Currently, Dr. Rugle is Director of the Gambling Treatment Program at the Louis Stokes Department of Veterans Affairs Medical Center, Brecksville Division in Cleveland, Ohio. She is also clinical and research director for Trimeridian, Inc., a company dedicated to the treatment and research of problem and pathological gambling. She has participated in research on neuroimaging, pharmacotherapy and genetic studies of pathological gamblers. Dr Rugle has also been in a member of the Institute of Problem Gambling as a trainer, and has won numerous awards in gambling addictions research and treatment.