Where Did Gambling Come From
Medically reviewed:06/22/2018
Last updated: 04/17/2020
Author: Addictions.com Medical Review
The first casinos or gambling houses appeared in Italy in the 17th century; The Ridotto was established in Venice in 1638 to provide a controlled gambling environment, and casinos started to appear. Bennett grew up in a different environment and says that he's gambled all of his life even enjoying church bingo when growing up. Although the Bible doesn't outright approve of gambling, there are. Casino industry analysts expect casinos to be among the first to come back, but the product is going to look different than it did before the virus shutdown.
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What is Gambling Addiction?
Gambling addiction or gambling disorder is defined as persistent and recurring problematic gambling behavior that causes distress and impairs your overall livelihood. Gambling addiction affects roughly 0.2% to 0.3% of the general U.S. population, and tends to affects males more than females, though this gender gap has narrowed in recent years. Gambling disorder is a behavioral addiction that can be effectively treated using a range of cognitive and behavioral therapies.
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The desire to buy scratch tickets, play slot machines, and visit casinos aren’t necessarily signs of gambling addiction. But when the desire to gamble becomes overwhelming to the point you can’t stop thinking about it until you gamble on something, may be a sign you need help. Those who suffer from gambling addiction will continue to gamble despite negative financial, legal, and social consequences.
Gambling disorder is a brain disease that can cause you to do things you wouldn’t normally do if you weren’t suffering from addiction. Behavioral addictions like gambling disorder are often difficult to manage and control without getting professional help. Addiction treatment centers can help you overcome gambling addiction and teach you important skills aimed at helping you repair problems in your life caused by your disorder.
What are the Signs and Symptoms of Gambling Addiction?
There are no physical health symptoms associated with gambling disorder. Familiarizing yourself with common gambling addiction behaviors can clue you into whether you or a loved one may need professional help.
Chasing after losses is the most common tell-tale sign of gambling disorder. This particular symptom is marked by the urgent need to continue gambling to earn back a loss or series of losses. Individuals diagnosed with gambling disorder may abandon their usual gambling strategies to win back all losses at once and may lie to family, friends, and therapists to hide the severity of their addiction.
The following behaviors are potential signs of gambling addiction:
- Needing to gamble using increasing amounts of money to achieve the desired rush and excitement.
- Feeling restless or irritable when trying to reduce or stop gambling.
- Inability to control, reduce, or quit gambling despite numerous repeated attempts.
- Preoccupation with gambling, such as devising ways to get more gambling money and reliving past gambling experiences.
- Gambling when experiencing feelings of distress, helplessness, guilt, anxiety, and depression.
- Chasing after your losses to get even after losing money gambling.
- Lying to conceal the severity of gambling behaviors, and the addiction.
- Loss of personal relationships, job, and educational pursuits due to gambling.
- Replying on others to provide money to resolve financial situations caused by gambling, such as a threat of eviction from the home.
Those with a mild gambling addiction may exhibit between four and five of these behaviors, while those with a moderately severe gambling addiction may exhibit six to seven of these behaviors. People who suffer from severe gambling addiction will usually exhibit all nine behaviors. Moderate to severe cases of gambling disorder tend to be more common than mild cases.
You might have a gambling problem if:
Where Did The Surname Gambling Come From
- You feel compelled to keep gambling until you’ve spent your last dollar. You may keep bidding until you’ve spent everything to win your money back, or you continue increasing bet amounts.
- You hide your gambling from friends or family members. You may sneak off to gamble without telling anyone, or lie about your gambling activities.
- You spend money you don’t have on gambling. You may use money intended for important bills like rent, mortgage, car payments, credit card bills, and other expenses for gambling.
- You steal from others or sell your possessions so you can gamble. You may steal money or belongings from others so you can gamble, or sell or pawn valuable possessions like musical instruments and vehicles to obtain more gambling money.
- You prioritize gambling over obligations related to work, school, family. You may stop going to work or school so you can gamble, or stop buying household necessities so you can use the money for gambling instead.
- You’re experiencing financial hardships due to gambling. You may have lost your home, car, job, and important personal possessions due to gambling.
- You’re facing a range of negative emotions triggered by gambling. Gambling may be a serious problem in your life if it’s triggering depression, anxiety, frustration, agitation, and remorse.
- You want to stop gambling but can’t. You have tried to stop gambling but can’t seem to stop despite your desire to do better and to stop gambling.
Negative Effects of Gambling Addiction
Gambling addiction can produce many more negative effects than just financial hardship. Gambling disorder can affect your physical health, mental health, and social functioning, and lead to the loss of important relationships with friends and loved ones. You may also suffer a decline in work or school performance, and feel more restless and bored with all other areas of life that don’t involve gambling.
Those who suffer from gambling addiction tend to suffer from higher rates of poor general health than those who don’t gamble. Tachycardia and angina are common health problems among those diagnosed with gambling addiction. Many who suffer from gambling disorder also tend to experience distortions in thinking surrounding their addiction, such as superstitions, overconfidence, and a sense of power over the outcome of chance events. Nearly 50% of those receiving treatment for gambling disorder experience suicidal ideation, while an estimated 17% have tried to commit suicide.
The negative effects of problem gambling include:
- Financial problems including high debt, poverty, or bankruptcy
- Domestic violence and child abuse in families
- Suicidal thoughts, attempts, or the act of suicide
- Legal troubles, including arrests for theft or prostitution
- Behavior problems in children of problem gamblers
- Depression, anxiety, and other mental health disorders
- Loss of relationships with friends and family
- A decline in performance at work or school
- Suicide and death
- A risk for drug or alcohol abuse
How Does Gambling Addiction Interact with Addiction?
Alcohol and cocaine are the two most common substances associated with gambling and binge gambling, respectively. Alcohol is legally available in most gambling settings such as bars and casinos and is often rewarded to gamblers for free at many of these establishments. Roughly 44% of people with gambling disorder in the U.S. also suffer from an alcohol use disorder.
Binge gambling is defined as intermittent episodes of uncontrolled gambling after long periods of abstinence. For instance, a person who practices binge gambling may only visit the casino five times per year but gamble non-stop for long periods during their stay. Cocaine use tends to be common among these gamblers since it produces stimulating effects of increased energy, alertness, focus, concentration, and confidence.
Individuals with gambling disorders tend to suffer higher rates of co-occurring alcohol and drug use disorders compared to their peers. Gambling often takes place in environments that enable and encourage alcohol and drug use. Gambling can also trigger mental health conditions like anxiety and depression, which many may self-treat using alcohol and drugs like marijuana, painkillers, and other addictive substances.
How Are Gambling Addiction and Substance Use Treated?
Gambling addiction is commonly treated using cognitive and behavioral therapies that treat the root psychological causes of your addiction. These therapies also help you identify and change negative, unhealthy thoughts and behaviors that may have led to your gambling addiction. Treatments for gambling addiction can be tailored especially for you or your loved one based on the factors surrounding your disorder.
Gambling addiction can also be treated using community reinforcement, group therapy, and 12-step support groups like Gamblers Anonymous. These treatments help you identify your triggers that can lead to gambling and teach you ways to overcome and manage those triggers. For instance, if a stressful day at work usually makes you feel like gambling, you may learn yoga, deep breathing, or other healthy methods that relieve stress without putting your health and well-being at risk.
Gambling Addiction Help
If you or someone you love needs treatment for gambling addiction, it’s important that you use a treatment approach that best suits your recovery needs. Gambling addiction treatment is available in many different settings, including inpatient and outpatient treatment settings.
Where Did Gambling Come From
Inpatient gambling addiction treatment can greatly benefit those who suffer from severe gambling disorder, and who have suffered severe financial, legal, or social problems. Inpatient treatment includes around-the-clock supervision in a hospital-like setting where you can live for the duration of your treatment program. The intense level of therapy, counseling, and supervision provided by inpatient treatment centers can help significantly reduce the risk of relapse while in recovery.
Compulsive gamblers often need support from friends, family members, and peers to help them stop gambling. Gamblers Anonymous groups can provide peer and social support for those in recovery or for those who wish they can stop gambling. These groups can provide a solid, healthy foundation for a successful and long-term recovery from gambling addiction.
Where Did Gaming Come From
Here’s how to help a family member or loved one suffering from a gambling addiction:
- Understand the addiction. The first thing you can do to help a loved one who is addicted to gambling is to learn all you can about the addiction. Find a support group that can help you cope with the stress that comes from having a loved one who is addicted to gambling.
- Find support. Support for yourself and for your loved one who is addicted can be very beneficial in helping with a gambling addiction. Many support groups are available throughout communities and in treatment centers. Therapists and counselors can also provide support for gambling addiction.
- Manage money tightly. If your loved one is addicted to gambling and is actively pursuing help, take over managing all financial responsibilities for your loved one. This can help reduce any gambling impulses your loved one may be experiencing throughout their recovery.
When Shirley was in her mid-20s she and some friends road-tripped to Las Vegas on a lark. That was the first time she gambled. Around a decade later, while working as an attorney on the East Coast, she would occasionally sojourn in Atlantic City. By her late 40s, however, she was skipping work four times a week to visit newly opened casinos in Connecticut. She played blackjack almost exclusively, often risking thousands of dollars each round—then scrounging under her car seat for 35 cents to pay the toll on the way home. Ultimately, Shirley bet every dime she earned and maxed out multiple credit cards. “I wanted to gamble all the time,” she says. “I loved it—I loved that high I felt.”
In 2001 the law intervened. Shirley was convicted of stealing a great deal of money from her clients and spent two years in prison. Along the way she started attending Gamblers Anonymous meetings, seeing a therapist and remaking her life. “I realized I had become addicted,” she says. “It took me a long time to say I was an addict, but I was, just like any other.”
Ten years ago the idea that someone could become addicted to a habit like gambling the way a person gets hooked on a drug was controversial. Back then, Shirley's counselors never told her she was an addict; she decided that for herself. Now researchers agree that in some cases gambling is a true addiction.
In the past, the psychiatric community generally regarded pathological gambling as more of a compulsion than an addiction—a behavior primarily motivated by the need to relieve anxiety rather than a craving for intense pleasure. In the 1980s, while updating the Diagnostic and Statistical Manual of Mental Disorders (DSM), the American Psychiatric Association (APA) officially classified pathological gambling as an impulse-control disorder—a fuzzy label for a group of somewhat related illnesses that, at the time, included kleptomania, pyromania and trichotillomania (hairpulling). In what has come to be regarded as a landmark decision, the association moved pathological gambling to the addictions chapter in the manual's latest edition, the DSM-5, published this past May. The decision, which followed 15 years of deliberation, reflects a new understanding of the biology underlying addiction and has already changed the way psychiatrists help people who cannot stop gambling.
More effective treatment is increasingly necessary because gambling is more acceptable and accessible than ever before. Four in five Americans say they have gambled at least once in their lives. With the exception of Hawaii and Utah, every state in the country offers some form of legalized gambling. And today you do not even need to leave your house to gamble—all you need is an Internet connection or a phone. Various surveys have determined that around two million people in the U.S. are addicted to gambling, and for as many as 20 million citizens the habit seriously interferes with work and social life.
Two of a Kind
The APA based its decision on numerous recent studies in psychology, neuroscience and genetics demonstrating that gambling and drug addiction are far more similar than previously realized. Research in the past two decades has dramatically improved neuroscientists' working model of how the brain changes as an addiction develops. In the middle of our cranium, a series of circuits known as the reward system links various scattered brain regions involved in memory, movement, pleasure and motivation. When we engage in an activity that keeps us alive or helps us pass on our genes, neurons in the reward system squirt out a chemical messenger called dopamine, giving us a little wave of satisfaction and encouraging us to make a habit of enjoying hearty meals and romps in the sack. When stimulated by amphetamine, cocaine or other addictive drugs, the reward system disperses up to 10 times more dopamine than usual.
Continuous use of such drugs robs them of their power to induce euphoria. Addictive substances keep the brain so awash in dopamine that it eventually adapts by producing less of the molecule and becoming less responsive to its effects. As a consequence, addicts build up a tolerance to a drug, needing larger and larger amounts to get high. In severe addiction, people also go through withdrawal—they feel physically ill, cannot sleep and shake uncontrollably—if their brain is deprived of a dopamine-stimulating substance for too long. At the same time, neural pathways connecting the reward circuit to the prefrontal cortex weaken. Resting just above and behind the eyes, the prefrontal cortex helps people tame impulses. In other words, the more an addict uses a drug, the harder it becomes to stop.
Research to date shows that pathological gamblers and drug addicts share many of the same genetic predispositions for impulsivity and reward seeking. Just as substance addicts require increasingly strong hits to get high, compulsive gamblers pursue ever riskier ventures. Likewise, both drug addicts and problem gamblers endure symptoms of withdrawal when separated from the chemical or thrill they desire. And a few studies suggest that some people are especially vulnerable to both drug addiction and compulsive gambling because their reward circuitry is inherently underactive—which may partially explain why they seek big thrills in the first place.
Even more compelling, neuroscientists have learned that drugs and gambling alter many of the same brain circuits in similar ways. These insights come from studies of blood flow and electrical activity in people's brains as they complete various tasks on computers that either mimic casino games or test their impulse control. In some experiments, virtual cards selected from different decks earn or lose a player money; other tasks challenge someone to respond quickly to certain images that flash on a screen but not to react to others.
A 2005 German study using such a card game suggests problem gamblers—like drug addicts—have lost sensitivity to their high: when winning, subjects had lower than typical electrical activity in a key region of the brain's reward system. In a 2003 study at Yale University and a 2012 study at the University of Amsterdam, pathological gamblers taking tests that measured their impulsivity had unusually low levels of electrical activity in prefrontal brain regions that help people assess risks and suppress instincts. Drug addicts also often have a listless prefrontal cortex.
Further evidence that gambling and drugs change the brain in similar ways surfaced in an unexpected group of people: those with the neurodegenerative disorder Parkinson's disease. Characterized by muscle stiffness and tremors, Parkinson's is caused by the death of dopamine-producing neurons in a section of the midbrain. Over the decades researchers noticed that a remarkably high number of Parkinson's patients—between 2 and 7 percent—are compulsive gamblers. Treatment for one disorder most likely contributes to another. To ease symptoms of Parkinson's, some patients take levodopa and other drugs that increase dopamine levels. Researchers think that in some cases the resulting chemical influx modifies the brain in a way that makes risks and rewards—say, those in a game of poker—more appealing and rash decisions more difficult to resist.
A new understanding of compulsive gambling has also helped scientists redefine addiction itself. Whereas experts used to think of addiction as dependency on a chemical, they now define it as repeatedly pursuing a rewarding experience despite serious repercussions. That experience could be the high of cocaine or heroin or the thrill of doubling one's money at the casino. “The past idea was that you need to ingest a drug that changes neurochemistry in the brain to get addicted, but we now know that just about anything we do alters the brain,” says Timothy Fong, a psychiatrist and addiction expert at the University of California, Los Angeles. “It makes sense that some highly rewarding behaviors, like gambling, can cause dramatic [physical] changes, too.”
Gaming the System
Redefining compulsive gambling as an addiction is not mere semantics: therapists have already found that pathological gamblers respond much better to medication and therapy typically used for addictions rather than strategies for taming compulsions such as trichotillomania. For reasons that remain unclear, certain antidepressants alleviate the symptoms of some impulse-control disorders; they have never worked as well for pathological gambling, however. Medications used to treat substance addictions have proved much more effective. Opioid antagonists, such as naltrexone, indirectly inhibit brain cells from producing dopamine, thereby reducing cravings.
Dozens of studies confirm that another effective treatment for addiction is cognitive-behavior therapy, which teaches people to resist unwanted thoughts and habits. Gambling addicts may, for example, learn to confront irrational beliefs, namely the notion that a string of losses or a near miss—such as two out of three cherries on a slot machine—signals an imminent win.
Unfortunately, researchers estimate that more than 80 percent of gambling addicts never seek treatment in the first place. And of those who do, up to 75 percent return to the gaming halls, making prevention all the more important. Around the U.S.—particularly in California—casinos are taking gambling addiction seriously. Marc Lefkowitz of the California Council on Problem Gambling regularly trains casino managers and employees to keep an eye out for worrisome trends, such as customers who spend increasing amounts of time and money gambling. He urges casinos to give gamblers the option to voluntarily ban themselves and to prominently display brochures about Gamblers Anonymous and other treatment options near ATM machines and pay phones. A gambling addict may be a huge source of revenue for a casino at first, but many end up owing massive debts they cannot pay.
Shirley, now 60, currently works as a peer counselor in a treatment program for gambling addicts. “I'm not against gambling,” she says. “For most people it's expensive entertainment. But for some people it's a dangerous product. I want people to understand that you really can get addicted. I'd like to see every casino out there take responsibility.”