Gambling Disorder


Gambling is an activity in which someone wagers something of value (usually money) on a random event, usually with the hope of winning something else of value. It can involve games like roulette, baccarat, poker, blackjack, and slot machines that are played in brick-and-mortar casinos. It can also involve sports betting, such as placing a bet on a horse race or game of football. Other types of gambling include lottery tickets and insurance policies, where the bettors’ chances of winning are based on actuarial data.

People with gambling disorder have trouble controlling their urges to gamble, even when they’re losing a lot of money. They might lie to family members, therapists, or friends about how much they’re spending on gambling or about their gambling habits. They may also try to get back what they’ve lost by borrowing or stealing money. These actions can have serious legal and health consequences.

Compulsive gambling can cause problems in all areas of a person’s life, including relationships, employment, and health. For example, people with gambling disorders may lose a job or an educational opportunity because of their addiction to gambling, and they might go into debt to fund their gambling. They may also develop stress, anxiety, depression, or other mental health conditions as a result of their gambling problem. In addition, they might turn to unhealthy ways of dealing with their feelings, such as drinking or smoking, which can exacerbate their gambling problem.

The social costs of gambling disorder are considerable. For example, studies have shown that people who have a gambling disorder are more likely to file for bankruptcy. Some of these bankruptcies are caused by gambling, and others are related to other financial obligations, such as unpaid taxes and car loans. Some individuals with gambling disorder may even steal or commit fraud to finance their addiction to gambling.

While it’s not the case for everyone, most people who gamble develop an addiction at some point in their lives. It is estimated that 0.4-1.6% of Americans meet criteria for pathological gambling (PG). PG typically starts in adolescence or young adulthood and can be difficult to treat. People with PG are more likely to experience difficulties with strategic and face-to-face forms of gambling, such as blackjack and poker, than with nonstrategic or less interpersonally interactive forms of gambling, such as slots or bingo.

When someone has a gambling addiction, it’s important to reach out for help. Talking to a counselor can help them identify and address their underlying issues. Several different therapies can be used, including psychodynamic therapy, which looks at how unconscious processes influence behavior, and group therapy. Moreover, psychoeducational and cognitive-behavioral therapies can help a person overcome their impulse to gamble by teaching them how to challenge irrational beliefs about gambling, such as the idea that a string of losses means that a future win is imminent. Additionally, it’s important to strengthen a person’s support network by finding new ways to socialize that don’t involve visiting casinos or gambling online.