What is gambling addiction?

Gambling addiction (also called compulsive gambling or gambling disorder) is a recognized behavioral addiction characterized by an uncontrollable urge to gamble despite negative consequences. It’s listed in the DSM-5 as a diagnosable disorder.

What makes gambling addictive

Gambling activates the brain’s reward system similarly to other addictions. Variable reward schedules (wins that are unpredictable in timing and size) are particularly effective at sustaining compulsive behavior — the same mechanism that makes slot machines engaging also makes them potentially addictive for susceptible individuals. Chasing losses, a defining feature of gambling disorder, involves the brain processing a near-miss or a loss differently from how a healthy-relationship gambler would process the same outcome.

Getting help

Gambling addiction is treatable. Cognitive Behavioral Therapy (CBT) has strong evidence for effectiveness in treating gambling disorder. Support groups like Gamblers Anonymous use a 12-step model. National Gambling Treatment Services in the UK provide free specialist treatment. The first step is usually acknowledging the problem and reaching out to a support service — GamCare, Gamblers Anonymous, or a GP for a referral.

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