Sobriety.com · Updated
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What is problem gambling?
Problem gambling describes gambling that causes harm or becomes difficult to control. It can involve sports betting, casino games, slot machines, lotteries or online betting. The amount someone spends does not tell the whole story: money needed for food, housing or other essentials can be at risk even when the bets seem small.
Gambling disorder is a clinical condition involving impaired control, gambling taking priority over other parts of life, and continuing despite harmful consequences. People can experience gambling-related harm without meeting the criteria for a diagnosis. You do not need to reach a particular level of debt before asking for help.
Signs gambling may be becoming a problem
Look at what has changed, rather than whether someone fits an image of a “problem gambler.” Common concerns include:
- Returning to gambling to try to recover money already lost.
- Borrowing money, selling belongings or falling behind on essential bills.
- Hiding spending or feeling unable to talk honestly about gambling.
- Trying to cut back but repeatedly spending more time or money than intended.
- Gambling disrupting relationships, sleep, work or education.
Our guide to the characteristics of problem gambling explains how to discuss these changes without labeling the person.
Practical steps you can take today
Tell someone you trust what is happening. Consider self-exclusion, device blocking tools and bank gambling-payment blocks where available. Protect money for essential bills and ask an independent debt adviser about financial problems. These measures can create breathing space while you arrange support; availability differs by country and provider.
For your first conversation, a simple opening is enough: “I am spending more than I planned, and I need help making a change.” You can write it down or take someone with you. Choose one concrete task for today, such as booking an appointment, rather than trying to solve everything at once.
What does gambling treatment involve?
Start with a primary care clinician or a service that specifically treats gambling-related harms. An assessment can help establish what support fits your circumstances. NICE recommends gambling-specific cognitive behavioural therapy (CBT), delivered in a group or individually when a group is unsuitable or unavailable. Treatment can include planning for situations that might lead to a return to gambling.
When contacting a service, ask: Do you treat gambling problems? Who delivers the therapy? Can you help with other mental health concerns? What are the fees, waiting times and options for remote appointments? Check these details directly rather than assuming that every addiction service offers gambling treatment.
If you are worried about someone else
Choose a calm moment and describe specific concerns: a missed bill, repeated requests for money, or plans disrupted by betting. Ask what support the person would find useful. You can seek support for yourself even if they are not ready to get help. For a young person, start with our teen gambling guide.
Where does screening fit?
A questionnaire can organize a conversation, but it cannot explain a person’s full situation. Learn what the South Oaks Gambling Screen measures and how SOGS scoring works. If you already know gambling is causing difficulties, you can contact a professional without completing a screen first.
Sources and further reading
- World Health Organization: Gambling
- NHS: Help for problems with gambling
- NICE NG248: Gambling-related harms
Educational information, not a diagnosis or individualized treatment advice. A qualified professional can help interpret your circumstances.
Find support for gambling concerns
Explore the directory, then confirm gambling-treatment services, age eligibility, availability and costs directly with the provider.
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