Gambling and mental health
Introduction
Gambling causes the release of dopamine, which at first is perceived as a "good mood," but with regular participation, a cycle of stress, anxiety and depression is triggered. The relationship between gambling and mental health is bidirectional: mental problems increase the risk of addiction, and addiction itself exacerbates psychological disorders.
1. Mechanisms of mental impact of gambling
Dopamine reward loop: Each "winning" attempt enhances neural connections that associate excitement with pleasure, with losses causing irritation and a desire to "recoup."
Chronic stress: The frequent emotional rollercoaster between euphoria and frustration leads to a constant release of cortisol and adrenaline.
Cognitive biases: "illusion of control" (to believe one can guess the outcome), "near gain," and "selective memory" reinforce risky behaviors.
2. Common psychological problems
1. Anxiety disorders
Constant concern about money and the consequences of losing; panic attacks before payments.
2. Depression
Disappointment from series of losses, guilt and meaninglessness; reduced energy and interest in life.
3. Suicidal tendencies
Desperate for debt and loss of control, players may see suicide as "the only way out."
4. Social isolation
Avoiding communication, going online; alienation from family and friends exacerbates the psychological state.
3. Risk factors and vulnerable groups
Previous mental disorders: depression, anxiety, PTSD increase the likelihood of becoming addicted.
Young people (16-25 years old): low level of self-control and increased susceptibility to "easy money."
People with financial difficulties: debt burden increases stress and creates a vicious circle.
Socially vulnerable: Migrants, unemployed, trauma survivors - more likely to experience loneliness and use excitement as "comfort."
4. Diagnostics and self-testing
PGSI (Problem Gambling Severity Index): 9 questions, 8 + points indicate a high degree of risk.
SOGS (South Oaks Gambling Screen): Identifies symptoms of addiction and its impact on life.
DSM-5 criteria: 4 + "yes" for items adapted for ludomania require professional assessment.
Keeping a game diary: Capture thoughts, emotions and bet amounts to reveal patterns of mental decline.
5. Professional care and therapeutic approaches
1. CBT (cognitive behavioral therapy):
Gambling causes the release of dopamine, which at first is perceived as a "good mood," but with regular participation, a cycle of stress, anxiety and depression is triggered. The relationship between gambling and mental health is bidirectional: mental problems increase the risk of addiction, and addiction itself exacerbates psychological disorders.
1. Mechanisms of mental impact of gambling
Dopamine reward loop: Each "winning" attempt enhances neural connections that associate excitement with pleasure, with losses causing irritation and a desire to "recoup."
Chronic stress: The frequent emotional rollercoaster between euphoria and frustration leads to a constant release of cortisol and adrenaline.
Cognitive biases: "illusion of control" (to believe one can guess the outcome), "near gain," and "selective memory" reinforce risky behaviors.
2. Common psychological problems
1. Anxiety disorders
Constant concern about money and the consequences of losing; panic attacks before payments.
2. Depression
Disappointment from series of losses, guilt and meaninglessness; reduced energy and interest in life.
3. Suicidal tendencies
Desperate for debt and loss of control, players may see suicide as "the only way out."
4. Social isolation
Avoiding communication, going online; alienation from family and friends exacerbates the psychological state.
3. Risk factors and vulnerable groups
Previous mental disorders: depression, anxiety, PTSD increase the likelihood of becoming addicted.
Young people (16-25 years old): low level of self-control and increased susceptibility to "easy money."
People with financial difficulties: debt burden increases stress and creates a vicious circle.
Socially vulnerable: Migrants, unemployed, trauma survivors - more likely to experience loneliness and use excitement as "comfort."
4. Diagnostics and self-testing
PGSI (Problem Gambling Severity Index): 9 questions, 8 + points indicate a high degree of risk.
SOGS (South Oaks Gambling Screen): Identifies symptoms of addiction and its impact on life.
DSM-5 criteria: 4 + "yes" for items adapted for ludomania require professional assessment.
Keeping a game diary: Capture thoughts, emotions and bet amounts to reveal patterns of mental decline.
5. Professional care and therapeutic approaches
1. CBT (cognitive behavioral therapy):
- Working with distorted thoughts, developing alternative responses to triggers and a plan to prevent "relapses." 2. Mindfulnes and Stress Management:
- Meditations, breathing practices, and body scans to lower cortisol levels and improve emotional regulation. 3. Medication support:
- Antidepressants and anxiolytics as prescribed by a psychiatrist for severe depressive and anxiety symptoms. 4. Group therapy and peer-support:
- Gamblers Anonymous and state Peer-support programs at Gambler's Help - sharing strategies and a sense of belonging.
6. Emergency measures and hotlines
Gambler's Help: 1800 858 858 - 24-hour anonymous support for psychologists and social workers.
Gambling Help Online Chat: Online chat 24/7 for immediate assistance.
Lifeline: 13 11 14 - psychological support for suicide risk.
7. Exacerbation prevention and long-term resilience
1. Technical barriers: BetStop (self-exclusion), Gamban/BetBlocker blockers, DNS filters.
2. Regular monitoring of the psyche: keeping a mood log and triggers, pre- and post-PGSI tests every 1-3 months.
3. Healthy lifestyle: sleep 7-8 hours, balanced diet, physical activity and meditation.
4. Social support network: weekly "check-ins" with a mentor, participation in the group process, family counseling.
Conclusion
Gambling takes a serious toll on mental health through stress, anxiety and depression. The key to recovery is a combination of self-diagnosis, technical barriers, occupational therapy and a support system. Timely appeal for help allows not only to overcome addiction, but also to strengthen emotional stability for many years.
