What Is Compulsive Gambling?
Moderate gambling, like moderate alcohol use, is an accepted part of our culture and causes no problems. As with alcohol use, however, gambling to excess is a common weakness that can become an addiction and lead to serious personal and security problems.
Compulsive gambling is the common term used to describe an inability to stop gambling even when one recognizes that gambling is causing financial, family, work, or other problems. Compulsive gambling parallels alcohol and drug addiction in many ways. Compulsive gamblers lose control over their behavior and commonly lie and cheat in order to continue their gambling. They frequently try, unsuccessfully, to cut down or quit.
The American Psychiatric Association prefers to use two other technical terms that distinguish degree of seriousness. Pathological gambling is a treatable mental health disorder characterized by loss of control over gambling, chasing of losses, lies and deception, disruption of family or job, and criminal behavior motivated by a desperate need to make up for gambling losses. Problem gambling is all other patterns of gambling behavior that compromise, disrupt or damage personal, family or vocational pursuits. We use the term compulsive gambling except when citing statistics that apply specifically to distinction between pathological and problem gambling.
Compulsive gambling does not involve use of a psychoactive substance, but the "action" which compulsive gamblers crave is an aroused, euphoric state comparable to the "high" sought by drug users. This aroused state is accompanied by changes in brain chemistry similar to those caused by alcohol or drugs. There may be a "rush," often characterized by sweaty palms, rapid heart beat, and nausea which is experienced during the period of anticipation.
Alcoholics and drug abusers develop "tolerance" for their drug of choice and then must increase their consumption in order to feel the same effects. Similarly, compulsive gamblers develop "tolerance" for the "action" and must increase the size of their bets or the odds against them to create the same amount of excitement.
It is estimated that about two million (1%) of U.S. adults a meet criteria for diagnosis of pathological gambling in any given year. Another four to eight million (2-3%) are considered problem gamblers; that is, they do not meet the full diagnostic criteria for pathological gambling, but meet one or more of the criteria and are experiencing problems due to their gambling behavior. The spread of legalized gambling continues to increase these statistics. Pathological gambling often starts during adolescence for males and often between ages 20 and 40 for females. 1
The key difference between compulsive or problem gambling and social gambling is self-control. Each social gambling session usually lasts for a set period of time and involves pre-determined spending limits. It typically occurs with friends or colleagues rather than alone. The player gains satisfaction whether he/she wins or loses.
Becoming a Compulsive Gambler
Gamblers who fall in love with the excitement and "action" of gambling may, at first, be quite successful. They have fantasies of further success and of gambling becoming their personal path to wealth and power. Those who are headed for problems think they are smarter than the average bettor. They know that gambling is going to work for them because they, unlike less clever people, really understand how to beat the system.
As they become more involved in gambling, they derive an increasing portion of their self-esteem from seeing themselves as smart or lucky. Because of this, two things happen when they do incur the inevitable losses. First, they suffer monetary loss. Second, and often more important, they suffer a deflated ego.
To salvage their self-esteem, they rationalize losses by blaming other people, such as the jockey or the pitcher, or by blaming "bad luck" in cards, craps or lotteries. Or they reflect on their handicapping abilities and tell themselves they will not make the same "mistake" the next time.
The monetary loss is another matter, however, and this is dealt with differently. In order to recoup the loss, many gamblers "chase." That is, they continue their betting and increase the amount of their bets in order to get even. Instead of saying, "It's lost," the chaser says, "I'll get even tomorrow." Chasing losses leads the gambler to gamble with more than he or she can afford to lose, and often to borrowing money in an effort to get even.
Many gamblers may chase for short periods, until they learn from bitter experience that this is counterproductive. The long-term preoccupation with chasing losses is the defining characteristic of the pathological gambler.
Chasing seems logical to many gamblers, as it means giving themself a chance to get even. If a gambler stops chasing, both money and self-esteem are lost. If the gambler continues chasing and wins, both can be regained. There is, therefore, the impetus to borrow in order to recoup losses. When continued gambling leads to still more losses, the compulsive gambler continues to borrow. The more money borrowed, the greater the commitment to more gambling as the only possible means of gaining enough money to pay off the debt.
This spiraling commitment to increased gambling often depletes family resources. Many compulsive gamblers cash in joint savings bonds, empty checking accounts, pawn joint property, and take out loans without the spouse's knowledge. In order to preserve or regain respectability in the eyes of parents, spouse and others -- and because their paychecks are insufficient -- desperate gamblers see more gambling as the only alternative.
Fearing loss of respectability, the gambler hides loans. When gamblers default on the loans, fear that the bank or loan company will tell their spouse may drive them to more gambling as a possible quick way out. The behavior that caused the problem is increasingly seen by the gambler as the only solution, as there is no other way to get the needed money quickly.
As loans come due and pressures to pay become more insistent, sometimes involving threats of exposure or of physical harm from loan sharks or bookies, desperate gamblers weigh the risks of "borrowing" (embezzling) money from their employer, making fraudulent loan applications or insurance claims, or stealing the money.
Once they succumb to this temptation, the threshold to an even greater commitment to gambling has been crossed. This is especially true if they obtain money by loan fraud or embezzlement. These kinds of crimes enable gamblers to rationalize that they are not really criminals. The money is only "borrowed" so no one is being hurt. But there is constant pressure to repay the money, and counting on a big gambling win is seen as the only hope for doing so. This extends the spiral of involvement from more gambling to more and more desperate activities to recoup their losses -- until the gambler is caught, seeks professional help, or really does hit the big win. Some desperate gamblers have even committed suicide so that a life insurance payout could help their financially struggling family. The rate of attempted suicide among gamblers is the highest of all the psychological disorders.
Falling in love with the "action" and then chasing losses is the starting point for most men who become compulsive gamblers, but many women and some men take a different route. While they also enjoy the "action" and chase losses, their initial motivation is often escape -- escape from memories of unhappy childhood or parental abuse, escape from troubled spouses, or escape from loneliness. Once they became hooked on gambling, they follow the same spiral of increasing involvement, often leading to criminal activity.
Indicators of Compulsive Gambling
Compulsive gamblers tend to be bright, energetic, competitive, adventuresome individuals. In short, they may have the characteristics of an otherwise ideal employee. There are no obvious physical signs. Unlike some drug or alcohol abusers, there are no needle marks, breath odor, slurred speech or staggering gait. Like alcoholics and drug addicts, compulsive gamblers typically deny any problem until they hit rock bottom and are desperate for help.
One of the clearest indicators of a serious gambling problem is borrowing money to gamble or to pay off gambling debts. This is the heart of the security issue, which is the gambler's need for money. Another significant indicator is any effort to conceal one's gambling from spouse, children, friends, or coworkers, e.g., hiding betting slips or lottery tickets. This indicates some shame or embarrassment about one's behavior.
Other indicators of a potential or actual gambling problem include: gambling as a way of escaping from problems or relieving feelings of helplessness, guilt, anxiety, or depression; needing to gamble with increasing amounts of money in order to achieve the desired excitement; and repeated unsuccessful efforts to control, cut back, or stop gambling
A study that compared the gambling practices of compulsive gamblers with social gamblers found that the single most striking difference was the amount of leisure time devoted to gambling. Compulsive gamblers were more than five times as likely as social gamblers to devote at least one quarter of their leisure time to gambling or preparation for gambling. 2
Children of problem gamblers are at greater risk than others for developing a gambling problem themselves. One study found that 50% of the children of pathological gamblers were also pathological gamblers.3 In one group of 50 female members of Gamblers Anonymous, 40% reported growing up in a household where one or both parents were addicted to either alcohol or gambling. 4
Gamblers Anonymous provides a list of 20 questions that gamblers can ask themselves to determine whether they meet the criteria of a compulsive gambler who needs help. Most compulsive gamblers will answer yes to at least seven of these questions.
Behaviors Observable in the Workplace
Unlike alcohol abuse, there are few observable indicators of compulsive gambling, especially if it is done online at home. Astute observers may, however, pick up clues. Compulsive gambling can be time-consuming. For some forms of gambling, doing everything required to gain the information required to gamble intelligently, to place bets, follow the action, borrow money and make payments often has an impact that can be observed in the workplace. Educational pamphlets list these indicators that may be observed at work:
By the time most compulsive gamblers seek help, they are hugely in debt, owing as much as $120,000 or more, and their families are in a shambles. About 80% seriously consider suicide, and 13 to 20% actually attempt it or succeed in killing themselves. 5
Three studies of Gamblers Anonymous members and persons in treatment for compulsive gambling determined that roughly two-thirds admitted to committing crimes or civil fraud to finance their gambling or to pay gambling-related debts. The white-collar crimes of fraud, embezzlement, forgery, and tax evasion predominate among those whose employment and economic status present the opportunity for such crimes. Such desperation to recoup gambling losses can also lead to espionage.
Treatment for Compulsive Gambling
Like other addictive behaviors, compulsive gambling is treatable. Many problem gamblers are reluctant to seek treatment, however, as they do not understand the nature of the addiction involved. People understand being out of control from putting some kind of substance in their body. Being out of control due to a supposedly voluntary behavior such as gambling damages one’s self-esteem so much that people are extremely reluctant to seek help.
Gamblers Anonymous follows the same pattern as Alcoholics Anonymous, including the same 12-step treatment program. The success rate appears comparable to that for other addictions. Relapse is a problem, but one or two relapses do not necessarily indicate failure. The more severe the gambling problem prior to treatment, the greater the chance of relapse and eventual treatment failure.
Compulsive gamblers frequently also suffer from other addictions such as alcoholism, drug abuse, compulsive shopping or bulimia. Evidence indicates that individuals with multiple addictions are more difficult to treat than those who suffer from a single addiction. "Switching of addictions" is a common phenomenon. For example, recovering alcoholics may begin to gamble compulsively after several years of abstinence from alcohol. Similarly, recovering alcoholics may turn to compulsive gambling. Women recovering from compulsive gambling may encounter problems with compulsive shopping.
Less information is available on compulsive gambling than on other addiction problems. Check with your local financial counseling service or Employee Assistance Program, but you may need to supplement this with information from the Internet or other sources.
Individuals seeking help for a gambling problem can seek help with Gamblers Anonymous. The phone number to reach a local group is in the white pages of most local phone books. The national headquarters can be contacted at Gamblers Anonymous, PO Box 17173, Los Angeles CA 90017, telephone (213) 386-8789, fax (213) 386-0030; website: www.gamblersanonymous.org/. In some areas, a local affiliate may be listed in your telephone book.
Gam-Anon is the self-help organization for spouses, family members, and friends of compulsive gamblers. Its address is PO Box 157, Whitestone, NY 11357, phone (718) 352-1671, fax (718) 746-2571. The website is www.gam-anon.org..
The following organization is helpful in providing lists of treatment centers and other information: National Council on Problem Gambling, 730 11th St. NW, Suite 601, Washington, DC 20001, telephone (202) 547-9204, email firstname.lastname@example.org. They also have a 24-hour national hotline at (800) 522-4700.