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Gambling Disorders in Primary Care

Gambling happens when people stake something of value — money or other items — in the hope of winning a prize. Many people think of casinos or racetracks when they think of gambling, but it’s not just those places where gamblers can play. They can also buy lottery tickets, bet on sporting events or play online casino games and video poker.

It’s important to understand how gambling works because it is a dangerous activity that can have serious consequences for the health and wellbeing of individuals and their families. People who gamble can find themselves in trouble with the law, in serious debt or even homeless. Taking part in any type of gambling can be harmful to your physical and mental health, relationships and performance at work or school.

Although most people gamble without serious problems, a small number of individuals develop a gambling disorder (addiction). This article reviews the evidence that defines pathological gambling as an addiction and discusses screening strategies for problem gambling in primary care settings.

Whether you’re playing a slot machine or putting together your fantasy sports team, it is always best to start with a fixed amount of money that you are willing to lose and stick to it. Never gamble with money you need to pay bills or rent. And remember that the more you bet, the more likely you are to lose – because the odds of winning are proportionally the same regardless of the size of the bet.

A growing role exists for the evaluation of patients’ gambling behaviors in primary care settings, particularly because these activities are legal and potentially addictive. This article reviews the evidence supporting a classification of gambling as an addictive behavior, describes the evolving health impacts and consequences of problematic gambling and discusses how to screen for and treat problem gambling.

While the research on the prevalence of gambling disorder is ongoing, it is clear that the practice is a major contributor to poor health in both adults and children. The risk of developing a gambling disorder increases with age, and people from low-income backgrounds are at greatest risk.

The first step in coping with a loved one’s gambling addiction is to recognise that it’s not their fault that they have a problem. They don’t choose to gamble, and they can’t control their urges. They may have developed the habit as a way to cope with their feelings or to relieve stress. It is important to consider these reasons when addressing their behaviour and deciding how to support them. It can also be helpful to seek out support from other families who have dealt with similar issues. In addition to family, friends and peer support groups, there are also several national and international helplines for people with gambling disorders. Mindfulness and meditation can help to reduce the effects of gambling, as well as replacing it with more healthy alternatives like exercise and socialising. Alternatively, you could try learning a new skill or picking up an old hobby to take your mind off of the issue.