Gambling Disorders

Gambling involves risking something of value on a random event, such as a lottery or casino game, in the hope of winning a prize. Some people become dependent on gambling and develop a gambling disorder, which is defined in the Diagnostic and Statistical Manual of Mental Disorders (Fifth Edition) as a persistent and recurrent pattern of behavior that causes significant distress or impairment. It is distinguished from recreational gambling, which may be enjoyable but does not lead to a pathological addiction.

Most adults have placed a bet of some kind. It is legal in most states to gamble in casinos and lotteries. Increasingly, sports betting and online games allow people to place bets at anytime, anywhere. It has never been easier to bet money.

Some people can gamble for fun or even win a substantial amount of money. But, in general, the more a person gambles, the greater the likelihood that he or she will lose. Vulnerability to gambling problems is higher among those with low incomes, as they may have more to gain from a big win. Young people, especially men, are also at higher risk. About 5% of adolescents and young adults who gamble develop a gambling disorder.

There are many ways to help a person stop gambling, including self-exclusion, seeking treatment, and avoiding places where gambling is promoted. In addition, therapy can help a person overcome underlying mood disorders, such as depression or anxiety, which can trigger or make gambling problems worse.