Gambling involves risking something of value (such as money or possessions) on an event whose outcome is determined at least in part by chance, with the intent of winning something else of value. It is a form of entertainment that has existed in virtually all societies since prerecorded history and is often incorporated into local customs and rites of passage.
Many people gamble responsibly and enjoy the excitement of winning and the social aspects of gambling. However, a small percentage of people become too involved and develop problems that have significant personal, family, and financial consequences. These individuals are diagnosed with pathological gambling, which is defined in the Diagnostic and Statistical Manual of Mental Disorders (DSM-5) as a gambling behavior that is characterized by persistent, recurrent urges to gamble despite negative consequences.
Psychiatrists have long recognized that gambling can be addictive. However, until recently the psychiatric community viewed pathological gambling as more of a compulsion than an addiction, a view that was inconsistent with current understanding of how the brain processes impulsive behaviors such as kleptomania, pyromania, and trichotillomania (hair pulling). In 2023, after 15 years of deliberation, the APA moved pathological gambling into the Addictions chapter of its DSM-5, recognizing that the science has advanced to the point where it can be considered an illness rather than simply a behavioral problem.
Researchers have discovered that certain neurotransmitters in the brain are stimulated when you gamble, which is why many people find it hard to stop. Specifically, the brain releases dopamine, which is responsible for feelings of pleasure and reward. This is why you may feel excited when you win, but also feel low when you lose. It is important to learn how to relieve unpleasant feelings in healthier ways, such as exercising, spending time with friends who don’t gamble, or practicing relaxation techniques.
Some theorists have suggested that gambling provides reinforcement even when you don’t win, such as when two identical symbols appear on a slot machine. This can make the gambler feel like they’re close to a win, which encourages them to continue gambling in the hope that they will finally hit the jackpot.
The most effective way to break a gambling habit is to seek help and support. It’s helpful to talk with a counselor or therapist who specializes in gambling disorders, but you can also try joining a support group such as Gamblers Anonymous. You can also work on strengthening your support network by reaching out to others who don’t gamble, and by finding healthy activities such as hobbies or volunteering. You can also try incorporating meditation into your life to improve your stress management skills. Practicing these strategies will help you overcome the urge to gamble and live a happier, healthier life.