Gambling involves risking something of value on a random event with the hope of winning something else of value. It can involve placing a bet on a football game or buying a scratchcard, for example. The choice you make is matched to ‘odds’ set by the betting company, which give an idea of how likely you are to win. But it’s still a game of chance, and nobody knows for sure what will happen.

Most people who gamble do so without any problems, but a small percentage develop gambling disorders. The disorder is characterized by recurrent, compulsive gambling behavior that is associated with significant distress or impairment. It can also lead to poor financial, social, or family functioning. The likelihood of developing a gambling disorder is greater in certain groups. Men are more susceptible than women, and young people are particularly at risk – up to 5% of adolescents and young adults who gamble develop a disorder. Those with low incomes are also more vulnerable, as they may have more to lose than those with more wealth.

Research has shown that many factors can contribute to a gambling disorder, including genetics, environmental influences, and psychological or social factors. Gambling often serves as an escape from stressors or a way to connect with others, and it can lead to feelings of deprivation and worthlessness. Many people with a gambling disorder also have other psychiatric conditions, such as depression, anxiety, bipolar disorder, or attention deficit hyperactivity disorder.

Although a growing number of primary care clinicians are evaluating patients for gambling disorders, there is little consensus about how best to do so. Moreover, there is no clear definition of what constitutes harmful or addictive gambling behaviors. This article reviews the rationale for viewing pathological gambling as an addiction, examines evidence on the health consequences of gambling behavior, and discusses screening strategies and treatment options for problem or pathological gambling.

The most important first step in overcoming a gambling addiction is admitting you have one. It’s a difficult realization to come to, especially if you’ve lost money or strained relationships as a result of your habit. But it’s possible to recover if you’re willing to get help. The best place to start is with BetterHelp, an online therapy service that matches you with therapists who have experience treating gambling addictions and other mental health issues. Get started today by taking a free assessment, and be matched with a therapist in as little as 48 hours.