Compulsive Gambling

Diagnosis

If you think you might have a gambling problem, talk with your healthcare provider or a mental health professional for an evaluation.

During the evaluation, your provider may:

• Ask questions about your gambling habits and, with your permission, speak to family members or friends.

• Review your medical history, since some medications can rarely cause compulsive behaviors, including gambling. A physical exam may also identify health problems linked to this behavior.

• Conduct a mental health assessment to discuss your symptoms, emotions, and behavior patterns. You may also be screened for related conditions such as anxiety, depression, or substance misuse.

Treatment

Treating compulsive gambling can be difficult, as many people struggle to admit they have a problem. A key part of recovery involves acknowledging the issue and committing to treatment.

Treatment options may include:

Therapy
Behavioral therapy and cognitive behavioral therapy (CBT) are commonly used.

• Behavioral therapy helps reduce gambling urges by gradually exposing you to situations related to gambling and teaching coping skills.

• CBT focuses on changing unhealthy thoughts and beliefs about gambling.

• Family therapy can also help repair strained relationships.

Medications
Certain antidepressants and mood stabilizers may help manage related conditions such as depression, anxiety, or bipolar disorder.
Medications used for substance misuse, such as narcotic antagonists, may also help reduce gambling urges.

Self-help groups
Joining a support group like Gamblers Anonymous can be helpful. Talking with others who face similar challenges offers motivation, accountability, and emotional support.

Treatment may take place through outpatient care, inpatient care, or residential programs, depending on your situation. Some people benefit from online programs or teletherapy sessions.

If other conditions like depression, anxiety, or substance misuse are present, they should be treated as part of your overall recovery plan.

Relapse Prevention

Even after treatment, the risk of relapse remains. If you feel tempted to gamble again, contact your mental health provider or sponsor immediately.
Avoid gambling environments and limit contact with people who gamble to protect your recovery.

Coping and Support

These strategies can strengthen your recovery and reduce the risk of relapse:

• Stay committed to your primary goal: avoiding gambling altogether.

• Remind yourself that one bet can quickly lead to another.

• Ask for help when needed—willpower alone is not always enough.

• Identify and avoid triggers that make you want to gamble.

• Encourage your family members to seek counseling, even if you’re not ready to participate in therapy.

Preparing for Your Appointment

Seeking help is a major first step toward recovery.

Before your appointment:

• Write down your thoughts, feelings, and triggers related to gambling.

• Note any recent stresses or life changes.

• Make a list of all medications and supplements you take, along with dosages.

• Include any other health conditions or treatments.

• Prepare questions to ask your provider.

Possible questions include:

• What’s the best treatment for my gambling problem?

• Are there alternative treatment options?

• Should I see a psychiatrist, psychologist, or addiction counselor?

• Will my insurance cover treatment?

• Can I get help as an outpatient, or is inpatient care necessary?

• Are there educational materials or recommended websites I can use?

What to Expect from Your Doctor

Your provider may ask questions such as:

• When did your gambling begin?

• How often do you gamble, and how much do you usually spend?

• How has gambling affected your work, finances, or relationships?

• Have you tried to quit before, and what happened?

• Have you ever received treatment for gambling?

• Are your family or friends concerned about your behavior?

• Are you ready to start treatment now?