Gambling Problems
Gambling involves placing something of value on a random event in the hope of winning another thing of value, where instances of strategy are discounted. This can be done in many ways: through betting on sports events (such as horse racing or football matches), in casinos, through lotteries, and even through the internet.
While most people who gamble do not have a gambling problem, some individuals develop a serious addiction to gambling that interferes with their daily lives and causes significant distress. This is called compulsive gambling or pathological gambling. Compulsive gambling has been linked to mood disorders like depression and stress, as well as drug or alcohol use, and it can lead to financial difficulties and relationship problems. In some cases, it can be difficult to identify and treat.
There are a variety of approaches to treating gambling problems, including self-help treatment programs and inpatient or residential treatment and rehab. Inpatient and residential programs are geared towards those who have severe gambling addictions and need round-the-clock support to stop gambling. They can also help people learn healthier and more effective ways to relieve unpleasant feelings, such as by exercising, spending time with friends who don’t gamble, and practicing relaxation techniques.
Some people may be at risk for developing a gambling problem if they have a family history of gambling disorder or mental health issues, such as depression, anxiety, or substance abuse. Other risk factors include poor money management skills, low levels of education, and a history of sexual or domestic violence. People who are employed in high-risk professions, such as law enforcement or firefighting, may also be at greater risk of gambling problems.
Researchers are working to better understand what makes some people more vulnerable to gambling problems than others, so that strategies for prevention and treatment can be improved. One recent study found that the brains of those who have a gambling disorder are wired differently than those of other people. Another study found that the experience of altered emotional states, such as depression or a feeling of powerlessness, can trigger the onset of a gambling problem.
The way that scientists think about gambling problems has changed significantly over the years. Historically, experts have thought that individuals with adverse consequences from gambling had a personality trait that predisposed them to the problem. Today, however, most researchers and clinicians accept that the adverse consequences of gambling are caused by underlying mental health problems, such as depression or anxiety. This change in understanding has been reflected, or at least stimulated, by the evolving clinical description of pathological gambling in various editions of the Diagnostic and Statistical Manual of Mental Disorders published by the American Psychiatric Association.