Definition
Problem Gambling
Also known as Gambling Addiction, Compulsive Gambling, Gambling Disorder, Ludomania
By Abhinav VasudevanReviewed Editorial policy
In short
Problem gambling is gambling that causes harm to the person or those around them. It is a recognised clinical condition, it is treatable, and it is defined by consequences rather than by amount staked.
Problem gambling is gambling that causes harm. Financial, relational, occupational or psychological. It is recognised as a clinical condition, classified in the DSM-5 as Gambling Disorder and the first behavioural addiction to be categorised alongside substance addictions.
It is defined by consequences, not amounts
There is no threshold of money or time that constitutes a problem. Someone losing £20 a week they cannot spare is experiencing harm; someone losing £2,000 they can is not necessarily.
The markers are about impact and control:
- Gambling more, or for longer, than intended
- Chasing losses: betting to recover money already lost
- Needing larger stakes for the same engagement
- Restlessness or irritability when trying to cut back
- Gambling to escape low mood, anxiety or stress
- Lying about the extent of it
- Borrowing money, or using money meant for other things
- Damage to relationships, work or study
- Repeated unsuccessful attempts to stop
Several of these being familiar is worth taking seriously. The last one in particular, trying to stop and finding you cannot, is the clearest signal.
The scale
Prevalence estimates vary by definition and methodology, but broadly: around 0.3% to 1% of adults in most studied countries meet the criteria for gambling disorder, with a larger group, perhaps 3% to 5%, experiencing some level of harm.
Harm also extends beyond the individual. Research consistently finds that each person experiencing problem gambling affects several others, partners, children, family, which is why the affected-others category is now a standard part of support provision.
Products matter
Harm is not evenly distributed across gambling formats. The characteristics most consistently associated with it are speed of play, continuous availability, rapid resolution and the ability to immediately stake again.
That describes online slots, in-play betting and scratch cards far more than it describes a weekly lottery ticket. Regulatory interventions have targeted these characteristics specifically, banning autoplay, mandating minimum spin durations, capping stakes.
Getting help
Treatment works. Cognitive behavioural therapy has a solid evidence base, peer support groups help many people, and in some cases medication is used for co-occurring conditions.
- GamCare. UK, free counselling and a 24-hour helpline
- GambleAware. UK, treatment referral
- NCPG. US, 1-800-GAMBLER
- Gamblers Anonymous: peer support, most countries
- GamStop: blocks access to all UK licensed operators
- Gamban and similar: software blocking gambling sites across your devices
Contacting any of these does not commit you to anything, and you do not need a diagnosis to use them.
Common questions
What are the signs of problem gambling?
Gambling more than intended, chasing losses, needing larger stakes, restlessness when cutting back, gambling to escape low mood, lying about it, borrowing money, and repeated unsuccessful attempts to stop.
How common is problem gambling?
Around 0.3% to 1% of adults meet the criteria for gambling disorder in most studied countries, with a larger group of perhaps 3% to 5% experiencing some level of harm. Each affected person typically affects several others.
Where can I get help with gambling?
GamCare and GambleAware in the UK, the National Council on Problem Gambling in the US, and Gamblers Anonymous in most countries. You do not need a diagnosis or a threshold to contact any of them.
Keep exploring
Sources
- National Council on Problem Gambling, NCPGSafer gambling
- GamCare, GamCareSafer gambling
- GambleAware, GambleAwareSafer gambling