Pathological Gambling: How to assess it & get help today

Pathological Gambling, also known as compulsive gambling or “gambling disorder” is a serious mental health condition characterized by an inability to resist the urge to gamble, leading to severe personal and social consequences. Thousands of Americans have asked themselves “Do I have a gambling problem?” 

This addiction can affect anyone, regardless of age, gender or background; and it often requires professional intervention for effective treatment and management. This article explores what Pathological Gambling is, how to assess gambling behaviors, how to recognize signs of the disorder, understanding its medical definition and a review of potential treatment options.

What is Pathological Gambling?

Pathological Gambling is a chronic and progressive mental health disorder where an individual is unable to control their gambling behaviors despite the negative impact on their life. This condition is marked by persistent and recurrent problematic gambling behavior that leads to significant distress or impairment in personal, family or occupational functioning. Pathological Gambling is recognized as a behavioral addiction, similar to substance use disorders, where the gambling behavior stimulates the brain's reward system in a way that leads to addictive patterns.

How to assess Pathological Gambling behaviors

Assessing Pathological Gambling involves recognizing patterns and behaviors indicative of the disorder. Several tools and methods can be employed to evaluate the severity and impact of gambling behavior:

1. Self-assessment Questionnaires: Tools like the Birches Health self-assessment,  South Oaks Gambling Screen (SOGS) or the Gambling Severity Index (GSI) help individuals identify gambling problems by answering a series of questions about their gambling habits and its effects on their life.

2. Clinical Interviews: A mental health professional can conduct interviews to explore the individual's gambling behavior, the frequency and amount of gambling and the impact on their life.

3. Behavioral Observations: Observing changes in mood, financial status, relationships and daily functioning can provide insights into the presence and severity of Pathological Gambling.

4. Psychological Assessments: These may include evaluations for co-occurring mental health conditions such as depression, anxiety or substance abuse, which often accompany Pathological Gambling.

Signs of someone with Pathological Gambling issues

Recognizing the signs of Pathological Gambling can help in early intervention and support. Some common signs include:

1. Inability to control gambling impulses, even when the odds are unfavorable

2. Workplace issues, such as absenteeism or a lack of concentration, making task completion difficult

3. Preoccupation with gambling, leading to a loss of interest in other hobbies or responsibilities

4. Increasing the amount wagered to recover losses or to experience the same level of excitement

5. Negative impact on relationships with close family and friends

6. Hiding the amount of money and time spent gambling from family members

7. Stealing money to fund gambling activities

8. Denial of having a gambling problem

9. Physical symptoms, including anxiety, irritability, headaches, stomach upsets and stress-related issues

Medical definition of Pathological Gambling

The medical definition of pathological gambling, according to the Diagnostic and Statistical Manual of Mental Disorders (DSM-5), categorizes it as a gambling disorder. This condition is diagnosed when an individual exhibits at least five of the following criteria within a 12-month period:

Ways to treat Pathological Gambling

Treating Pathological Gambling often requires a multifaceted approach, combining therapy, support groups and sometimes medication. Here are some effective treatment options:

• Cognitive Behavioral Therapy (CBT): This type of therapy helps individuals identify and change negative thought patterns and behaviors related to gambling.

• Medication: Certain medications, such as antidepressants or mood stabilizers, can help manage symptoms of Pathological Gambling and co-occurring mental health conditions.

• Support Groups: Groups like Gamblers Anonymous provide a supportive community where individuals can share their experiences and gain support from others facing similar challenges.

• Financial Counseling: Working with a financial counselor can help individuals manage debt, create a budget and develop strategies to avoid financial crises related to gambling.

• Inpatient or Outpatient Programs: Depending on the severity of the condition, individuals may benefit from structured treatment programs that provide intensive support and therapy. With the remote services of Birches Health, patients receive insurance-covered care tailored to their needs while enjoying zero out-of-pocket costs. 

Pathological Gambling is a serious condition that can have devastating effects on individuals and their families. However, with proper assessment and a comprehensive treatment plan, individuals struggling with this disorder can regain control over their lives and work towards recovery. If you or someone you know is dealing with Pathological Gambling, seeking professional help is a crucial first step towards overcoming it.

SOURCES:

National Library of Medicine

Priory