Gambling And Mental Health Issues
People gamble for a whole range of reasons. While gambling moderately is not a problem, gambling can become an addiction and can be harmful to our mental health.
As hypothesized, gambling problems partially mediated the relationship between this intervention and mental health symptoms. Those in the intervention showed fewer gambling-related problems at 6 months, which was in turn related to decreases in mental health symptoms. “Most people don’t realize that problem gambling is a real disorder, just like alcohol or drug addiction,” says Shelia Moran, director of communications and marketing at First Choice Services, a nonprofit agency in West Virginia dedicated to mental health issues and problems. Shaffer HJ, Bilt JV and Hall MN (1999) Gambling, drinking, smoking and other health risk activities among casino employees. American Journal of Industrial Medicine, 36, 365-378. Wohl MJA et al (2002) The effects of near wins and near losses on self-perceived personal luck and subsequent gambling behaviour.
Why do we gamble?
People gamble for a variety of reasons, including:
- the buzz, the excitement, and the high adrenaline release
- the competitive element - trying to beat other players, the bookie, or the dealer
- the thrill of risk taking, of placing large bets
- to solve financial problems
- a way of escaping from stress or worries.
Sensible gambling
Some people say that there is no such thing as safe gambling. Others argue that gambling is like drinking alcohol - it's safe to do as long as you follow some sensible rules.
- Keep away from high-risk forms of gambling where you can lose large sums of money very quickly.
- Limit the amount of time you gamble. This will give you time to do other, more important things with your life.
- Limit the amount you spend to the amount you can afford to lose. When you have spent this much, walk away.
- Quit while you are ahead. If you continue, you are likely to lose because the odds are always stacked against you. That's how bookies and the casinos make their money.
When gambling becomes a problem
For most of us, gambling is a harmless activity. But, for some people, gambling is a way of life, an addiction that can wreck their lives.
You may be a compulsive gambler if:
- you spend more money on gambling then you can afford. If you continue to gamble, you could get into serious debt. You could also lose your home and your possessions
- you spend so much time gambling that you neglect other important areas of your life, like your family or your work. You could lose your job or end up divorced or separated from your partner and children
- your feelings and behaviour change. For example, you may become depressed when you lose or over-excited when you win. In serious cases, you may feel that you are only really alive when you gamble
- it leads you to inappropriate or even criminal behaviour. For example, you may lie to family and friends about your gambling activities or you may steal to fund your gambling habit.
Questions to ask yourself
If you think you may have a gambling problem but are not sure, ask yourself:
Gambling And Mental Health Problems
- Is gambling making me unhappy at work or at home?
- Is gambling making it hard to sleep at night or concentrate during the day?
- Am I lying to other people and myself about how much I gamble?
- Am I gambling to get away from problems or worries?
- Am I gambling to get money - so that I can pay off debts or solve financial problems?
- Am I borrowing money or selling possessions so that I can gamble?
- If I have just won or just lost, do I feel I need to gamble just a little bit more?
If you answered yes to any of these questions, then you may have a gambling problem.
What causes compulsive gambling?
All compulsive behaviours have social, psychological and biological origins. Gambling brings us into contact with others, even if we are using internet gaming rooms. This can provide a sense of community, however damaging the associated behaviours. Social meaning and acceptance by others are important to us all and for the compulsive gambler these can be found in virtual gaming rooms, real casinos, bookmakers and so on.
Gambling also changes how we feel psychologically as well as socially. It allows us to escape our normal lives and the everyday struggles we experience. During a period of gambling our mind is occupied by the odds, the bet, the race, the actions of other gamers, the run of the cards and so on. It can be all-consuming and therefore provides an engaging, exciting escape from ordinary life.
At the biological level, compulsive behaviours can have a direct effect on the brains dopamine reward system. This system regulates our responses to natural rewards like food, sex and social interaction. Repeated compulsive behaviours can act on this system with a power and persistence that changes its cells chemically and structurally. This in turn can have an overwhelming effect on our well-being. People may no longer respond normally to rewards such as food, sex and social interaction, and instead depend on gambling for their sense of reward.
Compulsive gambling can therefore develop through the social meaning and psychological relief that it offers. This is further compounded by the chemical changes in our brain that accompany these experiences. It is in fact artificial to separate these factors since they all occur simultaneously for the compulsive gambler. Social meaning, psychological relief and a fired dopamine reward system can be a difficult combination of experiences for the most hardy of individuals to resist.
Helping yourself
If you feel that you have lost control of your gambling, there are some things you can do to help yourself.
- Admitting you have a problem is the first and most important step.
- Find someone you can trust to talk to about your problem. It could be a friend, a relative or a specialist advisor.
- Avoid locations and situations where you may be tempted to gamble.
- Take control of how you spend your money, so that you don't waste it on gambling.
- If you can't do this by yourself, you may need to ask someone else to help you do this.
- Take one day at a time. Don't expect everything to improve straight away.
Living with someone who gambles
Living with someone who gambles can be just as difficult as living with someone with any other kind of addiction. It can be very stressful and it can lead to the breakdown of your relationship.
If you are not sure whether you are living with someone who has a gambling problem, ask yourself:
- Do they promise time and time again to stop gambling but carry on anyway?
- Do they disappear for long periods of time without telling you where they were?
- Do they spend large sums of money without being able to account for it?
- Do you hide money to stop them spending it?
- Do they lie to cover up or deny their gambling?
If you answered yes to most of these questions, then they may have a gambling problem.