Gambling Disorders
A form of risk-taking, gambling involves wagering something of value on an event that is determined at least in part by chance with the intention of winning a prize. This includes activities that involve some degree of skill, such as playing cards, or even knowledge about horses and jockeys in horse races, which may improve one’s chances of winning. Gambling occurs in a variety of settings, including casinos and racetracks, gas stations, churches, restaurants, and on the Internet. While most people have gambled at some time in their lives, many develop an addiction to gambling that can strain relationships, interfere with work, and lead to financial disaster.
Some people may be able to control their urges to gamble with family therapy and other types of psychotherapy, but others may need help in stopping or reducing gambling. Several treatments are available, including cognitive behavioral therapy and psychodynamic therapy, and some types of group therapy can be helpful as well. Some patients also benefit from medication.
Research has shown that a variety of factors can contribute to gambling disorders, including genetics and trauma. Symptoms can begin in childhood, adolescence, or adulthood and can affect men and women equally. In some cases, gambling disorder is triggered by mood disorders such as depression or anxiety. It can also be exacerbated by stress, alcohol or drug abuse, and other addictions.
People gamble for a variety of reasons, including the excitement of winning money and the potential for socializing with friends. Gambling can also be a source of dissociation, which is when a person loses touch with reality and experiences altered or detached states. This can occur with some games, such as slot machines, which can create a trance-like state in which players become disconnected from their environment and daydream.
If a loved one has a gambling problem, it’s important to get them help and support. Seek out support groups, such as Gamblers Anonymous, and try to spend more time with non-gambling friends. It’s also a good idea to seek treatment for any mood disorders that could trigger or make the symptoms worse, such as depression, stress, and anxiety.
If you find yourself arguing with your loved one about gambling or spending more than you can afford to lose, consider taking over managing the household finances for a period of time, but be sure to take steps to prevent relapse. It’s also a good idea for family members to seek therapy and attend family counseling and/or marriage or credit counseling, which can help repair the relationship and lay the foundation for regaining control over finances. There are also self-help tips for battling gambling addictions, such as exercising, avoiding foods that increase cravings, and attending support meetings. Many states have national and local gambling helplines and other assistance, such as debt advice, to help people struggling with problem gambling.