Cognitive therapy is used initially to dispute which of the following related to gambling?

• A. Developmental fixations
• B. Irrational beliefs
• C. Money management
• D. Image and esteem issues

Answer: (B)

The central idea here is that cognitive therapy targets the distorted thinking that fuels gambling. People often gamble because of irrational beliefs and cognitive distortions—for example thinking a big win is just around the corner, or that one more bet will guarantee a comeback, or that luck is due to align in their favor. By teaching patients to notice these thoughts, question their validity, and replace them with more realistic views, the therapy reduces the urge to gamble. That’s why disputing irrational beliefs is the best initial focus in this context.

Developmental fixations aren’t the typical target of gambling-focused cognitive therapy, and money management, while important as a practical skill, comes more into play as a behavioral or relapse-prevention tool rather than the initial cognitive target. Image and esteem issues can influence behavior, but the immediate cognitive intervention is aimed at challenging the irrational thoughts that drive gambling impulsivity.