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Depression and Gambling Addiction

By Rick Benson

Depression and gambling addiction are two potentially devastating disorders that often go hand-in-hand. Gambling addiction is characterized as the inability to resist the impulse to gamble, even when doing so has a detrimental impact on one's life.

Depression is a common mental condition that is characterized by persistent feelings of sadness, hopelessness, and a lack of interest or enjoyment in activities.

 

Let’s take a further look into how depression and gambling addiction interact with each other.

How Gambling Affects the Brain

When a person gambles, their brain releases chemicals such as dopamine and endorphins, which create a feeling of pleasure and excitement. 

 

When gambling becomes an addiction, it can lead to changes in the brain's structure and function.

 

These changes can affect the way the brain processes emotions, making it more difficult to control impulses and making it more likely to seek out the pleasure or excitement of gambling.

 

Gambling addiction can also lead to changes in the brain's reward system, leading to an increased need for the behavior in order to feel good (also known as tolerance).

 

man winning online sports bet

 

Overall, gambling affects the brain in very similar ways to drug use. When a person with a gambling addiction tries to quit gambling, they may experience uncomfortable withdrawal symptoms.

 

Emotional Regulation and Gambling Addiction

One of the major ways gambling addiction impacts the brain is by interfering with emotional regulation - the ability to manage and respond to emotions in a healthy way.

 

Many people struggling with gambling addiction find it challenging to cope with stress, disappointment, or frustration without turning to gambling as an escape. 

 

This creates a cycle: gambling provides a temporary distraction from unpleasant feelings, but once the session ends, those emotions often return, sometimes even more intense due to financial loss or strained relationships.

 

Difficulty managing negative emotions can both contribute to the development of a gambling addiction and be made worse by it. 

 

The more someone relies on gambling to numb their pain or anxiety, the harder it becomes to break free from that pattern. Building healthier coping skills is crucial for recovery. 

 

Approaches like cognitive-behavioral therapy (CBT) can help individuals recognize and challenge the thought patterns that drive their gambling, making it easier to handle tough emotions without reaching for betting slips or slot machines. 

 

By improving emotional regulation, people can reduce their reliance on gambling as a way to escape life's stresses.

 

Gambling addiction can also lead to changes in the brain's reward system, leading to an increased need for the behavior in order to feel good (also known as tolerance).

 

Overall, gambling affects the brain in very similar ways to drug use. When a person with a gambling addiction tries to quit gambling, they may experience uncomfortable withdrawal symptoms.

 

Is Gambling a Mental Health Issue?

The thing with gambling is that there are always underlying issues that drive the compulsive gambling behavior. These underlying issues could be financial stress, or mental health issues such as anxiety or depression. 

Gambling addiction and depression tend to fuel each other, resulting in a vicious cycle of gambling because of depression, and experiencing heightened depression due to the amount of gambling.

 

The Link Between Mood Disorders and Gambling Addiction

Mood disorders—like depression and anxiety—are closely connected with gambling addiction. 

 

For many, depression is a risk factor that makes gambling an appealing escape. 

 

The “rush” from gambling acts as a temporary distraction from negative emotions, but this fleeting high is usually followed by guilt, regret, and deeper despair, intensifying depressive symptoms. 

 

Similarly, anxiety often goes hand-in-hand with depression and gambling; gambling may briefly relieve anxiety, but it tends to rebound even stronger once the session ends. This cyclical relationship can make both conditions worse over time. 

 

Financial losses, strained relationships, and increasing isolation all add fuel to the fire, linking gambling and mood disorders in a pattern that’s difficult to break without support.

 

Does Gambling Addiction Cause Depression?

In some circumstances it can be hard to determine which came first - the gambling addiction, or the depression. 

 

If depression was not already present in a person’s life, gambling can definitely lead to a variety of difficult situations that can cause depression.

 

Financial loss, relationship problems, social isolation, loss of a job, are just some examples of the damage that gambling can cause. 

 

If depression is already a factor, gambling can certainly worsen the symptoms of depression. 

 

When a person first starts gambling, it can have a positive effect on mood. However, over time, gambling addiction causes gambling to become less pleasurable, and your natural mood set-point drops, which can increase feelings of depression. 

 

couple stressed about money

 

Additionally, the act of gambling itself can release chemicals in the brain that can create a sense of pleasure or excitement, and when this is not followed by a reward, it can lead to feelings of disappointment, sadness, and hopelessness.

 

Due to the despair and hopelessness that it can cause, gambling addiction has the highest suicide rate among all addictions. 

 

This heartbreaking reality stems from the significant emotional and financial turmoil that often accompanies compulsive gambling.

 

Overwhelming debt, broken relationships, and persistent feelings of guilt or shame can create a profound sense of hopelessness for those struggling with gambling addiction. 

 

These circumstances can lead to an increased risk of suicidal thoughts or behaviors, especially when depression is present or left untreated.

 

The fear of financial ruin and social isolation only adds to the pressure, making it feel as though there’s no way out.

 

That’s why supporting mental health is so crucial for anyone affected by gambling addiction.

 

Access to support groups, crisis intervention, and therapy can provide much-needed emotional support and coping strategies to manage those intense feelings of despair. 

 

Early intervention and ongoing care are vital to help individuals regain hope, build resilience, and reduce the risk of suicide.

 

Why Is Mental Health Support So Important for Problem Gamblers Facing Suicidal Thoughts?

Gambling addiction has a notoriously high risk for suicide, and it’s not hard to see why. 

 

When gambling spirals out of control, the fallout can be devastating - crushing debts, fractured relationships, and a seemingly endless cycle of guilt and shame.

 

These challenges can push some individuals into deep despair, where even day-to-day coping feels impossible.

 

This is where mental health support becomes absolutely essential. 

 

For someone stuck at the intersection of gambling addiction and depression, professional help offers more than just a listening ear - it provides real tools for managing overwhelming emotions. 

 

With support from therapists, crisis counselors, or peer support groups, individuals learn new ways to cope with stress and anxiety, and to rebuild the self-esteem that gambling may have slowly eroded.

 

  • Unpacking the overwhelm - Mental health professionals can help untangle the many layers of financial, social, and emotional stress that often pile up with gambling addiction. Addressing these underlying issues takes pressure off the individual, breaking the cycle of hopelessness and despair.
  • Building a safety net - Ongoing support means that you’re not in this alone. Whether it’s through Cognitive Behavioral Therapy (CBT), participation in support groups like Gamblers Anonymous, or even just regular check-ins with a counselor, having people in your corner can make all the difference.
  • Prevention and hope - Perhaps most importantly, early intervention can be the lifeline for someone experiencing suicidal thoughts. Effective mental health support treats not just the addiction, but the underlying depression and hopelessness that feed it, giving individuals the chance to reclaim dignity, connection, and purpose.

If you or someone you care about is struggling, reaching out for mental health support isn’t just a good idea. It could save a life.

 

Why Do People With Depression Gamble?

People who struggle with depression turn to gambling for a number of reasons, including:

 

  • Gambling helps them cope with negative emotions or to escape from feelings of sadness, hopelessness, or worthlessness.
  • Gambling can provide a temporary sense of accomplishment and euphoria.
  • Gambling can provide a sense of accomplishment and a feeling of control.
  • Gambling provides a temporary boost in self-esteem.

For many, this escape is at the heart of the addiction. Gambling offers a way to temporarily detach from reality and avoid uncomfortable emotions or stressful life events, much like someone might turn to alcohol or binge-watching TV as a distraction. 

 

This “escapism” serves as a negative reinforcement - meaning the act of gambling is rewarded by the brief relief it brings from depression or anxiety. However, this relief is only temporary. 

 

When someone uses gambling as their main coping mechanism, it creates a cycle: the negative feelings return, so they gamble more, which can lead to even greater problems over time - financial stress, relationship issues, or increased feelings of hopelessness. 

 

Rather than addressing the root causes of their distress, individuals can find themselves relying on gambling as their primary way to manage emotions. 

 

This makes it even harder to break free, as healthy coping strategies aren’t developed or practiced.

 

In the long run, this pattern can reinforce the addiction and worsen both emotional and mental health, making recovery feel even further out of reach.

 

Treating the Underlying Causes of Gambling Addiction

When seeking treatment for a gambling addiction, it’s important to not only treat the gambling behavior, but also any underlying causes of the addiction. 

 

This approach is also referred to as dual diagnosis treatment.

 

In most cases, there are underlying mental health conditions, such as anxiety, depression, or bipolar disorder, which makes a person more likely to gamble.

 

Some possible approaches to treating the underlying causes of gambling addiction include:

 

Cognitive-Behavioral Therapy (CBT) and Emotional Regulation

Cognitive-behavioral therapy, or CBT, is one of the most effective tools for helping people with gambling addiction manage their emotions in healthier ways.

 

Through CBT, individuals learn to recognize the unhelpful thought patterns and beliefs that often fuel gambling urges - those moments where a stressful day or negative emotion tempts you to seek relief at the slots or with sports betting.

 

CBT focuses on identifying these triggers and teaches practical techniques to challenge and reframe them. 

 

Instead of acting on the urge to gamble when faced with disappointment, anxiety, or sadness, you can learn new coping strategies - like relaxation exercises, problem-solving skills, or simply reaching out to a trusted friend.

 

This approach not only helps reduce the frequency and intensity of gambling impulses, but also builds emotional resilience over time, making it easier to handle life’s ups and downs without reverting to gambling as a form of escape.

 

Lifestyle Changes

Making lifestyle changes, such as getting regular exercise, eating a balanced diet, and improving communication with loved ones can be natural ways of easing these underlying symptoms.

 

Mindfulness and Stress Reduction Techniques

Another helpful approach for managing gambling addiction is practicing mindfulness and learning ways to reduce stress. Mindfulness can look like simple breathing exercises, meditation, or even just paying close attention to your thoughts and feelings in the moment - without judgment.

 

The benefit here is twofold. First, these techniques can help you manage intense emotions, which might otherwise drive you to gamble as a distraction or escape.

 

Second, regular mindfulness practice increases your self-awareness, making it easier to catch yourself falling into old habits before they spiral out of control.

 

By giving yourself healthy ways to process stress and uncomfortable feelings, you’ll naturally reduce the urge to use gambling as a coping tool.

 

Mindfulness fills in that gap, helping you find new ways to handle life’s ups and downs without turning to a quick fix.

 

Treatment program

The best way to treat both the gambling addiction and the underlying causes, is to attend a treatment program where professionals who are specifically trained in treating gambling addiction and mental health disorders can guide you through the recovery process.

 

Support Groups: The Power of Shared Experience

Support groups, such as Gamblers Anonymous, play a crucial role in the journey toward recovery from gambling addiction. By bringing together people who are facing similar struggles, these groups help reduce the intense sense of isolation that often comes with addiction.

 

The group environment encourages members to openly share their experiences and setbacks without fear of judgment. This shared vulnerability fosters understanding, accountability, and trust. Hearing from others who are further along in their recovery can inspire hope and offer practical strategies for overcoming challenges.

 

In addition, the ongoing encouragement and camaraderie found in support groups can make it much easier to maintain motivation.

 

Knowing you’re not alone - and having a community that truly understands the ups and downs of recovery - can be a lifeline during difficult times.

 

How Does Motivational Interviewing (MI) Support Recovery from Gambling Addiction?

Motivational Interviewing (MI) is another valuable tool in the recovery process for people struggling with gambling addiction. 

Unlike more directive forms of counseling, MI is a collaborative approach that focuses on helping individuals uncover their personal motivations for change.

 

Rather than telling someone they need to stop gambling, MI guides them in reflecting on how gambling is impacting their life - whether that's damage to relationships, ongoing stress, or missed opportunities. 

 

This process helps people build awareness of the consequences of their gambling, while also highlighting any reasons they might have for wanting things to be different.

 

A key strength of MI is its ability to address ambivalence, which is very common for those contemplating change.

 

Instead of pushing someone toward a decision, MI helps them resolve their mixed feelings in a supportive, non-judgmental space. 

 

The person in recovery gets to identify meaningful goals for themselves and develop a greater sense of ownership over the recovery journey.

 

Why Are People With Gambling Addictions Reluctant to Get Help?

Like with any addiction, gambling addiction comes with a heavy societal stigma. Some people may view gambling as a personal weakness or a lack of self-control, and this stigma can make it difficult for people who are struggling with gambling to seek help. 

People who struggle with compulsive gambling may feel intense shame about their addiction, and the things they have done to fund their addiction. They may find it difficult to admit their addiction to others, because they fear what the consequences may be. 

Gambling is also such a normalized behavior, that many gambling addicts may not realize that the frequency at which they gamble is actually a major issue. They see other people gambling and are surrounded by gambling ads that they don’t consider their own gambling to be a problem. 


Get Help for Gambling Addiction

Fortunately, your brain has a remarkable ability to repair itself, and recovering from gambling addiction and underlying causes is absolutely possible. 

 

At Algamus Gambling Treatment Services, we have a full staff of gambling counselors, therapists, and psychiatrists, who have immense expertise in treating gambling addiction and its underlying causes. 

 

Our residential treatment program, located in the scenic town of Prescott, Arizona, is the perfect place to solely focus on your recovery, away from any distractions. 

 

To learn more about our program and how we can help, speak to our gambling counselors. 

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