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It's basically what you said- an addiction to gambling. A gambling addiction goes along the lines of a shopping addiction, if you want it bad enough you will do what ever it takes until you do get it. The only difference is that with gambling you're blowing all that money based upon probability that you will win; whereas with shopping you're blowiing or spending money on some want or need you might have at that point in time. When gambling becomes an addiction with some people it no longer is about the enjoyment of the game or conversating with new people, it's about winning that money and doing what ever it takes to do so. With some people it is compulsive to put that money down, especially knowing that there is a chance that you could win.

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15y ago
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13y ago

First of all, you should differentiate between gambling as a gaming activity related to risking money by wagering on the outcome of a certain gaming event and compulsive gambling which is regarded as type of impulse-control disorder when excessive gambling is identified as a type of addiction.

In this case, it is a serious addiction that requires professional medical help. This type of addiction is a serious and potentially deadly disease with many different manifestations. Commonly it takes form as drug or alcohol use, overeating, or even internet addiction. In recent times playing gambling like blackjack games etc addiction has become a problem to rival the previously mentioned addictions.

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12y ago
Definition

Pathological gambling is being unable to resist impulses to gamble, which can lead to severe personal or social consequences.

Alternative Names

Gambling - compulsive; Compulsive gambling; Addictive gambling

Causes, incidence, and risk factors

Pathological gambling usually begins in early adolescence in men, and between ages 20 and 40 in women.

Pathological gambling often involves repetitive behaviors. People with this problem have a hard time resisting or controlling the impulse to gamble. Although it shares features of obsessive compulsive disorder, pathological gambling is likely a different condition.

In people who develop pathological gambling, occasional gambling leads to a gambling habit. Stressful situations can worsen gambling problems.

Symptoms

People with pathological gambling often feel ashamed and try to avoid letting others know of their problem. The American Psychiatric Association defines pathological gambling as having five or more of the following symptoms:

  • Committing crimes to get money to gamble
  • Feeling restless or irritable when trying to cut back or quit gambling
  • Gambling to escape problems or feelings of sadness or anxiety
  • Gambling larger amounts of money to try to make back previous losses
  • Having had many unsuccessful attempts to cut back or quit gambling
  • Losing a job, relationship, or educational or career opportunity due to gambling
  • Lying about the amount of time or money spent gambling
  • Needing to borrow money due to gambling losses
  • Needing to gamble larger amounts of money in order to feel excitement
  • Spending a lot of time thinking about gambling, such as remembering past experiences or ways to get more money with which to gamble
Signs and tests

A psychiatric evaluation and history can be used to diagnose pathological gambling. Screening tools such as the Gamblers Anonymous 20 Questions can help with the diagnosis.

Treatment

Treatment for people with pathological gambling begins with recognizing the problem. Pathological gambling is often associated with denial. People with the illness often refuse to accept that they have a problem or need treatment.

Most people with pathological gambling enter treatment under pressure from others, rather than voluntarily accepting the need for treatment.

Treatment options include:

  • Cognitive behavioral therapy (CBT) has been found to be effective.
  • Self-help support groups, such as Gamblers Anonymous. Gamblers Anonymous is a 12-step program similar to Alcoholics Anonymous. Principles related to stopping the habit (abstinence) for other types of addiction, such as substance abuse and alcohol dependence, can also be helpful in the treatment of pathological gambling.
  • A few studies have been done on medications for the treatment of pathological gambling. Early results suggest that antidepressants and opioid antagonists (naltrexone) may help treat the symptoms of pathological gambling. However, it is not yet clear which people will respond to medications.
Expectations (prognosis)

Like alcohol or drug addiction, pathological gambling is a chronic disorder that tends to get worse without treatment. Even with treatment, it's common to start gambling again (relapse). However, people with pathological gambling can do very well with the right treatment.

Complications

Complications may include:

  • Alcohol and drug abuse problems
  • Anxiety
  • Depression
  • Financial, social, and legal problems (including bankruptcy, divorce, job loss, time in prison)
  • Heart attacks (from the stress and excitement of gambling)
  • Suicide attempts

Getting the right treatment can help prevent many of these problems.

Calling your health care provider

Call your health care provider or mental health professional if you believe you have symptoms of pathological gambling.

Prevention

Exposure to gambling may increase the risk of developing pathological gambling. Limiting exposure may be helpful for people who are at risk.

Public exposure to gambling, however, continues to increase in the form of lotteries, electronic and Internet gambling, and casinos. Intervention at the earliest signs of pathological gambling may prevent the disorder from getting worse.

References

Gould CM, Sanders KM. Impulse-control disorders. In: Stern TA, Rosenbaum JF, Fava M, Biederman J, Rauch SL, eds. Massachusetts General Hospital Comprehensive Clinical Psychiatry. 1st ed. Philadelphia, Pa: Mosby Elsevier;2008:chap 23.

Gamblers anonymous. Twenty questions. Accessed January 31, 2010.

Reviewed By

Review Date: 02/18/2010

Linda Vorvick, MD, Medical Director, MEDEX Northwest Division of Physician Assistant Studies, University of Washington School of Medicine; and Michelle Benger Merrill, MD, Instructor in Clinical Psychiatry, Department of Psychiatry, Columbia University Medical Center, New York, NY. Also reviewed by David Zieve, MD, MHA, Medical Director, A.D.A.M., Inc.

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impulse control disorder make sure you like my comments

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10y ago

Impulse control disorder

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