Gambling Disorders

Gambling involves risking something of value (usually money) on an event that has at least some element of chance and a potential for profit. It includes a wide range of activities from placing bets on horse races, sports events, and video games to playing the lottery, cards, bingo, slots, scratch tickets, dice, and roulette. Although many people gamble without problems, a small percentage develop gambling disorders, which are defined in the Diagnostic and Statistical Manual of Mental Disorders (Fifth Edition) as persistent, recurrent patterns of betting or losing that cause significant distress and impairment.

Research has shown that the reward pathway in the brain is involved when people gamble. When we win, the brain produces dopamine, which helps us learn from our experience and try to repeat success. In contrast, when we lose, the brain produces a chemical that inhibits impulse control, which may explain why problem gamblers continue to bet even after they have lost everything.

Developing healthy coping skills is important for reducing the likelihood of gambling problems. For example, instead of gambling to self-soothe unpleasant feelings or relieve boredom, try exercising, spending time with friends who don’t gamble, or practicing relaxation techniques. Moreover, limit access to credit cards and other financial resources, and don’t carry large amounts of cash with you. Also, talk with a family member or professional counselor about your thoughts and feelings regarding gambling. This can help you stay motivated to change.