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Gambling Addiction and Problem Gambling

Warning Signs and How to Get Help for Your Gambling Problem

Gambling Addiction & Problem Gambling

Whether you bet on sports, scratch cards, roulette, poker, or slots—in a casino, at the track, or online—problem gambling can strain relationships, interfere with work, and lead to financial catastrophe. You may even do things you never thought you would, like stealing money to gamble or pay debts. You may think you can’t stop, but with the right help, you can overcome a gambling problem or addiction and regain control of your life.

What is gambling addiction and problem gambling?

Gambling addiction, also known as compulsive gambling or gambling disorder, is an impulse-control disorder. Compulsive gamblers can’t control the impulse to gamble, even when it’s hurting themselves or their loved ones.

  • Compulsive gamblers keep gambling no matter the consequences, even when they know the odds are against them or they can’t afford to lose.
  • People with gambling addiction often have other behavior or mood disorders. Many abuse substances, have ADD/ADHD, or mood disorders such as depression.
  • The Internet has made gambling far more accessible and harder for recovering addicts to avoid relapse. Online casinos and bookmakers are open all day, every day for anyone with a smartphone.

Gamblers can have a problem without being totally out of control. Problem gambling is any gambling behavior that disrupts your life. If you’re preoccupied with gambling, spending more and more time and money on it, or gambling despite serious consequences, you have a gambling problem.

Myths and facts about gambling addiction and problem gambling

MYTH: You have to gamble every day to be a problem gambler.
FACT: A problem gambler may gamble frequently or infrequently. Gambling is a problem if it causes problems.

MYTH: Problem gambling is not really a problem if the gambler can afford it.
FACT:
Problems caused by excessive gambling are not just financial. Too much time spent on gambling can also lead to relationship and legal problems, job loss, mental health problems including depression and anxiety, and even suicide.

MYTH: Partners of problem gamblers often drive problem gamblers to gamble.
FACT:
Problem gamblers often rationalize their behavior. Blaming others is one way to avoid taking responsibility for their actions, including what is needed to overcome the problem.

MYTH: If a problem gambler builds up a debt, you should help them take care of it.
FACT:
Quick fix solutions may appear to be the right thing to do. However, bailing the gambler out of debt may actually make matters worse by enabling gambling problems to continue.

Signs and symptoms of gambling addiction and problem gambling

Gambling addiction is sometimes referred to as a "hidden illness" because there are no obvious physical signs or symptoms like there are in drug or alcohol addiction. You may have a gambling problem if you:

  • Feel the need to be secretive about your gambling. You might gamble in secret or lie about how much you gamble, feeling others won’t understand or that you will surprise them with a big win.
  • Have trouble controlling your gambling. Once you start gambling, can you walk away? Or are you compelled to gamble until you’ve spent your last dollar, upping your bets in a bid to win lost money back?
  • Gamble even when you don’t have the money.  You may gamble until you’ve spent your last dollar, and then move on to money you don’t have—money to pay bills, credit cards, or things for your children. You may feel pushed to borrow, sell, or even steal things for gambling money.
  • Have family and friends worried about you. Denial keeps problem gambling going. If friends and family are worried, listen to them carefully. It’s not a sign of weakness to ask for help. Many older gamblers are reluctant to reach out to their adult children if they've gambled away their inheritance, but it's never too late to make changes for the better.

Do you have a gambling addiction or gambling problem?

Take this test to find out.

Gambling Addiction Test

In the last 12-months, have you:

1. Needed to gamble with increasing amounts of money in order to achieve the desired excitement??

2. Felt restless or irritable when attempting to cut down or stop gambling?

3. Made repeated unsuccessful efforts to control, cut back, or stop gambling?

4. Often been preoccupied with gambling, such as reliving past gambling experiences, handicapping or planning the next venture, or thinking of ways to get money with which to gamble?

5. Gambled when feeling distressed in some way, such as anxious, stressed, lonely, guilty, or depressed?

6. After losing money gambling, returned another day to get even or “chase” your losses?

7. Lied to conceal your gambling?

8. Jeopardized or lost a significant relationship, job, or school or career opportunity because of gambling?

9. Relied on others to provide money to relieve a desperate financial situation caused by gambling?

Adapted from: DSM¬5 Diagnostic Criteria: Gambling Disorder

Please answer all the questions

Score:

Interpreting the score:

If you answered YES to more than 4 questions and your gambling behavior is not better explained by a manic episode, you may have a gambling problem.

This questionnaire is not intended to replace professional diagnosis.

Self-help for gambling addiction and problem gambling

The biggest step to overcoming a gambling addiction is realizing that you have a problem. It takes tremendous strength and courage to own up to this, especially if you have lost a lot of money and strained or broken relationships along the way. But many others have been in your shoes and have been able to break the habit. You can to.

  • Seek help for underlying mood disorders. Depressionstress, substance abuse, or anxiety can both trigger gambling problems and be made worse by compulsive gambling. Even when gambling is no longer a part of your life, these problems will still remain, so it’s important to address them.
  • Learn to relieve unpleasant feelings in healthier ways. Do you gamble when you’re lonely or bored? Or after a stressful day at work or school? Gambling may be a way to self-soothe unpleasant emotions. But there are healthier and more effective ways of managing your moods, such as practicing relaxation techniques.
  • Strengthen your support network. It’s tough to battle any addiction without support, so reach out to friends and family. If your support network is limited, there are ways to  make new friends without relying on visiting casinos or gambling online. Try reaching out to colleagues at work, joining a sports team or book club, enrolling in an education class, or volunteering for a good cause.
  • Join a support group. Gamblers Anonymous, for example, is a twelve-step recovery program patterned after Alcoholics Anonymous. A key part of the program is finding a sponsor, a former gambler who has experience remaining free from addiction and can provide invaluable guidance and support.

Maintaining recovery for problem gambling and gambling addiction

Staying in recovery—making a permanent commitment to stop gambling—is possible if you:

  • Surround yourself with people to whom you’re accountable
  • Avoid tempting environments and websites
  • Give up control of your finances (at least at first)
  • Find healthier activities to replace gambling

Making healthier choices to prevent problem gambling

One way to stop gambling is to remove the elements necessary for gambling to occur in your life and replace them with healthier choices. The four elements needed for gambling to continue are:

  • A decision: For gambling to happen, you need to make the decision to gamble. If you have an urge: stop what you are doing and call someone, think about the consequences to your actions, tell yourself to stop thinking about gambling, and find something else to do immediately.
  • Money: Gambling cannot occur without money. Get rid of your credit cards, let someone else be in charge of your money, have the bank make automatic payments for you, close online betting accounts, and keep only a limited amount of cash on you.
  • Time: Even online gambling cannot occur if you don’t have the time. Schedule enjoyable recreational time for yourself that has nothing to do with gambling. If you’re gambling on your smartphone, find other ways to fill the quiet moments during your day.
  • A game: Without a game or activity to bet on there is no opportunity to gamble. Don’t put yourself in tempting environments. Tell gambling establishments you frequent that you have a gambling problem and ask them to restrict you from entering. Remove gambling apps and block gambling sites on your smartphone and computer.

Maintaining recovery from gambling addiction or problem gambling depends a lot on finding alternative behaviors you can substitute for gambling. Some examples include:

Reason for Gambling Sample Substitute Behaviors

To provide excitement, get a rush of adrenaline

Sport or a challenging hobby, such as mountain biking, rock climbing, or Go Kart racing

To be more social, overcome shyness or isolation

Counseling, enroll in a public speaking class, join a social group, connect with family and friends, volunteer, find new friends

To numb unpleasant feelings, not think about problems

Therapy, consult Helpguide’s Emotional Intelligence toolkit

Boredom or loneliness

Find something you’re passionate about such as art, music, sports, or books and then find others with the same interests

To relax after a stressful day

As little as 15 minutes of daily exercise can relieve stress.  Or deep breathing, meditation, or massage

To solve money problems

The odds are always stacked against you so it’s far better to seek help with debts from a credit counselor 

Dealing with gambling cravings

Feeling the urge to gamble is normal, but as you build healthier choices and a strong support network, resisting cravings will become easier. When a gambling craving strikes:

  • Avoid isolation. Call a trusted family member, meet a friend for coffee, or go to a Gamblers Anonymous meeting.
  • Distract yourself with another activity, such as going to the gym or watching a movie.
  • Postpone gambling. Tell yourself that you’ll wait 5 minutes, fifteen minutes, or an hour. As you wait, the urge to gamble may pass or become weak enough to resist.
  • Visualize what will happen if you give in to the urge to gamble. Think about how you’ll feel after all your money is gone and you’ve disappointed yourself and your family again.

If you aren’t able to resist the gambling craving, don’t be too hard on yourself or use it as an excuse to give up. Overcoming a gambling addiction is a tough process. You may slip from time to time; the important thing is to learn from your mistakes and continue working towards recovery.

Professional treatment for gambling addiction and problem gambling

Seeking professional help or seeing a therapist does not mean you are weak or can’t handle your problems. Therapy can give you tools and support for coping with your addiction that will last a lifetime. Problem gambling can sometimes be a symptom of bipolar disorder, so your doctor or therapist may need to rule out this disorder before making a diagnosis.

  • Inpatient treatment programs are an option for those with severe gambling addiction who are unable to avoid gambling without round-the-clock support.
  • Cognitive-behavioral therapy (CBT) for gambling addiction focuses on changing unhealthy gambling behaviors and thoughts, such as rationalizations and false beliefs. It can also teach you how to fight gambling urges and solve financial, work, and relationship problems caused by problem gambling.
  • The Four Steps Program is a variation of CBT aimed at changing your thoughts and beliefs about gambling in four steps: re-label, reattribute, refocus, and revalue. See Resources and References below.
  • Marriage and credit counseling can help you work through specific issues created by problem gambling.

Helping a family member with a gambling problem

While compulsive gamblers need the support of their family and friends to stop gambling, it’s common for loved ones to have conflicting emotions. You may have tried to cover up for the gambler or spent a lot of time trying to keep him or her from gambling. At the same time, you might be furious at your loved one for gambling again and tired of trying to keep up the charade.

  • The gambler may have borrowed (or even stolen) money from you with no way to pay it back.
  • He or she may have sold family possessions or run up huge debts on joint credit cards.
  • As hard as it is seeing the effects, you cannot make someone stop gambling. The decision to quit has to be theirs.
  • When faced with the consequences of their actions, a gambler can suffer a crushing drop in self-esteem, even leading to thoughts of suicide.

Preventing suicide in problem gamblers

When gamblers feel hopeless, the risk of suicide is high. It’s very important to take any thoughts or talk of suicide seriously. Call the National Suicide Prevention Lifeline at 1-800-273-8255 or for a suicide helpline outside the U.S., visit Befrienders Worldwide.

Tips for family members of problem gamblers:

  • Start by helping yourself. You have a right to protect yourself emotionally and financially. Don’t blame yourself for the gambler’s problems or let his or her addiction dominate your life. Ignoring your own needs can be a recipe for burnout.
  • Don’t go it alone. It can feel so overwhelming coping with a loved one’s gambling addiction that it may seem easier to rationalize their requests “this one last time." Or you might feel ashamed, feeling like you are the only one who has problems like this. Reaching out for support will make you realize that many families have struggled with this problem.
  • Set boundaries in managing money. To ensure the gambler stays accountable and to prevent relapse, consider taking over the family finances. However, this does not mean you are responsible for micromanaging the problem gambler’s impulses to gamble. Your first responsibilities are to ensure that your own finances and credit are not at risk.
  • Consider how you will handle requests for money. Problem gamblers often become very good at asking for money, either directly or indirectly. They may use pleading, manipulation or even threats to get it. It takes practice to ensure you are not enabling your loved one’s gambling addiction.

Do’s and don'ts for partners of problem gamblers

Do

  • Seek the support of others with similar problems; attend a self-help group for families such as Gam-Anon.
  • Explain problem gambling to the children.
  • Recognize your partner’s good qualities.
  • Remain calm when speaking to your partner about his or her gambling and its consequences.
  • Let your partner know that you are seeking help for your own sake because of the way gambling affects you and the children.
  • Understand the need for treatment of problem gambling despite the time it may involve.
  • Take control of family finances; review bank and credit card statements.

Don’t

  • Preach, lecture, or allow yourself to lose control of your anger.
  • Make threats or issue ultimatums unless you intend to carry them out.
  • Exclude the gambler from family life and activities.
  • Expect immediate recovery, or that all problems will be resolved when the gambling stops.
  • Bail out the gambler.
  • Cover-up or deny the existence of the problem to yourself, the family, or others.

Source: Dept. of Mental Health & Addiction Services


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Resources and references

Help and support for problem gambling and gambling addiction

The National Council on Problem Gambling Helpline – Offers a confidential, 24-hour helpline for problem gamblers or their family members in the U.S. Call 1-800-522-4700. (NCPG)

Gamblers Anonymous – Twelve-step Gamblers Anonymous program, an international support network of meetings to assist people who have a gambling problem. (Gamblers Anonymous)

Gamcare – Offers support, information, and advice for those with a gambling problem in the UK. Call the helpline 0845 6000 133. (Gamcare)

Gambling Help Online – Provides 24-hour helpline in Australia for counseling, information, and referrals. Call 1800 858 858. (Gambling Help Online)

Canadian Resources for Those Affected by Problem Gambling – Find help and information on problem gambling in your area of Canada. (Centre for Addiction and Mental Health)

Signs and symptoms of problem gambling and gambling addiction

What Is Problem Gambling? – Learn about the gambling continuum and the key differences between recreational gambling and problem gambling. (British Columbia Responsible & Problem Gambling Program)

Do I Need Help?: Helpful Questions for Self-evaluation – Includes questions for self-evaluation, as well as questions for family members who suspect a gambling problem. (Connecticut Department of Mental Health and Addiction Services)

Gamblers Self-Assessment – Online questionnaire to help gamblers determine if they have a problem or a gambling addiction. (California Department of Public Health)

Treatment and self-help for problem gambling and gambling addiction

Your First Step to Change: Gambling – Self-change toolkit helps problem gamblers learn about their addiction and take steps to overcome it. (The Division on Addictions, Cambridge Health Alliance and Harvard Medical School)

The Four Steps – Although the article is written for Obsessive Compulsive Disorder, it outlines in more detail the four steps used in a variant of cognitive behavioral therapy, and how you can apply them to change thought processes and control impulses. (Westwood Institute of Anxiety Disorders, commercial site)

Freedom from Problem Gambling (PDF) – Self-help workbook for compulsive gamblers, with tips on how to avoid relapse and fight gambling urges. (UCLA Gambling Studies Program and California Department of Public Health)

Choosing a Treatment Facility – Learn what treatments are appropriate for problem gambling and what questions you should ask when look at facilities. (National Council on Problem Gambling)

Problem Gamblers and their Finances (PDF) – In-depth guide for treatment professionals on how to help a problem gambler cope with financial problems and pressures. (National Endowment for Financial Education)

Helping a family member with a gambling problem

Help for Family, Friends, Employers, and Co-Workers – Learn how gambling addiction affects family and friends and what you can do to address the problem. (Connecticut Department of Mental Health and Addiction Services)

Personal Financial Strategies for the Loved Ones of Problem Gamblers (PDF) – Designed to help families deal with personal financial issues due to a loved one's problem gambling. (National Council on Problem Gambling)

Information for Families – (Centre for Addiction and Mental Health) – Explore resources for family members of problem gamblers. Includes a downloadable PDF guide for families.

Gam-Anon – Twelve-step program for the problem gambler’s spouse, family members, or close friends. (Gam-Anon International Service Office, Inc)

Authors: Jeanne Segal, Ph.D., Melinda Smith, M.A., and Lawrence Robinson. Last updated: April 2016.