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Pathological Gambling Disorder

Persistent and uncontrolled betting that disrupts life and relationships

Written by: Saygı Hospital Health Guide Editorial Board
Last updated:

This content has been compiled by the Saygı Hospital Health Guide Editorial Board and is periodically reviewed by a specialist physician.

References (5)

This content is for informational purposes only and does not constitute medical advice. You can book an appointment at our Psikiyatri department. Book Appointment →

What is Pathological Gambling Disorder?

Pathological gambling, formally termed gambling disorder, is a behavioral addiction in which a person repeatedly engages in gambling despite mounting personal, financial, and relational harm. It is the first non-substance behavior recognized as an addiction in modern psychiatric classifications.

The disorder is characterized by preoccupation with gambling, increasing bets to feel excitement, repeated unsuccessful attempts to stop, irritability when reducing play, and chasing losses. Lying to family, borrowing money, and risking employment are common.

Neuroscience research shows shared circuitry with substance addictions including ventral striatum dysregulation, frontal control deficits, and altered dopamine signaling, supporting the use of behavior-focused therapies and selected medications.

Symptoms

Persistent thoughts about gambling and planning bets
Need to bet larger amounts to feel excitement
Failed attempts to cut down or stop
Restlessness or irritability when reducing play
Chasing losses with further gambling and lying about losses

Risk Factors

Male sex and younger age at first gambling experience
Family history of gambling or substance use disorders
Co-occurring depression, anxiety, or attention disorders
Easy access to online betting platforms
Stressful life events and financial vulnerability

When to See a Doctor?

If you experience any of the following symptoms, seek medical attention promptly:

  • When gambling causes financial, work, or relationship harm
  • When the person is unable to stop despite intentions
  • When borrowing or stealing to fund gambling
  • When mood, sleep, or self-harm thoughts develop
  • When family members express serious concern

Treatment Methods

01
Cognitive behavioral therapy for gambling disorder
02
Motivational interviewing and brief interventions
03
Twelve-step and peer-support programs such as Gamblers Anonymous
04
Naltrexone or nalmefene for craving in selected cases
05
Treatment of comorbid depression, anxiety, or substance use
06
Financial counseling and self-exclusion from venues
07
Family involvement and couple therapy

Which Department to Visit?

You can visit our Psikiyatri department for these complaints. Our specialist physicians will create the most suitable treatment plan for you.

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Health Disclaimer: The information on this page is prepared for general informational purposes only. It does not replace medical diagnosis and treatment. Please consult your physician for your complaints. Saygı Hospital does not accept responsibility for actions taken based on the information on this page.