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International Primary Care Association

Clinical Focus Volume 7 N3

Volume 7 Issue 3 - 2013


After many years of declining incidence there has been a resurgence of tuberculosis (TB) in the United Kingdom. Although most cases occur in urban areas TB cases are seen across the country. This paper aims to raise awareness and highlight the pitfalls in diagnosis of an old but not to be forgotten disease.


Recent studies indicate that less than half of those living with a dementia have been diagnosed. This has led to a drive both to develop specialist memory services and educate healthcare professionals in early identification and diagnosis. This article is intended as a guide to the assessment of memory problems prior to referral to specialist services, for those in primary care.


The nationally representative British Gambling Prevalence Survey of 20101 indicates 0.9% of individuals in Britain meet the criteria for problem gambling, equating to approximately 451,000 adults. However, individuals who are problem gamblers are known to present to their GPs with associated problems without disclosing the underlying condition2 (Sullivan, Arroll, Coster & Abbott, 1998). Pride, shame and denial are factors that non-treatment seeking problem gamblers identify as barriers against them seeking treatment.3, 4 This disorder is therefore hugely challenging for professionals to identify and respond appropriately to. This article will outline the current DSM-IV criteria for Pathological Gambling, describe a simple, easy to administer screening tool, and explain common co-morbidities. Treatment is then discussed in terms of empirically supported approaches and what is currently available in the UK.

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