Which of the following is not a reason for structuring treatment with clients with gambling disorder?

• A. Makes sure the therapist is always in control
• B. Reduces anxiety
• C. Provides clear goals
• D. Makes therapy manageable

Answer: (A)

Structuring treatment creates a predictable framework that supports engagement and progress in gambling disorder care. When sessions and activities are organized, clients know what to expect, which reduces uncertainty and lowers anxiety about relapse or tough moments. A clear plan also helps set concrete goals, so both client and clinician can track progress and stay focused. It makes therapy manageable by breaking work into smaller steps, scheduling sessions, and providing routine, which supports adherence and reduces overwhelm. The idea that structure exists to ensure the therapist is always in control doesn’t fit with how treatment is typically designed; effective gambling disorder therapy is collaborative and client-centered. The structure is there to support the client’s safety, motivation, and progress, not to exert control.