Online Gambling Mental Health
Gambling & Mental Health
May is National Mental Health Month. The causes and complications of compulsive gambling.
We all have a role to play in preventing problem gambling in the state of Ohio. During National Mental Health Month, we’re asking all of you to help raise awareness about the relationship between mental health disorders and compulsive gambling. By doing so, we can prevent problem gambling before it starts, promote responsible behaviors and provide treatment to those who need it most.
Event catch-up: Mental health and online gambling Watch back our webinar from 15 July 2020, launching our new research exploring the links between mental health and online gambling. We were delighted to have the following speakers. Combining preexisting mental health disorders can multiply these side effects and lead to gambling spiraling out of control. The correlation between problem gambling and mental health issues is complicated. Sometimes gambling can lead to mental health problems, and sometimes the sequence occurs in reverse order.
Find more information on the relationship between mental health and compulsive gambling in the story below.
Overview
Compulsive gambling, also called gambling disorder, is the uncontrollable urge to keep gambling despite the toll it takes on your life. Gambling means that you’re willing to risk something you value in the hope of getting something of even greater value.
Gambling can stimulate the brain’s reward system much like drugs or alcohol can, leading to addiction. If you have a problem with compulsive gambling, you may continually chase bets that lead to losses, hide your behavior, deplete savings, accumulate debt, or even resort to theft or fraud to support your addiction.
Compulsive gambling is a serious condition that can destroy lives. Although treating compulsive gambling can be challenging, many people who struggle with compulsive gambling have found help through professional treatment.
Symptoms
Signs and symptoms of compulsive gambling (gambling disorder) include:
- Being preoccupied with gambling, such as constantly planning how to get more gambling money
- Needing to gamble with increasing amounts of money to get the same thrill
- Trying to control, cut back or stop gambling, without success
- Feeling restless or irritable when you try to cut down on gambling
- Gambling to escape problems or relieve feelings of helplessness, guilt, anxiety or depression
- Trying to get back lost money by gambling more (chasing losses)
- Lying to family members or others to hide the extent of your gambling
- Jeopardizing or losing important relationships, a job, or school or work opportunities because of gambling
- Resorting to theft or fraud to get gambling money
- Asking others to bail you out of financial trouble because you gambled money away
Unlike most casual gamblers who stop when losing or set a loss limit, people with a compulsive gambling problem are compelled to keep playing to recover their money — a pattern that becomes increasingly destructive over time.
Some people with a compulsive gambling problem may have remission where they gamble less or not at all for a period of time. However, without treatment, the remission usually isn’t permanent.
When to see a doctor or mental health professional
Have family members, friends or co-workers expressed concern about your gambling? If so, listen to their worries. Because denial is almost always a feature of compulsive or addictive behavior, it may be difficult for you to realize that you have a problem.
If you recognize your own behavior from the list of signs and symptoms for compulsive gambling, seek professional help.
Causes
Exactly what causes someone to gamble compulsively isn’t well-understood. Like many problems, compulsive gambling may result from a combination of biological, genetic and environmental factors.
Risk factors
Although most people who play cards or wager never develop a gambling problem, certain factors are more often associated with compulsive gambling:
- Mental health disorders. People who gamble compulsively often have substance abuse problems, personality disorders, depression or anxiety. Compulsive gambling may also be associated with bipolar disorder, obsessive-compulsive disorder (OCD) or attention-deficit/hyperactivity disorder (ADHD).
- Age. Compulsive gambling is more common in younger and middle-aged people. Gambling during childhood or the teenage years increases the risk of developing compulsive gambling. However, compulsive gambling in the older adult population can also be a problem.
- Sex. Compulsive gambling is more common in men than women. Women who gamble typically start later in life and may become addicted more quickly. But gambling patterns among men and women have become increasingly similar.
- Family or friend influence. If your family members or friends have a gambling problem, the chances are greater that you will, too.
- Medications used to treat Parkinson’s disease and restless legs syndrome.Drugs called dopamine agonists have a rare side effect that may result in compulsive behaviors, including gambling, in some people.
- Certain personality characteristics. Being highly competitive, a workaholic, impulsive, restless or easily bored may increase your risk of compulsive gambling.
Complications
Compulsive gambling can have profound and long-lasting consequences for your life, such as:
- Relationship problems
- Financial problems, including bankruptcy
- Legal problems or imprisonment
- Poor work performance or job loss
- Poor general health
- Suicide, suicide attempts or suicidal thoughts
Prevention
Although there’s no proven way to prevent a gambling problem, educational programs that target individuals and groups at increased risk may be helpful.
If you have risk factors for compulsive gambling, consider avoiding gambling in any form, people who gamble and places where gambling occurs. Get treatment at the earliest sign of a problem to help prevent gambling from becoming worse.
Remember that there is no cost for Problem Gambling treatment at Ohio’s publicly funded alcohol, drug and mental health agencies. See the service directory here: www.gamblinghelpohio.org.
Source
The word addiction comes from a Latin term meaning “bound to” or “enslaved by.” And anyone who has suffered/suffers from an addiction—or has tried to help someone with an addiction—can attest to the powerful, prolonged grip it exerts; the personal, professional and other damage it causes; and the challenges to quitting.
This is especially true of online gambling, which is diagnosed according to the same criteria as “traditional” in-person gambling. Features such as 24/7 availability, however that make it potentially more addictive and harder to recover from than gambling at a casino or other physical location. The internet also has made gambling accessible to minors who typically would be identified as under age at a physical betting establishment. Consequently, it has spawned a new generation of problem gamblers: teens and young adults, particularly young men.
Definition and Risks of Gambling Addiction
According to the Diagnostic and Statistical Manual of Mental Disorders (DSM-5), the American Psychiatric Association’s classification for psychiatric disorders, a person can be diagnosed as having a gambling addiction (the clinical term is “pathological gambling”) when at least 4 of the following are present:
- Preoccupation with gambling (such as reliving past gambling experiences, planning one’s next gambling session, or devising ways of getting the necessary money to gamble)
- A need to spend greater amounts of money in order to achieve the desired level of excitement
- Multiple unsuccessful attempts to reduce or stop gambling
- Irritability and restlessness when trying to reduce or quit gambling habits
- Gambling as a way of avoiding problems or temporarily improving one’s mood
- Returning to gambling after losses as a way of earning back lost money (referred to as “chasing losses”)
- Lying to family members, friends, employers and others in an attempt to cover up time spent or money lost while gambling
- Significant relationship, job and/or academic difficulties
- Relying on others for money in order to get out of a desperate financial situation caused by gambling
Like people suffering from alcohol or drug addiction, compulsive gamblers are at high risk for serious social, work-related, financial, emotional and even legal and physical problems. Compulsive gambling has been linked to a range of mental health issues (depression, anxiety/panic disorder and personality disorders, for example); poor general health; drug, alcohol, and nicotine dependence; and in extreme cases, suicide.
Gamblers aren’t the only ones hurt by their behavior. Family members often suffer problems such as stress-related physical and mental illness (e.g., headaches, high blood pressure, anxiety, depression), loss of trust, domestic violence, severe financial hardship, and breakdown of the family structure. Children with parents who have gambling problems are up to 10 times more likely to develop gambling problems themselves than children whose parents aren’t gamblers.
How Online Gambling Aggravates Addiction
There are characteristics of internet gambling that make it potentially more dangerous than betting at a physical location:
- Online gambling sites are accessible 24/7 from anywhere there’s an internet connection. It takes more effort to get to a casino and other “brick and mortar” venues, and some of them don’t operate around the clock.
- If a problem gambler spends several days in a row at a casino or racetrack, his/her absence is likely to be noticed. Online gamblers can play via computer or mobile device at work, home, or anywhere there’s an internet connection at any time of day without being missed or revealing what they’re doing.
- Online gambling at home provides greater convenience, anonymity and comfort than playing in a casino. In private, it’s easy for players to place bets after heavy consumption of drugs or alcohol, which can increase the amount of time spent gambling and money wagered.
It’s easy for people to access their bank account online, whereas at a physical location, it takes more effort such as withdrawing money from a bank machine. This increases the likelihood of impulse betting and “chasing losses.” - On the internet it’s easy to forget that electronic money is still real money. Gamblers may be able to use a credit card to deposit funds they can’t necessarily pay back into an online account that they can access as other resources dry up.
- A lot of internet gambling websites are registered in locations where online gambling is legal, but not necessarily well regulated. It can be hard to know who is running them or whether they are legitimate. This makes it hard to take action against them when problems arise.
- It’s easier for traditional betting locations to ban underage or problem gamblers. Online gambling sites may have policies on restricting access, but their ability to enforce them is unclear. Thus, the only real limit is an individual’s self-control. For people who are prone to addictive behavior, obsession easily overrides willpower.
- An important part of gambling addiction treatment is having a strategy to avoid play. With online gambling, avoiding this temptation is significantly more difficult.
Tell-Tale Signs of Gambling Addiction
So how can you tell whether you or someone you care about has an online gambling problem? Common signs include:
Online Gambling Mental Health Facilities
- Time spent online gambling is out of proportion with other activities.
- Schedules are rearranged to permit more time for online gambling activities.
Size and/or frequency of bets increases. This is often a sign of chasing losing bets and trying to catch up. Unlike addicts, social gamblers can accept their losses and walk away. - Boasting about winning and minimizing losses. Flaunting large amounts of money.
- Going online to gamble when faced with a crisis or a stressful situation.
- Experiencing mood swings—extreme highs when winning and extreme lows when losing.
- Hiding money, unusual and/or unexplained withdrawals from family bank accounts, secret loans and questionable financial deals. When a compulsive online gambler is caught in one of these behaviors, he/she will lie and minimize its importance.
Treatment Options
Addiction is a chronic disease that with time, patience and willpower can be successfully managed. Because denial keeps an addiction going, the first crucial step in recovery is admitting there’s a problem and being receptive to help.
People become compulsive gamblers for a variety of reasons, so each individual requires a specifically tailored recovery program that addresses his/her motives. Appropriate treatment for online gambling addiction is still being researched, but a combination of treatments for traditional gambling addiction and for internet addiction seems to work best. This can include individual and/ or family counseling and participation in a support group such as Gamblers Anonymous. Cognitive behavioral therapy (CBT) can help compulsive gamblers/internet users understand the thoughts and feelings behind their behavior and develop strategies to avoid and overcome them. In extreme cases, inpatient treatment may be necessary initially as a sort of “detox.”
Family, friends, and coworkers adversely affected by the gambler’s behavior can also benefit from treatment—regardless of whether the gambler is in treatment. Those who think they have a gambling problem can call 1-800-GAMBLER to speak confidentially with someone 24/7. Gamblers or family members can visit 800gambler.org for more education and information. This may also include participation in a support group like Gam-Anon; family and individual counseling; education on problem gambling including recovery and relapse triggers; and strategies for coping with anger and loss of trust, keeping healthy boundaries, and ensuring financial protection.
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Recovery and Relapse
Relapse is a common struggle for anyone in recovery, but the problem for online gamblers is compounded by the pervasive need for and use of computers, mobile devices and the internet in today’s world. Even so, as a recovering online gambler addresses the thoughts and feelings behind the compulsion and builds healthier choices and a good support network, resisting urges becomes much easier.
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Related Topics
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