Problem Gambling


Gambling is a type of risky activity in which you stake something that has value with the hope of winning more money. It is a form of entertainment and it can be found in many different forms, including lotteries, sports betting, casino games, video games and online gambling. Problem gambling is when you gamble excessively to the point that it negatively affects your health, work or family life, finances and relationships. This is when you need to seek help.

When you gamble, your brain releases dopamine, a feel-good neurotransmitter that can make you feel excited and happy. It is no surprise that some people become addicted to the thrill of gambling and find it difficult to stop. This can lead to serious problems such as financial ruin, debt and even legal issues. Problem gambling is a complex disorder that requires professional intervention.

Problem gambling is a complicated issue that can have devastating effects on a person’s physical and mental health, social connections, finances, career and educational opportunities. It can also cause stress and depression. The disorder may start in adolescence or young adulthood and develop into a more severe problem over time. It appears to run in families and may be influenced by trauma, social inequality and gender.

Pathological gambling (PG) is a persistent and recurrent maladaptive pattern of gambling behaviors that meets diagnostic criteria in the fourth edition of the Diagnostic and Statistical Manual of Mental Disorders, American Psychiatric Association 2000. It is estimated that about 0.4%-1.6% of the population meet PG criteria, with men developing symptoms at a younger age and engaging in strategic or face-to-face forms of gambling, such as poker or blackjack, while women tend to engage in nonstrategic and less interpersonally interactive forms of gambling, such as slot machines or bingo.

Longitudinal studies of gambling behavior are rare, and the methods used are often complicated. It is challenging to maintain research team continuity over a prolonged period; to ensure that participants do not change their gambling behavior; and to recognize that longitudinal data confound aging and period effects (e.g., does a change in gambling activity result from being older or because a new casino opened near the participant’s home).

The most common place to gamble is at casinos and racetracks, but it can also occur at gas stations, church halls, sporting events and on the Internet. It is also available through telephone and television gaming services and in some states, through state-licensed lotteries. In addition, there are numerous games that have a gambling component, such as scratch-off tickets and electronic gaming devices. Despite these barriers, some researchers are developing assessment instruments to evaluate youth who may be at risk for PG. It is hoped that these tools will help clinicians identify those at risk for a more severe PG and intervene appropriately. A variety of treatment interventions are available for those with a PG, including cognitive behavioral therapy, psychodynamic therapy and family therapy.