Gambling

Compulsive gambling shows many of the characteristics of other addictions. We have developed a special 12 step abstinence orientated programme to deal with this problem.

Compulsive gambling starts out as recreational and slowly progresses to the point where it has serious consequences for both the gambler and their family. As with any other addiction, compulsive gambling is threefold in nature; mental, physical and spiritual, with its main symptom being that of denial and its major characteristic loss of control. The compulsive gambler frequently spends more time and money gambling than they intended, and are unable to reliably predict when they will stop once they have started.

Availability and accessibility determine the number of people that will gamble. The greater the number of gambling facilities, the greater the number of people who participate and therefore the greater number of people who are at risk of becoming compulsive gamblers.

Characteristics of compulsive gambling

  • Preoccupation: an overriding passion that dominates all aspects of life. The preoccupation transforms the gambler into a withdrawn and moody person.
  • Loss of control: not being able to stop or limit the amount of gambling once he/she has started.
  • Continuing despite the negative consequences.

Predictors of compulsive gambling

  • The compulsion to chase losses.
  • Repeated attempts to stop that are not sustained over a long period of time.
  • Gambling in response to negative emotions such as stress and depression.

Phases of compulsive gambling

  • Winning
  • Losing
  • Desperation

Most compulsive gamblers report that they had a large win early in their gambling. This winning leads to fantasies about winning more and an attitude that gambling is a quick and easy way of earning additional income.

The losing phase is when the gambler loses more than they can afford and then attempts to recover their losses by "chasing losses" in the hope of winning back the money.

The desperation phase is when the gambler gets into the vicious cycle of occasionally winning, chasing losses and then suffering more losses. Irrational gambling begins, as does the downward spiral. (eg someone already in debt will borrow money or take money out of the house bond to gamble). The size and frequency of bets increase and bigger debts are accumulated until rock bottom is reached.

Effects on problem gamblers

In general, gambling produces social and economic costs, poverty, starvation, family disintegration and criminal behaviour. The majority of people who gamble to excess develop psychological symptoms of depression and anxiety. Many of these people turn to alcohol and drugs as a means of temporarily escaping.

The physical and emotional health of the compulsive gambler starts to deteriorate as a result of constant preoccupation with financial problems. They become moody and irritable and often start arguments in order to leave the house and gamble. Research shows that most compulsive gamblers suffer from symptoms of major depression. The depression, coupled with an inability to find a solution, the fear of being discovered by their spouse, employer or police, exacerbated by alcohol abuse, can lead to ideas of suicide. Up to 60% of compulsive gamblers think about suicide and about 20% actually attempt it. Other feelings experienced are anxiety, anger, muscular tension, headaches, high blood pressure and fatigue.

The effects on employment are second only to the effects on the gambler’s family. Gamblers cannot function properly at their jobs, there is reduced productivity, absenteeism, lost opportunities for promotion, lack of initiative, attempts to borrow money from colleagues. Lying and deceit become a way of life. 

Other behaviour includes:

  • Spending savings
  • Cashing in holiday/sick pay allowance
  • Drawing advances from credit card accounts
  • Taking high interest loans
  • Pawning jewellery and household goods
  • Accessing other family members’ bank accounts
  • Engaging in criminal activities.

How gambling impacts on the family

The financial difficulties cause strain and friction. As gambling becomes the most important thing in the gambler’s life, partners often feel betrayed and angry, which in turn leads to loss of trust. There is confusion, worry, despair and fear. Arguments erupt and people cease to communicate. Lack of funds for family activities, abusive behaviour, hopelessness and helplessness often lead to separation and divorce. The partner suffers similar physical and emotional symptoms to the gambler and may even  become sicker than the gambler. In this environment, children suffer neglect and fear. This is why compulsive gambling is referred to as a family illness.

Programme for gamblers

We believe that the only effective treatment is absolute abstinence, and a process of self discovery and growth which empowers the gambler to deal with life effectively and without resorting to any compulsive behaviour. Both the gambler and the family also need ongoing support to deal with the consequences of gambling and to prevent relapse. The inpatient programme at Stepping Stones provides the foundation for this long but very rewarding process of recovery.

If you or someone close to you needs help, please email or call Carry Bekker on +27 (0)21 783 4230 at any time.


 
 
Stepping Stones Addiction Centre
Main Road, Kommetjie 7975, Cape Town, South Africa
Practice Number: 5500206
Tel: +27 (0)21 783 4230,  Fax: +27 21 (0)783 1816,  Email: info@steppingstones.co.za