Medically reviewed:06/22/2018
Last updated: 04/17/2020
Author: Addictions.com Medical Review

Gambling addiction is a very serious condition that can destroy lives. Although treating a gambling addiction can be challenging, many people suffering from the disease have found help through treatment. Start the road to recovery. Problem gambling has been called the hidden addiction. It is very easy to hide as it has few recognizable symptoms, unlike alcohol and drug use. Many problem gamblers themselves do not recognize they have a gambling problem. Problem gamblers often engage in self-denial.

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What is Gambling Addiction?

Gambling addiction or gambling disorder is defined as persistent and recurring problematic gambling behavior that causes distress and impairs your overall livelihood. Gambling addiction affects roughly 0.2% to 0.3% of the general U.S. population, and tends to affects males more than females, though this gender gap has narrowed in recent years. Gambling disorder is a behavioral addiction that can be effectively treated using a range of cognitive and behavioral therapies.

The desire to buy scratch tickets, play slot machines, and visit casinos aren’t necessarily signs of gambling addiction. But when the desire to gamble becomes overwhelming to the point you can’t stop thinking about it until you gamble on something, may be a sign you need help. Those who suffer from gambling addiction will continue to gamble despite negative financial, legal, and social consequences.

Gambling disorder is a brain disease that can cause you to do things you wouldn’t normally do if you weren’t suffering from addiction. Behavioral addictions like gambling disorder are often difficult to manage and control without getting professional help. Addiction treatment centers can help you overcome gambling addiction and teach you important skills aimed at helping you repair problems in your life caused by your disorder.

What are the Signs and Symptoms of Gambling Addiction?

There are no physical health symptoms associated with gambling disorder. Familiarizing yourself with common gambling addiction behaviors can clue you into whether you or a loved one may need professional help.

Chasing after losses is the most common tell-tale sign of gambling disorder. This particular symptom is marked by the urgent need to continue gambling to earn back a loss or series of losses. Individuals diagnosed with gambling disorder may abandon their usual gambling strategies to win back all losses at once and may lie to family, friends, and therapists to hide the severity of their addiction.

The following behaviors are potential signs of gambling addiction:

• Needing to gamble using increasing amounts of money to achieve the desired rush and excitement.
• Feeling restless or irritable when trying to reduce or stop gambling.
• Inability to control, reduce, or quit gambling despite numerous repeated attempts.
• Preoccupation with gambling, such as devising ways to get more gambling money and reliving past gambling experiences.
• Gambling when experiencing feelings of distress, helplessness, guilt, anxiety, and depression.
• Chasing after your losses to get even after losing money gambling.
• Lying to conceal the severity of gambling behaviors, and the addiction.
• Loss of personal relationships, job, and educational pursuits due to gambling.
• Replying on others to provide money to resolve financial situations caused by gambling, such as a threat of eviction from the home.

Those with a mild gambling addiction may exhibit between four and five of these behaviors, while those with a moderately severe gambling addiction may exhibit six to seven of these behaviors. People who suffer from severe gambling addiction will usually exhibit all nine behaviors. Moderate to severe cases of gambling disorder tend to be more common than mild cases.

You might have a gambling problem if:

• You feel compelled to keep gambling until you’ve spent your last dollar. You may keep bidding until you’ve spent everything to win your money back, or you continue increasing bet amounts.
• You hide your gambling from friends or family members. You may sneak off to gamble without telling anyone, or lie about your gambling activities.
• You spend money you don’t have on gambling. You may use money intended for important bills like rent, mortgage, car payments, credit card bills, and other expenses for gambling.
• You steal from others or sell your possessions so you can gamble. You may steal money or belongings from others so you can gamble, or sell or pawn valuable possessions like musical instruments and vehicles to obtain more gambling money.
• You prioritize gambling over obligations related to work, school, family. You may stop going to work or school so you can gamble, or stop buying household necessities so you can use the money for gambling instead.
• You’re experiencing financial hardships due to gambling. You may have lost your home, car, job, and important personal possessions due to gambling.
• You’re facing a range of negative emotions triggered by gambling. Gambling may be a serious problem in your life if it’s triggering depression, anxiety, frustration, agitation, and remorse.
• You want to stop gambling but can’t. You have tried to stop gambling but can’t seem to stop despite your desire to do better and to stop gambling.

Negative Effects of Gambling Addiction

Gambling addiction can produce many more negative effects than just financial hardship. Gambling disorder can affect your physical health, mental health, and social functioning, and lead to the loss of important relationships with friends and loved ones. You may also suffer a decline in work or school performance, and feel more restless and bored with all other areas of life that don’t involve gambling.

Those who suffer from gambling addiction tend to suffer from higher rates of poor general health than those who don’t gamble. Tachycardia and angina are common health problems among those diagnosed with gambling addiction. Many who suffer from gambling disorder also tend to experience distortions in thinking surrounding their addiction, such as superstitions, overconfidence, and a sense of power over the outcome of chance events. Nearly 50% of those receiving treatment for gambling disorder experience suicidal ideation, while an estimated 17% have tried to commit suicide.

The negative effects of problem gambling include:

• Financial problems including high debt, poverty, or bankruptcy
• Domestic violence and child abuse in families
• Suicidal thoughts, attempts, or the act of suicide
• Legal troubles, including arrests for theft or prostitution
• Behavior problems in children of problem gamblers
• Depression, anxiety, and other mental health disorders
• Loss of relationships with friends and family
• A decline in performance at work or school
• Suicide and death
• A risk for drug or alcohol abuse

How Does Gambling Addiction Interact with Addiction?

Alcohol and cocaine are the two most common substances associated with gambling and binge gambling, respectively. Alcohol is legally available in most gambling settings such as bars and casinos and is often rewarded to gamblers for free at many of these establishments. Roughly 44% of people with gambling disorder in the U.S. also suffer from an alcohol use disorder.

Binge gambling is defined as intermittent episodes of uncontrolled gambling after long periods of abstinence. For instance, a person who practices binge gambling may only visit the casino five times per year but gamble non-stop for long periods during their stay. Cocaine use tends to be common among these gamblers since it produces stimulating effects of increased energy, alertness, focus, concentration, and confidence.

Individuals with gambling disorders tend to suffer higher rates of co-occurring alcohol and drug use disorders compared to their peers. Gambling often takes place in environments that enable and encourage alcohol and drug use. Gambling can also trigger mental health conditions like anxiety and depression, which many may self-treat using alcohol and drugs like marijuana, painkillers, and other addictive substances.

How Are Gambling Addiction and Substance Use Treated?

Gambling addiction is commonly treated using cognitive and behavioral therapies that treat the root psychological causes of your addiction. These therapies also help you identify and change negative, unhealthy thoughts and behaviors that may have led to your gambling addiction. Treatments for gambling addiction can be tailored especially for you or your loved one based on the factors surrounding your disorder.

Gambling addiction can also be treated using community reinforcement, group therapy, and 12-step support groups like Gamblers Anonymous. These treatments help you identify your triggers that can lead to gambling and teach you ways to overcome and manage those triggers. For instance, if a stressful day at work usually makes you feel like gambling, you may learn yoga, deep breathing, or other healthy methods that relieve stress without putting your health and well-being at risk.

Gambling Addiction Help

If you or someone you love needs treatment for gambling addiction, it’s important that you use a treatment approach that best suits your recovery needs. Gambling addiction treatment is available in many different settings, including inpatient and outpatient treatment settings.

Inpatient gambling addiction treatment can greatly benefit those who suffer from severe gambling disorder, and who have suffered severe financial, legal, or social problems. Inpatient treatment includes around-the-clock supervision in a hospital-like setting where you can live for the duration of your treatment program. The intense level of therapy, counseling, and supervision provided by inpatient treatment centers can help significantly reduce the risk of relapse while in recovery.

Compulsive gamblers often need support from friends, family members, and peers to help them stop gambling. Gamblers Anonymous groups can provide peer and social support for those in recovery or for those who wish they can stop gambling. These groups can provide a solid, healthy foundation for a successful and long-term recovery from gambling addiction.

Here’s how to help a family member or loved one suffering from a gambling addiction:

• Understand the addiction. The first thing you can do to help a loved one who is addicted to gambling is to learn all you can about the addiction. Find a support group that can help you cope with the stress that comes from having a loved one who is addicted to gambling.
• Find support. Support for yourself and for your loved one who is addicted can be very beneficial in helping with a gambling addiction. Many support groups are available throughout communities and in treatment centers. Therapists and counselors can also provide support for gambling addiction.
• Manage money tightly. If your loved one is addicted to gambling and is actively pursuing help, take over managing all financial responsibilities for your loved one. This can help reduce any gambling impulses your loved one may be experiencing throughout their recovery.

Gambling, for some people, is a leisure activity that offers a night out on the town enjoying time with friends and family, with a distant possibility of winning money. For other people, the stakes are higher. After all, gambling is a $40 billion dollar industry in the United States. In Las Vegas alone—the unofficial gambling capital of the world—the casinos bring in over 10 billion dollars from people placing bets. Though many of those people only gamble once in awhile, there are people who make gambling the center of their universe. In other words, they are addicted to gambling.

The temptations to gamble are everywhere and you don’t need to be in a casino to try your luck. Every state in America, with the exception of Utah and Hawaii, offer some type of legalized gambling—from old-school slot machines to sports-betting apps and everything in between. The accessibility to gambling has only amplified with the Internet. Based on various surveys in recent years, it is estimated that two million people in the US are addicted to gambling. But that figure has the potential to increase at anytime, because those same surveys revealed as many as 20 million people noting that their gambling habit had begun to interfere with their work and social life. That type of behavior falls into the category of “compulsive gambling,” which is the stage before gambling addiction.

What is Compulsive Gambling?

“The shortest version is that compulsive gambling is, as its name implies, a compulsion,” says Lance Dodes, MD, author of THE HEART OF ADDICTION: A New Approach to Understanding and Managing Alcoholism and Other Addictive Behaviors. “Compulsive gambling leads to an addiction, which is a psychological symptom that is well-understood and treatable with psychotherapy oriented toward that understanding. It is not a biological, genetic or moral issue, and it is not fundamentally different from other compulsive behaviors or addictions.”

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Usually, people start out gambling for fun, and then they lose money they didn’t mean to, and they end up chasing that loss until all their money is gone. And in many cases, people are gambling because they have faced emotional and financial losses and they are trying to console themselves.

There is a misconception among many people that problem gambling, another term for gambling addiction, is not a big deal. “Most people don’t realize that problem gambling is a real disorder, just like alcohol or drug addiction,” says Shelia Moran, director of communications and marketing at First Choice Services, a nonprofit agency in West Virginia dedicated to mental health issues and problems. “They think it’s just a bad habit that can be easily ended. The good news is that we find most people who get treatment are able to successfully stop gambling.”

Gambling and Co-Existing Mental Health Conditions

Sadly, it is estimated that over 80% of people who suffer from some type of gambling addiction never seek treatment, no matter how bad their problem is. Other statistics reveal that while there are people who do seek treatment for their gambling addiction, over 70% end up returning to the world of betting. People with this type of disorder are more likely to suffer from other types of mental health and substance abuse issues. Many gamblers also have an alcohol disorder or addiction, and over half were nicotine dependent.

The emotional toll it takes on people is devastating, and in many cases a gambling addiction can also bring bouts of depression, and in extreme situations may lead to suicidal thoughts or tendencies. People with a gambling addiction are also prone to anxiety, high stress and extreme sadness. When a gambler loses everything, their life will suddenly become hopeless and they fear what the future might bring.

Gambling Addiction Symptoms and Signs

As with other addictions, there are warning signs to look out for. These include:

• Keeping gambling habits a secret
• Having trouble controlling their gambling habit
• Continuing to be involved with a gambling habit when they cannot financially afford to do so.
• Resorting to illegal activities to pay for their gambling habit

Physical symptoms of excessive gambling include problems sleeping, weight gain or loss, dark circles under the eyes and extreme headaches.

How can you tell if someone has a gambling disorder? The American Psychiatric Association has developed guidelines and says that a person requires at least four of the following issues to take place during the past year:

1. A person feels the need to gamble with an increasing amount of money in order to achieve the desired excitement.
2. A person becomes angry, restless or irritable when someone tells them to cut back on their gambling, or to stop it altogether.
3. A person will have unsuccessfully tried to cut back or stop gambling on their own.
4. A person has frequent thoughts about gambling, including reliving past gambling adventures, planning their next gambling outing, and thinking of ways to get money to gamble with.
5. A person will often gamble when they are feeling distressed.
6. After a person loses money, they return to try and “get even” (referred to as “chasing” one’s losses)
7. A person will not hesitate to lie to hide their gambling activity.
8. A person will jeopardize or lose a significant relationship, job or educational/career opportunity because of gambling.
9. A person will begin relying on others to help with money problems caused by their gambling habits.

Treatment Options for Gambling Addicts

If you suspect that someone in your life is addicted to gambling or a compulsive gambler, you should know that there is help. Here are treatment options to consider:

• “Behavior therapy and cognitive behavior therapy are recommended for compulsive gamblers,” says Katie Hurley, LCSW. “Behavioral therapy uses systematic exposure to the behavior to teach skills to reduce the urges, while cognitive behavioral therapy focuses on identifying unhealthy and irrational thoughts and replacing them with positive/adaptive ones. Family therapy is another option,” Hurley explains.
• Apps can help instill healthy habits and encourage consideration of events and emotions that lead to compulsive behaviors. Addiction AVERT app can help curb cravings. BreakFree can help people who use their smartphones to gamble spend less time on their phone.
• Adaptive coping strategies like exercise, deep breathing, progressive muscle relaxation, mindfulness, and meditation are all positive options. There are even meditation apps that can help anyone who doesn’t know where to start.

According to the American Psychiatric Association, as of 2016, there are no FDA-approved medications for the treatment of gambling disorder. There is, however, emerging scientific research that has shown that medications can be effective in reducing the intensity of urges and cravings for gambling.

Finally, Gamblers Anonymous has been beneficial in the lives of people who have an addiction; however, they must first admit they have a problem, which is often times the most difficult thing to do. If someone is unable to find an accessible chapter of Gamblers Anonymous, Alcoholics Anonymous addresses many of the same behaviors.

Just as anyone can become addicted to gambling, anyone can stop.

Gambling Pain

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