Pathological Gambling

Gambling is the wagering of something of value on a random event in which the outcome is uncertain. It can take place in a casino, lotteries, or online and may involve a prize or a loss of money. People gamble for fun, as a hobby, to improve their financial situation, and for social reasons. However, some people become addicted to gambling and are unable to control their behavior. This is known as pathological gambling (PG).

The amount of money that is legally wagered annually worldwide is estimated at $10 trillion, with lottery tickets being the largest form of this activity. Gambling is legal in most countries of the world and is widespread among different cultures. In the United States, more than half of all adults and almost all adolescents have placed a bet, often at a casino or on the Internet. The majority of these individuals do not develop problems. However, a small percentage of individuals develop a more severe type of gambling disorder, which is characterized by persistent and recurrent maladaptive patterns of gambling behaviors that cause significant distress or impairment.

Pathological gambling is defined by a number of behavioral symptoms, such as: (1) a preoccupation with gambling; (2) a desire to win more money; (3) failure to control the frequency and amount of gambling; (4) an inability to stop gambling, even when it causes significant distress or impairment; (5) lying to family members or therapists about the extent of involvement with gambling; (6) relying on others to provide money to relieve a desperate financial situation caused by gambling; and (7) engaging in illegal activities such as forgery, fraud, theft, embezzlement, or fraud to finance gambling. Currently, there are no FDA-approved medications to treat gambling disorders, although psychotherapy has been found to be effective.

It is important to understand that many factors can contribute to a person developing a gambling disorder, including genetics, environment, and personal and cultural values. For example, a person may be more likely to develop a gambling problem if their parents or siblings have a history of the disorder, are themselves gamblers, or have significant problems with alcohol or drugs. Other factors include the presence of a mental illness, such as depression or anxiety; and an individual’s personality, which can lead them to engage in risky behaviors.

If you think you or a loved one has a gambling problem, you can seek treatment. There are several types of psychotherapy that can help. These treatments can teach you how to handle stress and other issues that may be contributing to your gambling behavior. In addition, they can teach you to stop your gambling and find other ways to spend your time. You can also talk to your doctor about other treatment options, such as medication. The Food and Drug Administration does not approve any medications to treat gambling disorders, but certain medications can help with co-occurring conditions like depression or anxiety. Regardless of the type of treatment you choose, you should be aware that recovery from gambling disorder takes time.