Great post! PTU is definitely something that is more prevalent that many would guess and there is a need. Understanding common pathways can be helpful for both clients and clinicians, as they can use that information to prevent things from getting worse, help come up with individualized treatment plans, and also to see that others are experiencing similar problems which can be helpful for many people to not feel alone in their problem. PTU is also likely to be co-occurring with many things, including gambling with some disorders likely to be a pathway to PTU and others happening as a result of PTU which can be complex.