Compulsive gambling

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Definition

Compulsive gambling is being unable to resist impulses to gamble. This can lead to severe money problems, job loss, crime or fraud, and damage to family relationships.

Alternative Names

Gambling - compulsive; Pathological gambling; Addictive gambling

Causes

Compulsive gambling most often begins in early adolescence in men, and between ages 20 and 40 in women.

People with compulsive gambling have a hard time resisting or controlling the impulse to gamble. The brain is reacting to this impulse in the same manner it reacts to a person addicted to alcohol or drugs. Although it shares features of obsessive compulsive disorder, compulsive gambling is likely a different condition.

In people who develop compulsive gambling, occasional gambling leads to a gambling habit. Stressful situations can worsen gambling problems.

Symptoms

People with compulsive gambling often feel ashamed and try to avoid letting other people know about their problem. The American Psychiatric Association defines pathological gambling as having 5 or more of the following symptoms:

  • Committing crimes to get money to gamble.
  • Feeling restless or irritable when trying to cut back or quit gambling.
  • Gambling to escape problems or feelings of sadness or anxiety.
  • Gambling larger amounts of money to try to make back past losses.
  • Losing a job, relationship, education, or career opportunity due to gambling.
  • Lying about the amount of time or money spent gambling.
  • Making many unsuccessful attempts to cut back or quit gambling.
  • Needing to borrow money due to gambling losses.
  • Needing to gamble larger amounts of money in order to feel excitement.
  • Spending a lot of time thinking about gambling, such as remembering past experiences or ways to get more money with which to gamble.

Exams and Tests

A psychiatric evaluation and history can be used to diagnose pathological gambling. Screening tools such as the Gamblers Anonymous 20 Questions www.gamblersanonymous.org/ga/content/20-questions can help with the diagnosis.

Treatment

Treatment for people with compulsive gambling begins with recognizing the problem. Compulsive gamblers often deny they have a problem or need treatment.

Most people with pathological gambling only get treated when other people pressure them.

Treatment options include:

  • Cognitive behavioral therapy (CBT).
  • Self-help , such as Gamblers Anonymous. Gamblers Anonymous  is a 12-step program similar to Alcoholics Anonymous. Practices used to treat other types of addiction, such as and , can also be helpful in treating pathological gambling.
  • A few studies have been done on medicines for treating compulsive gambling. Early results suggest that antidepressants and opioid antagonists (naltrexone) may help treat the symptoms of pathological gambling. However, it is not yet clear which people will respond to medicines.

Outlook (Prognosis)

Like alcohol or drug addiction, pathological gambling is a long-term disorder that tends to get worse without treatment. Even with treatment, it's common to start gambling again (relapse). However, people with pathological gambling can do very well with the right treatment.

Possible Complications

Complications may include:

  • Alcohol and drug abuse problems
  • Anxiety
  • Depression
  • Financial, social, and legal problems (including bankruptcy, divorce, job loss, time in prison)
  • Heart attacks (from the stress and excitement of gambling)
  • Suicide attempts

Getting the right treatment can help prevent many of these problems.

When to Contact a Medical Professional

Call your health care provider or mental health professional if you believe you have symptoms of pathological gambling.

Prevention

Exposure to gambling may increase the risk of developing pathological gambling. Limiting exposure may be helpful for people who are at risk. Intervention at the earliest signs of pathological gambling may prevent the disorder from getting worse.

References

Gamblers anonymous. 20 questions. www.gamblersanonymous.org/ga/content/20-questions. Accessed April 20, 2016.

Weissman AR, Gould CM, Sanders KM. Impulse-control disorder. In: Stern TA, Fava M, Wilens TE, Rosenbaum JF, eds. Massachusetts General Hospital Comprehensive Clinical Psychiatry. 2nd ed. Philadelphia, PA: Elsevier Mosby; 2016:chap 23.

Version Info

  • Last reviewed on 2/21/2016
  • Timothy Rogge, MD, Medical Director, Family Medical Psychiatry Center, Kirkland, WA. Also reviewed by David Zieve, MD, MHA, Isla Ogilvie, PhD, and the A.D.A.M. Editorial team.

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