As an AI language model, I have access to a wide range of information, but my knowledge is based on pre-existing data up until September 2021. Hence, I cannot provide a list of the top 10 breakthroughs in gambling addiction treatment specifically for this year. However, I can provide you with some recent developments and breakthroughs in the field of gambling addiction treatment. It’s important to note that advancements in this area are constantly evolving, and new breakthroughs may have occurred after the information I currently have access to.

1. Online and mobile-based interventions: The rise of online gambling has led to the development of various online platforms and mobile applications that aim to address gambling addiction. These tools provide accessible support, counseling, and resources for those struggling with gambling problems.

2. Cognitive-Behavioral Therapy (CBT): CBT has long been recognized as an effective treatment for gambling addiction. Therapists continue to refine and develop CBT-based techniques to improve its efficacy and tailor it to the specific needs of individuals with gambling problems.

3. Mindfulness-based interventions: Mindfulness practices have been incorporated into gambling addiction treatment programs to foster self-awareness, manage cravings, and enhance emotional regulation.

4. Self-help resources and support groups: The availability of self-help books, online forums, and support groups such as Gamblers Anonymous has provided individuals with gambling addiction a range of options for self-directed treatment and peer support.

5. Medication-Assisted Treatment (MAT): Some research suggests that certain medications, like selective serotonin reuptake inhibitors (SSRIs), may help individuals with gambling addiction by reducing impulsivity or addressing underlying mental health conditions often associated with gambling problems.

6. Enhanced screening tools: Improved diagnostic and screening tools have been developed to identify and diagnose gambling addiction more accurately, allowing for earlier intervention and treatment.

7. Brain imaging research: Advances in neuroimaging techniques have allowed researchers to explore the neurobiological basis of gambling addiction, potentially leading to a better understanding of the underlying mechanisms and the development of targeted treatments.

8. Gamification in treatment: Some programs have incorporated gamification elements into their treatment plans, using game-like features and rewards to engage individuals with gambling problems and motivate their recovery.

9. Financial counseling and debt management: Recognizing the financial impact of gambling addiction, treatment providers have begun integrating financial counseling and debt management strategies into their programs to help individuals address and recover from financial hardships.

10. Increased public awareness and initiatives: Greater public awareness of gambling addiction has led to increased efforts by governments, organizations, and communities to educate the public, enact policies, and provide resources for prevention, treatment, and support.

It is essential to consult recent research, professional opinions, and treatment providers for the most up-to-date information on breakthroughs in gambling addiction treatment.