Gambling is risking something of value (known as consideration) on an event that relies primarily on chance, in hopes of winning something else of value. It can involve any game of chance or skill, and it is found in virtually all societies through prerecorded history. Some people gamble without suffering problems, but a small proportion develop gambling disorder. It is classified as a mental health disorder in the Diagnostic and Statistical Manual of Mental Disorders (Fifth Edition).
Although gambling takes many forms, there are several common features: (1) the risk of losing something of value; (2) a wager on an outcome that depends primarily on chance; and (3) a prize for which the risk is taken. It is considered a form of addiction because it causes significant distress and impairment in an individual’s life. People with gambling disorders may experience symptoms such as a desire to gamble despite negative consequences; lying to family members, friends, or therapists to conceal gambling activity; feeling helpless and guilty about their gambling behavior; and becoming addicted to the adrenaline rush that accompanies the risk-taking.
There are a number of treatment options for gambling disorders, including psychotherapy and self-help groups. Cognitive-behavioral therapy can teach individuals how to change their unhealthy gambling behaviors and thoughts, such as irrational beliefs and false assumptions. In addition, a therapist can teach patients stress-reduction techniques and coping skills to help them overcome their urges to gamble. It is also possible to treat underlying conditions that may contribute to compulsive gambling, such as depression, anxiety, bipolar disorder, or other mental health issues.
A variety of factors can cause a person to develop a gambling problem, such as genetics, environment, and cultural influences. People with a family history of gambling are more likely to develop the disorder, and it is more common in men than women. Vulnerability to gambling disorders is also higher among those who have lower incomes, as they are more likely to lose money, and in adolescents and young adults.
Some people begin to gamble as a way to relieve unpleasant feelings, such as boredom or loneliness. It is important to learn healthier ways to cope with these feelings, such as exercising, spending time with non-gambling friends, and practicing relaxation techniques. In severe cases, a therapist can recommend residential or inpatient treatment for those who have a serious gambling disorder. These programs are typically offered at hospitals or private facilities and provide around-the-clock support and rehabilitation. It is also possible to receive treatment in your home, with the assistance of a therapist and peer group. Various medications can also be used to treat gambling disorders, and these are often combined with behavioral therapy. This combination can be very effective in treating gambling disorder. It is a good idea to seek treatment early, as the longer the disorder goes on, the harder it is to quit and recover. Many people with gambling disorder are able to quit, even if they relapse occasionally.