Gambling Disorders


Gambling is an activity where a person puts something of value at risk in the hope of winning more money or goods. It can be done at casinos, racetracks, lotteries or online. It can be a recreational activity or a serious addiction that has many harmful effects on individuals and society. People with gambling disorder have trouble controlling their behavior and often continue even when it causes problems.

Gambling can also be a dangerous activity because of its high rates of addiction, crime and suicide. In addition, it can cause other health problems including heart disease, depression and anxiety. Problem gambling may affect a person’s family, friends, work and social life. It can even result in incarceration or homelessness.

The term gambling is used to describe a wide range of activities, from those that are not considered a problem (subclinical) to those that meet the Diagnostic and Statistical Manual of Mental Disorders (Fourth Edition) criteria for pathological gambling (PG). The terms disordered gambling and compulsive gambling are also commonly used in the literature. Using these terms can help to make clearer the distinction between gambling behavior that is not problematic and those that pose a significant risk for developing a more serious problem.

Studies of brain imaging have shown that some people are genetically predisposed to risk-taking behaviours and impulsivity. They may also have a different way of processing reward information and weighing risks. This can influence how a person chooses whether or not to gamble and the amount they might be willing to risk.

Research has also shown that certain chemicals in the brain are involved in regulating emotion and controlling impulses. This includes dopamine, which is produced when a person wins or loses and can lead to compulsive gambling. However, this does not explain why some people develop a gambling problem while others do not.

There are a number of ways to get help for gambling disorders, including counseling and medications. In some cases, medication can help to relieve symptoms such as depressed mood or anxiety. There are no FDA-approved medications to treat gambling disorder itself, but some can help to manage the side effects of other drugs that are taken for a medical condition.

Counseling can help to understand the causes of gambling behavior and how it affects a person’s life. It can also help to consider options and solve problems. In some cases, counseling can be combined with other treatments such as behavioral therapy or cognitive therapy. There are also programs that offer residential or inpatient care for people with a severe gambling problem.

It is important to recognize the warning signs of a gambling problem. These include: feeling a strong urge to gamble; lying to family members, therapists or others to conceal the extent of one’s involvement in gambling; needing to gamble larger amounts to achieve the same level of excitement; experiencing negative consequences from gambling (such as financial losses, relationship difficulties and legal troubles); jeopardizing a job, school or career opportunity to gamble; or repeatedly trying to control, cut back on, or stop gambling and being unsuccessful.