTSD is        inherently characterized by    severe arousal.

 2.2      Symptoms of PTSD:

Post-Traumatic Stress Disorder (PTSD) manifests through a variety of                   signs and symptoms that can significantly impact an individual’s daily                 functioning and overall well-being. These symptoms typically develop               after exposure to a traumatic event and can persist for months or even                         years. Here are some common signs and symptoms of PTSD:

2.2.1 Intrusive Thoughts: Individuals may experience recurrent, distressing            memories of the traumatic event. These memories may be          accompanied by          vivid flashbacks or nightmares, causing significant             psychological distress.

2.2.2    Avoidance Behaviors: People with PTSD often go to great lengths to                      avoid reminders of the traumatic event. This may include avoiding         certain places, activities, or people associated with the trauma, as well            as avoiding      thoughts or feelings related to the event.

2.2.3    Negative Alterations in Mood and Cognition: PTSD can lead to                  persistent negative beliefs about oneself, others, or the world.               Individuals may experience feelings of guilt, shame, or self-blame, as         well as a diminished interest in activities they once enjoyed. They may       also have difficulty remembering key aspects of the traumatic event or   experience distorted beliefs about its meaning.

2.2.4    Hyperarousal Symptoms: Individuals with PTSD may exhibit         heightened       levels of arousal or reactivity. This can manifest as                      hypervigilance,           exaggerated startle responses, difficulty concentrating, irritability, or   problems with sleep, such as insomnia or restless sleep.

2.2.5    Emotional Numbing: Some individuals may experience a numbing of                    emotions, wherein they feel detached or estranged from others. They                may have difficulty experiencing positive emotions or maintaining                     close relationships, leading to social withdrawal or isolation.

2.2.6    Physical Symptoms: PTSD can also manifest in physical symptoms            such as headaches, gastrointestinal issues, or chronic pain. These                       symptoms may not have an apparent medical cause but can be linked         to         the individual’s psychological distress.

2.2.7  Alterations in Arousal and Reactivity: Hypervigilance, exaggerated              startle response, difficulty concentrating, sleep disturbances, and                       irritability or outbursts of anger.

though it is not everyone who experiences a traumatic event will                 develop PTSD, and the severity and duration of symptoms can vary widely among individuals. Additionally, symptoms may fluctuate over     time, worsening during times of stress or when triggered by reminders       of         the trauma.

2.3       CAUSES AND RISK FACTORS

            Post-Traumatic Stress Disorder (PTSD) can develop as a result of               exposure to a traumatic event. While not everyone who experiences trauma develops PTSD, certain factors can increase the risk of             developing      the disorder. Here are some common causes and risk            factors associated        with PTSD:

2.3.1    Experiencing Trauma: The primary cause of PTSD is exposure to a                        traumatic event. This can include direct experience of trauma,                        witnessing a traumatic event, or learning about a traumatic event                       happening to a loved one. Examples of traumatic events include                  combat exposure, physical or sexual assault, natural disasters,                     accidents, or life-threatening medical diagnoses.

2.3.2    Severity and Duration of Trauma: The severity and duration of the              traumatic event can influence the likelihood of developing PTSD.                       Traumatic experiences that are particularly severe, prolonged, or life-       threatening are more likely to result in PTSD.

2.3.3    Pre-existing Vulnerabilities: Certain individual factors may increase                       susceptibility to PTSD. This includes a history of previous trauma or            adverse childhood experiences, genetic predisposition to anxiety or    mood disorders, personality traits such as high neuroticism or low resilience,             and a family history of mental health conditions.

2.3.4    Biological Factors: Biological factors, such as alterations in brain               structure and function, neurotransmitter imbalances, and                   dysregulation of the stress response system (e.g., hypothalamic-                        pituitary-adrenal axis), may contribute to the development and                    maintenance of PTSD symptoms.

2.3.5   Psychological Factors: Psychological factors, including cognitive                processes, coping styles, and beliefs about oneself and the world, can              influence the risk of PTSD. Negative appraisals of the trauma, feelings          of         guilt or shame, and maladaptive coping strategies (e.g., avoidance, substance             use) may exacerbate symptoms.

2.3.6    Social Support: Adequate social support following a traumatic event          can       serve as a protective factor against the development of PTSD.                   Conversely, perceived lack of social support, social isolation, or                 interpersonal conflicts may increase vulnerability to PTSD.

2.3.7    Environmental Factors: Environmental factors, such as ongoing                  stressors, socioeconomic disadvantage, limited access to mental                       health care, and exposure to secondary stressors (e.g., discrimination,            financial strain), can exacerbate PTSD symptoms or impede recovery.

the presence of risk factors does not guarantee the development of PTSD, and       resilience factors (e.g., coping skills, social support, access      to mental health          care) can mitigate the impact of trauma and promote           resilience.        Additionally, PTSD is a complex and multifaceted disorder             influenced             by the interaction of biological, psychological, social, and   environmental             factors.

• TYPES OF COUNSELING FOR PTSD

            Counseling for Post-Traumatic Stress Disorder (PTSD) encompasses                      various therapeutic approaches tailored to the unique needs and              preferences of individuals affected by trauma.

3.1       Cognitive Behavioral Therapy (CBT):

            Cognitive Behavioral Therapy (CBT) is one of the most widely                   researched and empirically supported treatments for PTSD (American    Psychological Association, 2017). CBT focuses on identifying and                  challenging maladaptive thoughts and behaviors related to the                     traumatic event, as well as developing coping skills to manage               distressing emotions and symptoms. Techniques such as cognitive         restructuring, exposure therapy, and behavioral activation are          commonly       used in CBT for PTSD (Resick et al., 2008).

3.2       Eye Movement Desensitization and Reprocessing (EMDR):

            Eye Movement Desensitization and Reprocessing (EMDR) is a                   specialized form of therapy that integrates elements of cognitive              therapy with bilateral stimulation, such as eye movements or tactile taps, to facilitate the processing and desensitization of traumatic     memories        (Shapiro, 2001). EMDR aims to help clients reprocess                        distressing       memories and associated beliefs, reducing their emotional            intensity and                promoting adaptive resolution.

3.3       Prolonged Exposure Therapy (PE):

 Prolonged Exposure Therapy (PE) is a structured and evidence-based                    therapy for PTSD that involves gradual and systematic exposure to      trauma-related memories, situations, and cues in a safe and controlled                    environment (Foa et al., 2007). Through repeated exposure, clients             learn to             confront and process traumatic memories without     experiencing   overwhelming distress, leading to habituation and           symptom reduction over         time.

3.4       Trauma-Focused Cognitive Processing Therapy (TF-CBT):

            Trauma-Focused Cognitive Processing Therapy (TF-CBT) is an      evidence-         based therapy that integrates elements of cognitive-        behavioral, exposure-  based, and trauma-focused interventions to             address PTSD symptoms in    children and adolescents (Cohen et al.,          2006). TF-CBT emphasizes             psychoeducation, skill-building, and gradual exposure to trauma-related    material within a supportive and      validating therapeutic relationship.

3.5       Narrative Exposure Therapy (NET):**

            Narrative Exposure Therapy (NET) is a narrative-based therapy that                       aims to help individuals construct coherent and integrated narratives       of         their traumatic experiences (Schauer et al., 2011). Through guided           storytelling      and emotional processing, clients gradually integrate                        fragmented      memories into a cohesive narrative, fostering a sense of       mastery and     meaning-making in relation to their trauma.

3.6       Mindfulness-Based Interventions:

            Mindfulness-based interventions, such as mindfulness-based stress reduction         (MBSR) and mindfulness-based cognitive therapy (MBCT),         have     shown promise in augmenting traditional PTSD treatments by promoting       present-moment awareness and acceptance of difficult         thoughts and             emotions (Kearney et al., 2013). These techniques help        clients develop            nonjudgmental awareness of their experiences,                      reducing reactivity      to trauma-related triggers and enhancing emotional        regulation.

counseling techniques play a critical role in the treatment of PTSD by                    providing individuals with effective tools to process trauma, manage               symptoms, and promote recovery. By integrating evidence-based     approaches      such as CBT, EMDR, PE, mindfulness, TF-CBT, and NET,             counselors       can offer comprehensive and personalized care that              addresses the   unique needs of clients affected by trauma.

• EFFECTIVENESS OF COUNSELLING IN TREATING PTSD

Counseling is widely recognized as an effective treatment for Post-             Traumatic Stress Disorder (PTSD), with numerous studies supporting    its        efficacy in reducing symptoms and improving overall functioning in individuals affected by trauma. Here’s an overview of the effectiveness      of         counseling in treating PTSD, supported by citations and references:

4.1       Evidence-Based Therapies: Several counseling approaches, such as            Cognitive Behavioral Therapy (CBT), Eye Movement Desensitization       and      Reprocessing (EMDR), Prolonged Exposure Therapy (PE), and       Trauma-           Focused Cognitive Processing Therapy (TF-CBT), have been             extensively      researched and shown to be effective in treating PTSD         (American             Psychological Association, 2017).

   4.2    Symptom Reduction: Counseling interventions for PTSD have been                       associated with significant reductions in PTSD symptoms, including                        intrusive thoughts, avoidance behaviors, negative alterations in mood   and      cognition, and alterations in arousal and reactivity (Bradley et al.,             2005).

   4.3    Improvement in Functioning: Counseling has been shown to improve                    overall functioning and quality of life in individuals with PTSD,                         including improvements in social relationships, occupational    functioning, and psychological well-being (Courtois & Ford, 2013).

  4.4     Long-Term Benefits: Research suggests that the benefits of                         counseling       for PTSD are often maintained over time, with many                      individuals      experiencing sustained symptom relief and functional        improvement   months or even years after completing therapy (Resick        et al., 2008).

4.5       Effectiveness Across Populations: Counseling interventions for PTSD                    have been found to be effective across diverse populations, including     military veterans, survivors of interpersonal violence, refugees, and   individuals from various cultural backgrounds (Sue & Sue, 2015).

• THE ROLE OF A COUNSELOR IN TREATING PTSD

Counselors play a vital role in the comprehensive treatment of Post-           Traumatic Stress Disorder (PTSD), offering individuals affected by                   trauma a supportive and therapeutic environment to address their                symptoms, process traumatic experiences, and promote healing and            recovery. This section explores the multifaceted role of counselors in the       treatment of PTSD, highlighting their responsibilities, therapeutic    approaches,     and the importance of the therapeutic relationship.

5.1       Assessment and Diagnosis:

            Counselors are trained to conduct comprehensive assessments to                 determine the presence and severity of PTSD symptoms. Through                       structured interviews, self-report measures, and clinical observation,    counselors can establish a diagnosis and develop an individualized treatment         plan tailored to the unique needs of each client (American            Counseling      Association, 2014).

5.2       Psychoeducation:

            Counselors provide clients with psychoeducation about PTSD, helping                   them understand the nature of the disorder, common symptoms, and         available treatment options. Psychoeducation empowers clients to          make   informed decisions about their care, reduces feelings of shame        or self- blame, and fosters a sense of hope and agency in the recovery    process            (Courtois & Ford, 2013).

5.3       Trauma-Focused Therapy:

            Counselors employ evidence-based trauma-focused therapy                        modalities, such as Cognitive Behavioral Therapy (CBT), Eye                Movement Desensitization and Reprocessing (EMDR), and prolonged             exposure therapy, to address PTSD symptoms (American    Psychological Association, 2017). These therapies help clients process   traumatic         memories, challenge maladaptive beliefs, and develop                       coping skills to manage distressing emotions and triggers.

5.4       Creating a Safe Therapeutic Environment:

            Counselors prioritize creating a safe and trusting therapeutic           environment where clients feel validated, respected, and supported.   This environment encourages open communication, exploration of             difficult           emotions, and collaboration in the therapeutic process. By   fostering a sense         of safety, counselors help clients feel empowered to     confront their trauma and work towards healing (Herman, 1992).

5.5       Crisis Intervention and Safety Planning:

            Counselors are trained to provide crisis intervention and develop                safety plans for clients experiencing acute distress or suicidal ideation.        They offer immediate support, assess risk factors, and collaborate                  with clients to identify coping strategies and resources to manage               crises effectively (National Institute for Health and Care Excellence,        2018).

5.6       Collaboration and Referral:

            Counselors collaborate with multidisciplinary teams, including                   psychiatrists, primary care physicians, and social workers, to ensure       comprehensive care for clients with PTSD. They may also facilitate          referrals to specialized treatment programs, support groups, or                    community resources to address clients’ holistic needs (American                       Counseling Association, 2014).

5.7       Empowerment and Advocacy:

            Counselors empower clients to advocate for themselves and access             appropriate services and support systems. They validate clients’          experiences, validate their strengths and resilience, and help them             navigate           systemic barriers to care. By advocating for clients’ rights    and needs,       counselors promote empowerment and self-advocacy in             the recovery    process (Sue & Sue, 2015).

In conclusion, counselors play a pivotal role in the treatment of PTSD,                   providing compassionate, evidence-based care that addresses the         complex          needs of individuals affected by trauma. Through assessment, psychoeducation, trauma-focused therapy, and advocacy, counselors             support clients on their journey towards healing, recovery, and        resilience.

• CHALLENGES AND LIMITATIONS IN COUNSELING FOR PTSD

While counseling is an essential component in the treatment of Post-                      Traumatic Stress Disorder (PTSD), it also faces various challenges and                      limitations that can impact the effectiveness of interventions and the                        therapeutic outcomes for individuals affected by trauma. This section                 explores some of the key challenges and limitations encountered in             counseling for PTSD, drawing from empirical research and clinical                   literature.

6.1       Treatment Engagement and Retention:

            Engaging individuals with PTSD in counseling can be challenging due       to         barriers such as stigma, shame, and avoidance behaviors (Hoge et     al., 2004).        Additionally, maintaining consistent attendance and            adherence to    treatment protocols may be difficult, particularly for            individuals             experiencing symptoms of emotional numbing or     hypervigilance.

6.2       Comorbidity and Complexity:

            PTSD often co-occurs with other mental health conditions, such as             depression,      anxiety disorders, and substance abuse, which can                 complicate       treatment outcomes (Kessler et al., 2005). Addressing                  comorbid         conditions requires a multidisciplinary approach and may    necessitate longer- term or more intensive interventions.

6.3       Cultural and Linguistic Diversity:

            Counseling approaches must be culturally sensitive and tailored to the                    diverse needs and backgrounds of clients with PTSD (Sue & Sue,                    2015). Language barriers, cultural differences in help-seeking                behaviors, and mistrust of mental health systems can hinder access to         and             engagement with counseling services among culturally diverse        populations.

6.4       Limited Access to Specialized Care:

            Access to specialized trauma-focused therapies, such as Cognitive Behavioral       Therapy (CBT) or Eye Movement Desensitization and   Reprocessing   (EMDR), may be limited in certain geographic areas or             healthcare settings      (American Psychological Association, 2017). Long wait times, insurance             constraints, and resource shortages can delay            access to evidence-based        treatments for individuals with PTSD.

6.5       Therapist Competence and Training:

            Ensuring that counselors have adequate training and supervision in             trauma-informed care is essential for providing effective treatment for           PTSD (Courtois & Ford, 2013). However, not all counselors may have   specialized training in trauma-focused interventions, leading to       variations        in treatment quality and outcomes.

6.6       Resistance and Avoidance:

            Individuals with PTSD may exhibit resistance or avoidance behaviors        in         therapy, particularly when confronted with traumatic memories or            emotions         (Resick et al., 2008). Overcoming resistance and fostering          engagement     requires patience, empathy, and a collaborative         therapeutic approach.

6.7       Limited Generalizability of Research Findings:

            While numerous studies have demonstrated the efficacy of trauma- focused            therapies for PTSD, the generalizability of these findings to         real-world       clinical settings may be limited (Bradley et al., 2005).              Factors            such as sample heterogeneity, treatment fidelity, and external          validity             can influence the applicability of research findings to diverse          populations and contexts.

In conclusion, while counseling is a vital component in the treatment          of         PTSD, it faces several challenges and limitations that can impact its            effectiveness and accessibility. Addressing these challenges requires     a          multifaceted approach that addresses systemic barriers, enhances    therapist             training and competence, promotes cultural humility and                 diversity,         and fosters innovation in treatment delivery and              implementation.

• INNOVATION AND FUTURE DIRECTIONS IN COUNSELING  FOR        TREATING PTSD

Innovations and future directions in counseling for treating Post-                Traumatic Stress Disorder (PTSD) are essential for advancing the field and      improving outcomes for individuals affected by trauma. Here are          some    emerging trends and potential innovations in PTSD counseling,      supported        by citations and references:

7.1       Technology-Assisted Interventions:** The use of technology, such as                    teletherapy, virtual reality (VR), and mobile applications, shows            promise in       expanding access to PTSD counseling and delivering        evidence-based           interventions in novel ways (Rizzo et al., 2019). Virtual       reality exposure          therapy, in particular, allows individuals to engage in           immersive and            realistic simulations of trauma-related scenarios,        providing a safe and    controlled environment for therapeutic exposure          and desensitization.

   7.2    Culturally Tailored Interventions: Culturally tailored counseling                 interventions acknowledge the diverse backgrounds, experiences, and     needs of individuals with PTSD, incorporating cultural values, beliefs,            and      practices into treatment approaches (Hinton et al., 2013).     Culturally        competent counseling promotes trust, engagement, and relevance for   clients from various cultural and ethnic backgrounds,   enhancing        treatment effectiveness.

  7.3     Integrated Care Models: Integrated care models, which involve                   collaboration between mental health providers, primary care            physicians,      and other healthcare professionals, aim to address the       complex needs of        individuals with PTSD by offering comprehensive   and coordinated services             (Zatzick et al., 2019). These models              emphasize a holistic approach to        treatment, addressing both mental           and physical health concerns within the         same care setting.

7.4       Community-Based Interventions: Community-based counseling                  interventions involve delivering PTSD treatment in community settings,               such as schools, workplaces, faith-based organizations, or community              centers, to increase accessibility and engagement (Price et al., 2013).             By       bringing services to where individuals live, work, and socialize,                  community-based interventions reduce barriers to care and promote     early intervention and prevention efforts.

  7.5     Transdiagnostic Approaches: Transdiagnostic approaches to            counseling       for PTSD recognize the overlap and comorbidity of PTSD            with other mental        health conditions, such as depression, anxiety, and     substance use disorders           (Norrholm & Jovanovic, 2018). By targeting            underlying             transdiagnostic processes, such as emotion dysregulation     or negative      cognitive schemas, these interventions offer a more      efficient and flexible   approach to treatment.

            innovations and future directions in counseling for treating PTSD hold       the       potential to enhance accessibility, effectiveness, and relevance of             interventions for individuals affected by trauma.

• CONCLUSION

            In conclusion, counseling is an effective and evidence-based           treatment         for PTSD, offering individuals affected by trauma a range of      therapeutic      approaches to address their symptoms, promote healing,           and enhance    resilience. By providing a supportive and collaborative        therapeutic             environment, counselors play a vital role in supporting        individuals on their journey towards recovery and well-being.

The conclusion of the paper on counseling for treating Post-Traumatic                   Stress Disorder (PTSD) highlights the effectiveness of counseling                interventions in addressing the complex needs of individuals affected    by        trauma. Counseling approaches such as Cognitive Behavioral          Therapy             (CBT), Eye Movement Desensitization and Reprocessing    (EMDR),         Prolonged Exposure Therapy (PE), Trauma-Focused         Cognitive        Processing Therapy (TF-CBT), and Narrative Exposure             Therapy (NET)           have demonstrated efficacy in reducing PTSD          symptoms and improving             overall functioning.

Moreover, the paper emphasizes the importance of ongoing             innovation       and future directions in PTSD counseling, including the     integration of technology-assisted interventions, culturally tailored                         approaches,     integrated care models, community-based interventions,      and             transdiagnostic frameworks. These innovations aim to enhance       accessibility, effectiveness, and relevance of PTSD treatment, while   also addressing the diverse needs and preferences of individuals from             various cultural, social, and demographic backgrounds.

By embracing these advancements and adopting a holistic and client-                     centered approach to treatment, counselors can continue to play a pivotal role      in supporting individuals on their journey towards healing,           recovery, and resilience in the aftermath of trauma.

Overall, the paper underscores the significance of counseling as a               cornerstone of PTSD treatment, while also highlighting the need for          ongoing research, collaboration, and innovation to further advance the     field and improve outcomes for individuals affected by trauma.

• SUMMARY

summary of the key points discussed in the paper on            counseling for                         treating Post-Traumatic Stress Disorder (PTSD):

10.1.   Definition of PTSD:  PTSD is a psychiatric disorder that can develop in                  individuals following exposure to a traumatic event. It is characterized by        a range of symptoms, including intrusive thoughts, avoidance    behaviors,        negative alterations in mood and cognition, and alterations in arousal and      reactivity.

10.2.    Effectiveness of Counseling: Counseling interventions, such as                   Cognitive Behavioral Therapy (CBT), Eye Movement Desensitization       and      Reprocessing (EMDR), Prolonged Exposure Therapy (PE), Trauma-Focused         Cognitive Processing Therapy (TF-CBT), and          Narrative Exposure             Therapy (NET), have demonstrated efficacy in         reducing PTSD symptoms      and improving overall functioning.

10.3.  Challenges and Limitations: Despite its effectiveness, counseling for            PTSD faces challenges such as treatment engagement and retention,         comorbidity and complexity, cultural and linguistic diversity, limited             access to specialized care, therapist competence and training,          resistance        and avoidance, and limited generalizability of research   findings.

10.4.    Innovations and Future Directions: Emerging trends and innovations in                  PTSD counseling include technology-assisted interventions, culturally                       tailored approaches, integrated care models, community-based                   interventions, and transdiagnostic frameworks. These innovations aim        to             enhance accessibility, effectiveness, and relevance of PTSD            treatment.

Counseling plays a pivotal role in the treatment of PTSD, offering              individuals affected by trauma a range of therapeutic approaches to address their symptoms, promote healing, and enhance resilience.             Ongoing          research, collaboration, and innovation are essential for                   advancing        the field and improving outcomes for individuals affected         by trauma.

Overall, the paper emphasizes the importance of counseling as a                 cornerstone of PTSD treatment while also highlighting the need for           ongoing innovation and future directions to further enhance the                 effectiveness and accessibility of PTSD counseling interventions.

References:

American Counseling Association. (2014). ACA Code of Ethics.                Alexandria, VA: Author.

American Psychological Association. (2017). Clinical practice guideline    for       the treatment of PTSD. Retrieved from https://www.apa.org/ptsd-     guideline

Courto

American Psychiatric Association. (2013). Diagnostic and statistical           manual of mental disorders (5th ed.). Arlington, VA: Author.

American Psychological Association. (2017). Clinical practice guideline    for       the treatment of PTSD. Retrieved from https://www.apa.org/ptsd-     guideline

Bisson, J. I., Roberts, N. P., Andrew, M., Cooper, R., & Lewis, C.              (2013). Psychological therapies for chronic post-traumatic stress                 disorder (PTSD) in adults. Cochrane Database of Systematic Reviews,   12(12), CD003388.

Bradley, R., Greene, J., Russ, E., Dutra, L., & Westen, D. (2005). A                       multidimensional meta-analysis of psychotherapy for PTSD. American           Journal of Psychiatry, 162(2), 214-227.

Cohen, J. A., Mannarino, A. P., & Deblinger, E. (2006). Treating trauma    and      traumatic grief in children and adolescents. Guilford Press.

            Courtois, C. A., & Ford, J. D. (Eds.). (2013). Treating complex traumatic               stress disorders: An evidence-based guide. Guilford Press.

            Diagnostic and Statistical Manual (DSM-5; American          Psychological              Association, 2013).

Foa, E. B., Hembree, E. A., & Rothbaum, B. O. (2007). Prolonged             exposure therapy for PTSD: Emotional processing of traumatic                 experiences therapist guide. Oxford University Press.

            Hinton, D. E., Chhean, D., Pich, V., Safren, S. A., Hofmann, S. G., &         Pollack, M. H. (2013). A randomized controlled trial of cognitive-       behavior          therapy for Cambodian refugees with treatment-resistant           PTSD and panic          attacks: A cross-over design. Journal of Traumatic   Stress, 26(5), 664-671.

Hoge, C. W., Castro, C. A., Messer, S. C., McGurk, D., Cotting, D. I., &                Koffman, R. L. (2004). Combat duty in Iraq and Afghanistan, mental           health problems, and barriers to care. New England Journal of                    Medicine, 351(1), 13-22.

Kessler, R. C., Berglund, P., Demler, O., Jin, R., Merikangas, K. R., &                   Walters, E. E. (2005). Lifetime prevalence and age-of-onset                       distributions of DSM-IV disorders in the National Comorbidity Survey   Repli

            Price, M., Kuhn, E., Hoffman, J. E., & Ruzek, J. I. (2013). A feasibility                  trial of a telephone‐delivered, mental health intervention for survivors    of         acute respiratory distress syndrome. General Hospital Psychiatry,    35(2), 112-      117.

Resick, P. A., Monson, C. M., & Chard, K. M. (2008). Cognitive                processing therapy: Veteran/military version. Department of Veterans    Affairs.

Shapiro, F. (2001). Eye movement

            Rizzo, A., Koenig, S., & Rothbaum, B. O. (2019). Virtual reality in the                  treatment of PTSD: Progress and future directions. Current Opinion in    2Psychology, 31, 7-12.

Schauer, M., Neuner, F., & Elbert, T. (2011). Narrative exposure                therapy: A short-term intervention for traumatic stress disorders after         war,     terror, or torture. Hogrefe Publishing.

            Shapiro, F. (2001). Eye movement desensitization and reprocessing:                       Basic principles, protocols, and procedures (2nd ed.). Guilford Press.

            Sue, D. W., & Sue, D. (2015). Counseling the culturally diverse: Theory    and      practice (7th ed.). John Wiley & Sons.

             Norrholm, S. D., & Jovanovic, T. (2018). Tailoring therapeutic      strategies         for treating posttraumatic stress disorder symptom clusters.        Neuropsychiatric         Disease and Treatment, 14, 2625-2645.

            Zatzick, D. F., Jurkovich, G. J., Rivara, F. P., Russo, J., Wagner, A.,                       Wang, J., … & Katon, W. (2019). A randomized stepped care                      intervention trial targeting posttraumatic stress disorder for surgically                         hospitalized injury survivors. Annals of Surgery, 270(3), 406-413.