Gambling Is Worse Than Drugs

Me being a doctor i would say that alcohol/drugs are worse than gambling. Yet if I wasn't a doctor I would say that gambling is worse because while you can end an alcohol/drug addiction with help over a few months. It could take years to come out of financial troubles surrounding a gambling addiction.

What's Worse Drugs Or Alcohol
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Drugs Worse Than Meth

Medically reviewed by Drugs.com. Last updated on Oct 22, 2019.

Disease Reference

Overview

Compulsive gambling, also called gambling disorder, is the uncontrollable urge to keep gambling despite the toll it takes on your life. Gambling means that you're willing to risk something you value in the hope of getting something of even greater value.

Gambling can stimulate the brain's reward system much like drugs or alcohol can, leading to addiction. If you have a problem with compulsive gambling, you may continually chase bets that lead to losses, hide your behavior, deplete savings, accumulate debt, or even resort to theft or fraud to support your addiction.

Compulsive gambling is a serious condition that can destroy lives. Although treating compulsive gambling can be challenging, many people who struggle with compulsive gambling have found help through professional treatment.

Symptoms

Signs and symptoms of compulsive gambling (gambling disorder) include:

Being preoccupied with gambling, such as constantly planning how to get more gambling money
Needing to gamble with increasing amounts of money to get the same thrill
Trying to control, cut back or stop gambling, without success
Feeling restless or irritable when you try to cut down on gambling
Gambling to escape problems or relieve feelings of helplessness, guilt, anxiety or depression
Trying to get back lost money by gambling more (chasing losses)
Lying to family members or others to hide the extent of your gambling
Jeopardizing or losing important relationships, a job, or school or work opportunities because of gambling
Resorting to theft or fraud to get gambling money
Asking others to bail you out of financial trouble because you gambled money away

Unlike most casual gamblers who stop when losing or set a loss limit, people with a compulsive gambling problem are compelled to keep playing to recover their money — a pattern that becomes increasingly destructive over time.

Some people with a compulsive gambling problem may have remission where they gamble less or not at all for a period of time. However, without treatment, the remission usually isn't permanent.

When to see a doctor or mental health professional

Have family members, friends or co-workers expressed concern about your gambling? If so, listen to their worries. Because denial is almost always a feature of compulsive or addictive behavior, it may be difficult for you to realize that you have a problem.

If you recognize your own behavior from the list of signs and symptoms for compulsive gambling, seek professional help.

Causes

Exactly what causes someone to gamble compulsively isn't well-understood. Like many problems, compulsive gambling may result from a combination of biological, genetic and environmental factors.

Risk factors

Although most people who play cards or wager never develop a gambling problem, certain factors are more often associated with compulsive gambling:

Mental health disorders. People who gamble compulsively often have substance abuse problems, personality disorders, depression or anxiety. Compulsive gambling may also be associated with bipolar disorder, obsessive-compulsive disorder (OCD) or attention-deficit/hyperactivity disorder (ADHD).
Age. Compulsive gambling is more common in younger and middle-aged people. Gambling during childhood or the teenage years increases the risk of developing compulsive gambling. However, compulsive gambling in the older adult population can also be a problem.
Sex. Compulsive gambling is more common in men than women. Women who gamble typically start later in life and may become addicted more quickly. But gambling patterns among men and women have become increasingly similar.
Family or friend influence. If your family members or friends have a gambling problem, the chances are greater that you will, too.
Medications used to treat Parkinson's disease and restless legs syndrome. Drugs called dopamine agonists have a rare side effect that may result in compulsive behaviors, including gambling, in some people.
Certain personality characteristics. Being highly competitive, a workaholic, impulsive, restless or easily bored may increase your risk of compulsive gambling.

Complications

Compulsive gambling can have profound and long-lasting consequences for your life, such as:

Relationship problems
Financial problems, including bankruptcy
Legal problems or imprisonment
Poor work performance or job loss
Poor general health
Suicide, suicide attempts or suicidal thoughts

Prevention

Although there's no proven way to prevent a gambling problem, educational programs that target individuals and groups at increased risk may be helpful.

If you have risk factors for compulsive gambling, consider avoiding gambling in any form, people who gamble and places where gambling occurs. Get treatment at the earliest sign of a problem to help prevent gambling from becoming worse.

Diagnosis

If you recognize that you may have a problem with your gambling, talk with your primary care doctor about an evaluation or seek help from a mental health professional.

To evaluate your problem with gambling, your doctor or mental health professional will likely:

Ask questions related to your gambling habits. He or she may also ask for permission to speak with family members or friends. However, confidentiality laws prevent your doctor from giving out any information about you without your consent.
Review your medical information. Some drugs can have a rare side effect that results in compulsive behaviors, including gambling, in some people. A physical exam may identify problems with your health that are sometimes associated with compulsive gambling.
Do a psychiatric assessment. This assessment includes questions about your symptoms, thoughts, feelings and behavior patterns related to your gambling. Depending on your signs and symptoms, you may be evaluated for mental health disorders that are sometimes related to excessive gambling.
Use the Diagnostic and Statistical Manual of Mental Disorders (DSM-5). The DSM-5, published by the American Psychiatric Association, lists criteria for the diagnosis of gambling disorder.

Treatment

Treating compulsive gambling can be challenging. That's partly because most people have a hard time admitting they have a problem. Yet a major component of treatment is working on acknowledging that you're a compulsive gambler.

If your family or your employer pressured you into therapy, you may find yourself resisting treatment. But treating a gambling problem can help you regain a sense of control — and perhaps help heal damaged relationships or finances.

Treatment for compulsive gambling may include these approaches:

Therapy. Behavior therapy or cognitive behavioral therapy may be beneficial. Behavior therapy uses systematic exposure to the behavior you want to unlearn and teaches you skills to reduce your urge to gamble. Cognitive behavioral therapy focuses on identifying unhealthy, irrational and negative beliefs and replacing them with healthy, positive ones. Family therapy also may be helpful.
Medications. Antidepressants and mood stabilizers may help problems that often go along with compulsive gambling — such as depression, OCD or ADHD. Some antidepressants may be effective in reducing gambling behavior. Medications called narcotic antagonists, useful in treating substance abuse, may help treat compulsive gambling.
Self-help groups. Some people find that talking with others who have a gambling problem may be a helpful part of treatment. Ask your health care professional for advice on self-help groups, such as Gamblers Anonymous and other resources.

Treatment for compulsive gambling may involve an outpatient program, inpatient program or a residential treatment program, depending on your needs and resources. Treatment for substance abuse, depression, anxiety or any other mental health disorder may be part of your treatment plan for compulsive gambling.

Relapse prevention

Even with treatment, you may return to gambling, especially if you spend time with people who gamble or you're in gambling environments. If you feel that you'll start gambling again, contact your mental health professional or sponsor right away to head off a relapse.

Coping and support

These recovery skills may help you concentrate on resisting the urges of compulsive gambling:

Stay focused on your No. 1 goal: not to gamble.
Tell yourself it's too risky to gamble at all. One bet typically leads to another and another.
Give yourself permission to ask for help, as sheer willpower isn't enough to overcome compulsive gambling. Ask a family member or friend to encourage you to follow your treatment plan.
Recognize and then avoid situations that trigger your urge to bet.

Family members of people with a compulsive gambling problem may benefit from counseling, even if the gambler is unwilling to participate in therapy.

Preparing for an appointment

If you've decided to seek help for compulsive gambling, you've taken an important first step.

What you can do

Before your appointment make a list of:

All the feelings you're experiencing, even if they seem unrelated to your problem. Note what triggers your gambling, whether you've tried to resist the urge to gamble and the effect that gambling has had on your life.
Key personal information, including any major stresses or recent life changes.
All medications, vitamins, herbs or other supplements that you're taking, including the doses.
Other physical or mental health disorders that you have and the treatments.
Questions to ask your doctor to make the most of your appointment time.

Questions to ask your doctor may include:

What's the best approach to my gambling problem?
What are the alternatives to the primary approach that you're suggesting?
Should I see a psychiatrist, psychologist, addiction counselor or other mental health professional?
Will my insurance cover seeing these professionals?
Can I get help as an outpatient or would I need inpatient treatment?
Are there any brochures or other printed material that I can have?
What websites do you recommend?

Don't hesitate to ask any other questions during your appointment.

What to expect from your doctor

Your doctor will likely ask you a number of questions. Be ready to answer them to reserve time to go over any points you want to spend more time on. Your doctor may ask:

When did your gambling first start?
How often do you gamble?
How has gambling affected your life?
Are your friends or family members worried about your gambling?
When you gamble, how much do you typically put on the line?
Have you tried to quit on your own? What happened when you did?
Have you ever been treated for a gambling problem?
Are you ready to get the treatment needed for your gambling problem?

Compulsive Gamblers—Always Losers

“COMPULSIVE gambling is an illness in the same way that alcoholism and drug addiction are illnesses,” declared Professor Jean Ades, from France. “It’s an addiction without a drug,” he said, and “more and more people are discovering they are addicted.” Even after the compulsive gamblers lose large sums of money, they are often obsessed with the need to make up their losses by gambling even more. “Most losers quickly get over their disappointment. But for some, the urge to gamble is so uncontrollable it can blight their lives,” wrote one newsman in France. “They keep on promising themselves they are going to kick the habit, yet it always gets the better of them. They are gambling addicts.”

Confessed one South African gambler: “If you’re a gambling addict, and you sit down at the roulette wheel or the blackjack table, nothing else matters. Adrenalin thunders through your veins, and you will bet every cent you have on just one more spin of the wheel, or fall of the card. . . . Drawing on my adrenalin reserves, I could stay awake for several days and nights at a stretch, watching the cards and numbers, and waiting for that eternally elusive super payout.” Then he concluded: “There are many others like me who can’t stop at a few hundred rands or even a few thousand. We will continue gambling until all we have is gone, and our family relationships are smashed beyond repair.”

Henry R. Lesieur, professor of sociology at St. John’s University, New York, wrote that the desire to gamble, win or lose, is so intense “that many gamblers will go for days without sleep, without eating, and even without going to the bathroom. Being in action pushes out all other concerns. During the period of anticipation, there is also a ‘rush,’ usually characterized by sweaty palms, rapid heart beat, and nausea.”

One former gambling addict admits that winning was not the driving force for his prolonged habit, but rather it was the “rush,” the thrill of gambling itself. “Gambling procures extraordinarily violent emotions,” he said. “When the roulette wheel is turning, when you’re waiting for Chance to give its answer, there’s a moment when the mind reels and you almost faint.” French gambler André agrees: “When you’ve got FF10,000 on a horse and there are 100 metres to go, someone could tell you your wife or your mother had died and you wouldn’t give a fig.”

André describes how he was able to continue gambling even after heavy losses. He borrowed from banks, friends, and loan sharks with exorbitant interest rates. He stole checks and falsified post office savings books. He seduced lonely women during his visits to casinos and then vanished with their credit cards. “By then,” wrote a French newsman, André “no longer even cared whether he would ever be able to put his disastrous finances in order. His wanderings were prompted solely by his obsession.” He turned to crime and was sent to prison. His marriage was wrecked.

In many cases compulsive gamblers, like drug addicts and alcoholics, keep on gambling, though it costs them their job, their business, their health, and, finally, their family.

Many cities in France have recently opened their doors to gambling. Where other businesses have failed, pawnshops are doing a flourishing business. Owners say gamblers frequently lose all the money they have and trade rings, watches, clothing, and other valuable items for gas money home. In some coastal towns in the United States, new pawnshops have opened; in some cases three or four or more can be found in a row.

What's Worse Drugs Or Alcohol

Some have even turned to a life of crime in order to support their gambling habit. Studies conducted to date, according to Professor Lesieur, “uncovered a wide variety of illegal behaviors among compulsive gamblers . . . check forgery, embezzlement, theft, larceny, armed robbery, bookmaking, hustling, running con games, and fencing stolen goods.” Added to these are the white-collar crimes where gamblers steal from their employers. According to Gerry T. Fulcher, director of the Institute for the Education and Treatment of Compulsive Gamblers, 85 percent of the thousands of identified compulsive gamblers admitted to stealing from their employers. “In fact, from a purely financial point of view, compulsive gambling is potentially worse than alcoholism and drug abuse combined,” he said.

Further studies have concluded that approximately two-thirds of nonincarcerated compulsive gamblers and 97 percent of those incarcerated admit to engaging in illegal behavior to finance gambling or pay gambling-related debts. In 1993 in Gulf Coast towns in the United States, where legalized gambling is rampant, there were 16 bank robberies, a fourfold increase over the previous year. One man robbed a total of eight banks of the sum of $89,000 to continue his gambling habit. Other banks have been robbed at gunpoint by gamblers forced to pay off large sums to creditors.

“When compulsive gamblers try to kick the habit, they go through withdrawal, much like smokers or drug addicts,” says The New York Times. Gamblers admit, however, that breaking the gambling habit can be harder than breaking other habits. “Some of us have had the experience of alcoholism and drug abuse as well,” said one, “and we all agree that compulsive gambling is far worse than any of the other addictions.” Dr. Howard Shaffer, of the Center for Addiction Studies at Harvard University, said that at least 30 percent of compulsive gamblers who try to stop “show signs of irritability or experience stomach distress, sleep disorders, higher-than-normal blood pressure and pulse.”

Drug Worse Than Fentanyl

Even if they keep on betting, said Dr. Valerie Lorenz, director of the National Center for Pathological Gambling in Baltimore, Maryland, U.S.A., compulsive “gamblers face medical problems: chronic headaches, migraines, breathing difficulties, angina pains, heart arrhythmias and numbness in their arms and legs.”

Then there are suicides. What could be worse than what is commonly known as a “nonfatal addiction” causing death? In one American county, for example, where gambling casinos have recently opened, “the suicide rate has inexplicably doubled,” reported The New York Times Magazine, “though no health care official was willing to tie the increase to gambling.” In South Africa, three gamblers committed suicide in one week. The number of actual suicides because of gambling and debts accrued by this means, legally or illegally, is not known.

Suicide is a tragic way to end the viselike grip of gambling. In the next article, consider how some have found a better way out.

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