Gambling Disorders in Primary Care

Gambling News Sep 6, 2024

Gambling is an activity in which you risk money or something of value to predict the outcome of a game involving chance, such as scratch cards, horse racing, casino games, sports betting, lottery tickets and even online poker. If you guess correctly, you win money; if not, you lose it. Gambling can be fun and exciting, but it can also lead to problems if it becomes too addictive.

Most people enjoy gambling as a form of entertainment, but there is a minority that become overly involved and continue to gamble despite serious negative personal, social, and family consequences. It is important to recognize these people so they can get the help they need.

Problematic gambling is not just about the money; it is also a way to escape from the stress of daily life and fulfill an unmet need for self-esteem or belonging. Unfortunately, this type of coping mechanism usually only provides temporary relief from the stresses of life and contributes to more stress in the long run.

Gambling can trigger a release of dopamine, the feel-good neurotransmitter that increases our ability to learn new skills and rewards us for successfully performing those skills. This is why people who practice skill-based activities, such as shooting baskets into a net, tend to improve over time. However, when people engage in risky behaviors, such as gambling, the dopamine released is not as strong, so they need to gamble more frequently to get the same feeling of reward and success.

In addition to the financial risks associated with gambling, other health consequences include a decrease in physical and social activity, poor nutrition and poor sleep quality. Some individuals develop serious gambling disorders that affect their work, family and relationships. It is important to identify these individuals and get them help to prevent a worsening of their disorder.

There is a growing role for evaluation of patients in primary care settings for gambling disorders, particularly given the widespread prevalence of this type of behavior and its associated health risks. The following guidelines provide a framework for evaluation of the occurrence and severity of gambling disorders in patients.

As a general rule, when you go to the casino, it is a good idea to start with a fixed amount of money that you are willing to lose and never exceed that limit. Moreover, always tip your dealer and cocktail waitresses, either by handing them a chip and clearly saying, “This is for you,” or by placing a bet for them. It is also a good idea to stay away from the free cocktails, as they are often high in calories and can make you drink more and more recklessly. It’s better to stick with beer or wine instead. These rules will help you avoid the pitfalls of gambling and have a safer, more enjoyable time at the casino. Thank you for reading.