Frequently Asked Questions About Dialectical Behavioral Therapy

Casinos are not a common pastime for the ordinary person. However, the gambling industry has made it easier, to begin with, the combination of various types and venues of gambling. The harmless microtransactions we do in games, regardless of platform, can also be the beginning of uncontrolled spending, justified by the thought that it only costs so little.


Being careless about this can lead to compulsive gambling. It is a condition where one cannot control their urge to gamble despite its negative consequences to a person’s life. Even despite the pandemic, when physical gambling establishments are closed, gambling persists among people.

Now, all it takes is to have a smartphone or a computer, an internet connection, and knowledge of a reliable gambling website.

Gambling is a risk and reward process. But usually, what a person sees is only the potential reward. Due to competitiveness, one gets inclined to try again and again, thinking that the next try will give them the compensation they expect. This is very rarely the case, as the odds of winning games are slim, and thus compulsive gambling begins.

People who gamble compulsively may refuse to acknowledge their problem, thinking that this time will be the last anyway or that they will even break even and make profits the next time they gamble.

The same people tend to hide their spending from their family and friends and may resort to lies and theft when no longer able to fund their activities.

Age is a significant risk factor of compulsive gambling, as it often occurs among the youth. This part of the population grew up with microtransactions as their norm, unable to see the accrued cost of often buying small game content packets.

Another significant risk factor is pre-existing mental conditions such as anxiety, depression, and personality disorders. People with these kinds of situations are more likely to begin and get hooked to gambling.

When you notice this problem with yourself or with a loved one, the important thing is to acknowledge the problem and know that you need help. There are various ways to help get away from gambling, such as taking medication or joining self-help groups to get to know others with the same problem.

There is also the option of signing up for therapy, and this article introduces dialectical behavioral therapy (DBT). The following are some of the frequently asked questions (FAQs) about DBT, which can help you decide whether you need it or not for your condition.

What does dialectical behavioral therapy mean?

Dialectical behavioral therapy (DBT) is a type of talk therapy under cognitive behavioral therapy or CBT. Initially, the focus of DBT was on treating borderline personality disorder (BPD) and suicidal behaviors. But with its proven benefits, the therapy has been adapted for addressing other mental health conditions.

Essentially, the term “dialectical” means bringing together both acceptance and change in therapy. It focuses on four vital therapeutic skills: mindfulness, distress tolerance, emotional regulation, and interpersonal effectiveness.

What are the six main points of dialectical behavior therapy?

DBT consists of six main points where change occurs. The first stage is pre-contemplation, the second is contemplation, followed by preparation, action, maintenance, and mindfulness. The pre-contemplation point is where the patient is still unaware of the problem; meanwhile, contemplation is where realization happens.

The following points after that are where change gradually happens through therapy. The final point—mindfulness—is achieved after undergoing the process of acceptance and change in DBT.

What is the difference between cognitive behavioral therapy and dialectical behavioral therapy?

To make it simple, dialectical behavior therapy (DBT) is a specific type of cognitive-behavioral therapy (CBT). While CBT revolves around recognizing and addressing problematic thoughts, DBT’s focus is on regulating harmful behaviors.

The process of DBT delves in deeper on acceptance and management of emotions with the result of mindfulness. In a way, DBT roots from CBT’s foundation but addresses more specific concerns on destructive behaviors.

What are the main components of dialectical behavior therapy?

There are four main components of DBT, namely: skills training group, individual treatment, phone coaching, and therapist consultation team. 

    • Skills training group: A group leader teaches essential behavioral skills, typically within 24 weeks, among clients. 
    • Individual therapy involves boosting motivation and applying the learned behavioral skills from the skills training group in real-life events and challenges.
    • Phone coaching: This component aims to provide clients with coaching outside in-office therapy sessions when experiencing a difficult situation.
    • Therapist consultation team: This team is formed to support DBT therapists and keep them motivated while working with clients.

What does it mean to think dialectically?

The term dialectical refers to the balance or middle ground between opposing points of view. Instead of categorizing things as “black” or “white,” dialectical thinking points out that opposing points can coexist. Hence, there is no such thing as absolute when you think dialectically.

In DBT, thinking dialectically allows you to ease the thought that a bad situation will remain forever. It is the practice of accepting an adverse situation and moving forward, and working towards changing that.

Can a person with BPD really love?

A person with BPD can love and experience feelings related to love, such as affection, admiration, attraction, and desire. They also undergo different stages of love as with people not diagnosed with the condition. People with BPD typically have a high level of devotion in a romantic relationship.

However, it’s important to note that people with BPD have extremely sensitive natures. Hence, it’s likely that they will project intense behaviors and reactions in their relationships that are out of their control.


Is DBT effective for depression?

DBT provides a comprehensive therapy approach that can help with depression. Since it involves a cognitive, behavioral, and acceptance-based approach, it can effectively address the condition’s common symptoms.

DBT helps depression patients accept their situation, manage overwhelming emotions, and develop coping skills to make changes in their emotional situation. 

Is DBT good for trauma?

Traumatic experiences can manifest as unwanted and intense emotions later in life. The approach of DBT helps address trauma as it helps develop self-control and keeps you grounded in the present. It allows people with trauma to regulate their mood and develop acceptance and healthy coping skills for their trauma.

How long does DBT treatment last?

While there is no fixed duration for the DBT procedure, the full course would typically take around six months to finish. A client would spend around six weeks to complete each DBT module, namely: emotional regulation, distress tolerance, mindfulness, and interpersonal effectiveness.

During these weekly sessions, the client and therapist undergo the main concepts of standard DBT. It includes the skills training group, individual treatment, phone coaching, and therapist consultation team. 

Is CBT or DBT better for anxiety?

Many people have found success in anxiety treatment with CBT. Hence, it is a more common treatment for the condition than DBT. However, DBT is more helpful for addressing extreme anxiety symptoms, such as thoughts of self-harm and suicide.

Since each person responds differently with different treatment methods, it’s best to consult your mental healthcare provider regarding the matter. Psychological consultation will help you determine the best treatment option for your condition.

Does DBT work for anxiety?

Emotions linked with anxiety, such as fear, can be challenging to manage and cope up with. DBT will help you understand and acknowledge where these distressing emotions are coming from. It also provides a structure to follow in altering and regulating emotions and reactions related to anxiety.

Upon acquiring the cognitive and emotional skills in this structure, you can start applying them in your life effectively.

What are the nine symptoms of borderline personality disorder?

BPD manifests in different ways. However, as a diagnostic procedure, experts have come up with nine major categories of BPD symptoms. To get diagnosed with the condition, the patient must show at least five out of these nine symptoms. They must also have experienced these for a long-term, which usually starts during adolescence.

The nine symptoms of BPD are:

  1. Fear of abandonment
  2. Unstable relationships
  3. Unclear self-image
  4. Impulsiveness and self-destructive behaviors
  5. Self-harm
  6. Intense mood swings
  7. Feeling of emptiness
  8. Short temper and intense anger
  9. Losing touch with reality

What are target behaviors in DBT?

There are three categories of target behaviors in DBT. The first is life-threatening behavior, which is any action that involves self-harm. Next are therapy-interfering behaviors, which involve patient actions and behaviors that disrupt or delay the session.

Finally, the quality-of-life-interfering behavior covers almost everything that is not imminently life-threatening, from substance abuse, relationship problems, disregarding medications, etc.

What disorders does DBT treat?

Although initially intended as a treatment for BPD, DBT has effectively addressed various mental health conditions. It is now common to use DBT to treat anxiety, depression, eating disorders, PTSD, and substance abuse.

It helps people regulate emotions, develop healthy relationships, and become mindful of their thoughts and behavior.

Does DBT therapy really work?

Studies have found that it works for individuals with diverse backgrounds and demographics. However, the best results are seen with clients who are entirely willing to reach acceptance and undergo recovery.

Furthermore, as with other therapies and treatments, DBT may either be effective or ineffective depending on varying circumstances.


DBT is a proven approach that works for a wide range of backgrounds and demographics. It is a specific type of cognitive-behavioral therapy that focuses on four vital therapeutic skills: distress tolerance, emotional regulation, interpersonal effectiveness, and mindfulness. 

DBT targets three categories of behaviors: life-threatening, therapy-interfering, and quality-of-life-interfering. Patients learn how to think dialectically, wherein two opposing points may coexist. This helps that patient to accept the adverse situation and move towards changing that. 

There are six stages of DBT, and these are as follows: pre-contemplation, contemplations, preparation, action, maintenance, and mindfulness.

These stages are a combination of individual and group training to boost motivation and enable emotional support. The full course of a  DBT procedure may take around six months to finish. 

As DBT can address its symptoms, it can definitely address compulsive gambling too. People unable to control their spending and later unable to admit this problem are at risk for this condition. It can eventually make a person’s life take a drastic turn.

This problem affects both the compulsive gambler and their family and friends, so it is better to get it treated as early as possible. DBT can tremendously help the compulsive gambler manage their condition and live healthily without resorting to self-destructive behavior. 

Problem Gambler No More


The 2019 Gambling Addiction Conference was very informative. It was a three-day event at the Hilton Kansas City Airport in Kansas City, Missouri. As a substance abuse counselor, I needed to attend that conference for the CPD. It was a 14-unit conference for me and a step up on my career as a counselor. But underneath all that, I desperately wanted to be in that conference since my brother was a problem gambler. That conference was not only for those with drug addiction and sex issues. It was also for those with chronic gambling problems, and I badly had to participate in it.

Continue reading “Problem Gambler No More”

Here’s How You Can Effectively Talk To Your Partner About His Addiction

People with a compulsive gambling addiction may neither admit nor know about their addictive tendencies until it is already too late. Usually, it is the people around them that notice it, especially the suspicion caused by the simple manifestation of the adverse effects of gambling on the everyday lives of these addicts.  


The chances are high that your partner may not be aware that his simple and casual gambling is already turning into a problematic addiction. The bugging question now is, how can you confront your significant other about his ‘hobby’ that is slowly affecting your lives and relationship negatively?  

Here are some helpful ways to adequately confront your partner: 

Educate Yourself First  

“Gambling addiction is often referred to as the “hidden illness” because there are no physical signs or symptoms that accompany it as is the case with many alcohol or drug abusers.” –Jeremy Frank PhD CADC

Know about the different aspects of gambling addiction – from its causes to the simple signs of concealed addiction. You may not be aware that maybe your spouse is going through a hard time. Hence, gambling. You may not know it, but perhaps, your lover has experienced abuse in the past that may have to lead him to gamble.  


Read and browse online forums where people also tell their experiences about this type of problem. Be informed of their compulsive behavior and the addictive nature of gambling. With these, you can think of other ways and hobbies to steer your partner away from gambling.  

Know When It Is The Right Time To Talk 

“Why talk about your problems including mental health challenges? Just talking about your situation to someone can reduce your stress and help you feel better.” –Dr. Aaron Kaplan, PsyD 

Compulsive addicted gamblers have shifting moods most of the time, depending on the result of their gambling session. Learn to be sensitive about you and your partner’s stability of emotions for the hour and don’t let these intense feelings hinder your communication this time. Both of you should feel comfortable and calm to have a clearer mind to process serious issues that are going to be talked about.  

Don’t Look At Him In A Judgemental Way 

Gambling addicts sure have underlying reasons for their addictive behavior. Moreover, the addiction itself will not go away overnight if you do not fix the said reasons first. Doctors and counselors will always say that their recovery is the most effective if they are not abandoned, judged, and blamed for everything that has happened to them.  

Be Ready For Many Denials  

Don’t give up easily if your partner tells you that he does not have any problematic gambling behavior. Remember that it is usual that they deny everything at first. While it is okay that you give him the benefit of the doubt, it is not always right that you fall for more of his lies (denials this time).   

Never Hesitate To Ask For Help 

Get help either from a professional counselor or even a close family member to talk about this problem before or after the confrontation. Especially if you are close to the family of your partner, it is better to open up to them about this kind of issue as they may have better solutions in mind. After all, you also need support for yourself as the discovery of your partner’s gambling addiction is not easy and in fact, depressive.  But note that “Counseling is an investment that requires commitment. You will be spending time, money, and emotional energy to process and/or solve problems.” Sarah Rumpf, MA, LPCC said.


Other people would opt to leave their spouses and partners upon the discovery of addiction. They would think that every addiction is already beyond repair especially if it is already causing damage to both of them and their relationship. It will not always be the best answer.  

However, you can bring back your partner from the hands of gambling through counseling. Alternatively, do a small confrontation as soon as you spot these subtle signs of addiction to prevent further ruckus for both of you.

3 Helpful Ways To Hinder Your Partner From Gambling


So you’ve found out that your partner is developing a gambling addiction and perhaps you are already worrying so much that this discovery is slowly eating your mind and affecting your every day. 

Remember, a ﷟HYPERLINK “”casual gambler is different from a person with gambling addiction. While the latter is worse than the former, everyone should be wary of its looming long-term and severe effects on every aspect of the person’s well-being and other relationships. 

Instead of losing all the hope and labeling your relationship as a failure, act calm and don’t hesitate to ask for help about how to deal with your partner’s addiction (even if it’s habitual). Consider the following proven helpful ways first to steer your significant other away from this type of temptation. 

Never Ever Show Support To Your Partner’s Gambling 


No matter how much you love your significant other and promise all the act of support to his or her future endeavors, stop yourself from being supportive or even show a face of encouragement every time the topic of gambling (or even if its fantastic and instant money results) comes up. 

Moreover, ﷟HYPERLINK “”enabling your partner’s compulsive tendency may encourage gambling even more. Showing a bit of support over the winnings (which you already have an idea where they came from) will also make it very hard for your partner to quit the addiction. Make your partner see that a life without gambling can be fun and more comfortable than a life that depends on a game of chance. 

Talk To Your Partner About Your Financial Responsibilities 

Eric Dammann, PhD  said, “People think it’s unseemly to talk about money.” But be more strict about where you spend your money. Don’t keep covering all the missed payments and the monthly bills just because your partner is short of funds to contribute his or her share. The secret is to talk to your significant other calmly and casually so as not to spark any fight before getting to the point. 

Learn how to make your partner accountable for his or her gambling losses. Don’t tolerate all the gambling winnings and learn how to say no to the temptation of enjoying your partner’s earnings no matter how he or she insists. As part of both your household responsibilities, know how to demand your partner’s shares on your agreed system of paying the bills. 

Seek Professional Help 


“Many people also find that counselors can be a tremendous asset to managing personal growth, interpersonal relationships, family concerns, marriage issues, and the hassles of daily life.” Chris Corbett, PsyD. says. A counselor will be there to educate you about gambling addiction – its causes and all the available treatments to save your partner and your relationship. You probably may not have realized it yet, but aside from your significant other, you may need a fresh and different perspective for decisions as all the negativities cloud your mind brought about by your partner’s gambling addiction. Better yet, you and your partner can also sign up for couples counseling, as this type of addiction profoundly affects not your partner but also you and your relationship. 

Indeed, gambling addiction destroys a peaceful and happy relationship. “Problem gamblers tend to minimize their problem or deny that their gambling has become uncontrolled.” Jeremy Frank PhD CADC, a Philadelphia Psychologist & Addiction Counselor explains. However, always remember that addiction doesn’t come out of anywhere. It is not an inborn trait that your partner is accidentally born with. Gambling may mask deeper ﷟HYPERLINK “”personal issues and as your partner’s significant other, you should act as a shoulder to lean on and his or her haven. 

The Gambler With Anxiety: How To Cope



Anxiety can fuel a gambling problem.

Research has shown that there is a relation between the gambling and anxiety. The 2001–2002 National Epidemiologic Survey on Alcohol and Related Conditions raised suggestions that people with problems in gambling or pathological gambling may also be dealing with anxiety disorders. Specifically, 11% deal with generalized anxiety disorder; almost 15% experience post-traumatic stress disorder; 22% have panic disorder; and 52% are possibly suffering from a specific phobia.

“Anxiety is an adaptation of that vital and fundamental fear response. Sometimes anxiety will tell you that the worst is true.” That is according to Kristine Tye, MA, LMFT. People who are anxious may turn to gambling as a way of dealing with their problems. Some of them say that when they bet, they can separate their anxiety or turn their anxiety into excitement. Thus, the action of gambling becomes a part of their life to the point that it may overwhelm them.

Thus, to elicit change such as removing the gambling behavior, one might need to reduce or alleviate anxiety first. There are ways to do so.



A complete psychological and physiological opposite of anxiety and worry is relaxation. Whereas panic and anxiety may show increased heart rate and the need to gasp for air, with relaxing comes a slower heart rate, lower blood pressure, and calm mind. If one practices to rest regularly, the effects can be significant. Although it may seem too simple, relaxing is genuinely a way by which people can learn how to counteract anxiety, as both cannot occur at once. However, true relaxation goes more than just watching TV while on the couch. Karin Draper, LMFT explains that “Anxiety can often lead to substance abuse as a means to cope, particularly for those experience social anxiety or those who experience a high level of stress and struggle to find other means of relaxation.”

There are times when anxiety levels reach high that people feel psychologically and physically bothered and uncomfortable. During these times, relaxation exercise like identifying, defusing triggers, and breaking cycles of anxiety, can help with them. One should also practice doing it daily and regularly so that they will know what to do all the time.

Pure relaxation isn’t easy, but one can get better at it through practice. Activities that help both the body and mind relax include meditation and yoga. This helps someone be more aware of their body and recognize when it’s becoming too intense. These are also easily done at your home.

Visualization Exercise

A great strategy is to mix the breathing exercise with the muscle relaxation exercises earlier along with visualization.

Visualizations work better if the individual believes that it is a safe place and if he uses the senses to imagine it to include details. This can help one to forget the negative thoughts. For example, you can imagine going to the park. In time and with enough practice, he can imagine even the birds they hear in the park, the smell of the grass, the sun on the skin, and the grass beneath the feet.

Replacement Activities



Things people do to alleviate their anxiety is by distracting themselves. Therefore, doing something else other than gambling can help focus one’s attention and concern from the negative thoughts and worry. Once this alleviates the stress, there might be a reduction in the need to gamble. “To quell overwhelm, engage in an activity that you enjoy, such as listening to music, reading a book or taking a walk. And consider how you can solve the stressors that triggered your overwhelm in the first place” Marla W. Deibler, PsyD elaborates.

Doing another activity unrelated to gambling may mean finding new hobbies or going back to old interests. If done continuously, they may evolve in such a way that it takes over the coping mechanism of gambling to reduce anxiety and ultimately replace it. There’s no need to think too hard on what to do. It can be something as simple as reading fictional books, drawing, or listening to new music like BTS.

Be Patient

Dropping gambling isn’t something that can be done in a short time, just like how Rome wasn’t built in a day. It would take time as it would require many changes in their lifestyle like getting new skills. There will be times wherein the person involved might regress, but it’s part of the process. It takes baby steps to make significant changes, not giant leaps.

Care For Pathological Gamblers



Problem gambling (or ludomania, usually referred to as “gambling addiction” or “compulsive gambling”) is an urge to gamble continuously despite harmful negative consequences or a desire to stop. Pathological gamblers have lost the strength to resist gambling impulses and they just accept the advances made by gambling and head straight on for it.

It is very common for pathological gamblers to feel empty as the only thing of importance is gambling and nothing else appears to matter; it becomes that bad. Then they start feeling ashamed and drift gradually away from people because they can’t stand the sight of people realizing their problem.

It all starts small, and when an activity becomes a habit, the tendency of getting addicted sets in. So, the consistent action results in not wanting to stop and gradually; it’s hard to imagine life without it. Dr. Howard Samuels, PsyD. tells everyone that “Admitting you have a problem is the first step in treating your addiction. However, due to the nature and the danger of this disease, simply just stopping on your own is highly unadvisable.”


Pathological gambling


As explained by Jeremy Frank PhD CADC, a Philadelphia Psychologist & Addiction Counselor “Gambling addiction is often referred to as the “hidden illness” because there are no physical signs or symptoms that accompany it as is the case with many alcohol or drug abusers.” Pathological gambling is a disorder that is being understudied and also progressive; it is highly disabling too. It affects 2% – 3% of Americans and women make up one-quarter of all pathological gamblers. It has been found to be a result of the disorder of impulse control. According to, “Prevalence estimates of pathological gambling have ranged from 0.77% to 3.4% in the US adult population”

It is very evident in males and comes in their early adult years but not very evident in females. Recently, it has become prevalent among females as they are now very much exposed to it and there’s increased accessibility to it.


Below are some of the signs that you’ll notice in people that are pathological gamblers:

  • Anxiety: Always eager to gamble or get involved in gambling activities and then become placed under pressure.
  • Depression: Always cut out from people and in constant thoughts about their losses.
  • Gambling tolerance: They are able to tolerate a level and now seek a greater and higher challenge every time.
  • Dishonesty: Lies surround their every word and the truth becomes far from them.
  • Accumulated debts: They borrow constantly, heaping debts on already accumulated debts.
  • Derailed Optimism: They believe that they will win but you never really truly see them win.
  • Loss: Ranging from job to relationship to friendship. Pathological gamblers lose more than money, they lose a whole of things they once had.
  • Crimes: When they get into debts, they resort to crimes to get the money they crave; and this leads them down the path of crime.

These and much more are the symptoms you’ll notice in pathological gamblers and at this point, they really need help but they will not easily move to get help and would continue to go deep down into their addiction till it’s either too late or till they get help.

Treatment/Care for PG

Though, PG can lead to suicide attempts and even suicide; it is worthy of note that it can be treated and those affected can be cared for. There is really no standardized treatment for pathological gambling, some means have been brought up and are effective for the treatment.

  • Support groups: A very prevalent care for pathological gambling is found in meeting up with people that are also experiencing the problem and opening up so as to get charged to stop. A support group such as Gamblers Anonymous (GA) is a 12-step program that aims at helping people to overcome the addiction and live free of the addiction.
  • Cognitive-behavioral therapy (CBT):  is a short-term, goal-oriented psychotherapy treatment that takes a hands-on, practical approach to problem-solving. Its goal is to change patterns of thinking or behavior that are behind people’s difficulties, and so change the way they feel. It is used to help treat a wide range of issues in a person’s life, from sleeping difficulties or relationship problems to drug and alcohol abuse or anxiety and depression. (
  • Medications: Studies have shown that medications can also treat PG but the study on the particular people that will respond to the treatment is still not accurate yet. It has been found that antidepressants and opioid antagonists (naltrexone) may help treat the symptoms of pathological gambling.

It is going to be very effective if two or more of these treatment types can be used as not one of them is 100% effective. It is never too late to treat PG, and before it becomes out of your power; take that step to help someone or take that step to get it solved. Remember, “Not everyone who gambles has a problem with it. It is important to determine whether or not the other person has an addiction.” Natalia S. David, PsyD said. 

Therapy And Counseling For Compulsive Gambler




Some of the best treatments of compulsive or pathological gambling involve staying close to the patients, offering medication, speaking carefully to the patient, helping them focus, helping them breathe easily and so on.

“Compulsive gambling is a serious addiction that can cause severe consequences.”  That is according to Natalia S. David, PsyD. The treatment of compulsive gambling is diverse and quite effective. Although it can be very challenging because just like in other forms of addiction it is often difficult for patients to admit they have a problem and subsequently take the necessary steps to ensure that they are no longer dependent on gambling.


Acknowledgment and identification of a problem is usually the first step in solving any problem, this is particularly key in treating compulsive gambling everywhere in the world. “Admitting you have a problem is the first step in treating your addiction. However, due to the nature and the danger of this disease, simply just stopping on your own is highly unadvisable,” says Dr. Howard Samuels, PsyD. Some of the most effective treatments have been on those patients who came to the conclusion that they had a gambling problem

If your family or your employer pressured you into therapy, you may find yourself resisting treatment. But treating a gambling problem can help you regain a sense of control — and perhaps help heal damaged relationships or finances.


Although gambling addiction is a serious, potentially dangerous disorder, it can be treated with a combination of therapeutic modalities, recovery resources, and supportive psychosocial services. These therapies and services are available through professional treatment programs that specialize in addressing compulsive gambling, with or without a co-occurring substance use disorder. Treatment may take place at an inpatient facility, where 24-hour supervision and support are provided, or at an outpatient rehab program, which offers greater autonomy and flexibility to clients.

Some of the best therapy and counseling treatment of compulsive gambling include;

  • Individual therapy: This involves a very intimate one-on-one working relationship between the therapist and the patient. It is very effective as it encourages the patient to recognize triggers and learn the best possible way to handle the triggers. The therapist makes use of Motivational Interviewing (MI) that directly engages the patient and produces great results.
  • Group therapy: this is one of the most effective and cheap ways of getting help from compulsive gambling. It brings together a network of people who are going through similar challenges and who are willing to help themselves as well as others to get better. Most times in group therapy sessions, members share their experiences and how they are personally coping and their hopes and dreams. The Gamblers Anonymous and the 12-step programs form some of the best group therapy.
  • Cognitive behavior therapy (CBT): “CBT is a relatively brief, skills-focused treatment that has been shown to be effective for a wide variety of mental health issues, including anxiety, depression, anger, social skills deficits, and relational problems.” Shelby Harris, PsyD, CBSM said. This type of therapy is designed to completely address and change the thought process and consequently destructive behavior of compulsive gamblers. It is designed to change the negative thoughts and behaviors of compulsive gamblers that make them believe that they are closer to a big win that to their next loss. It ultimately replaces such negative and destructive thoughts with positive ones.
  • Family and or couples therapy: The sad truth is that addiction is never really a personal thing as the likelihood that it affects the family whether directly or indirectly is high. Most time the money meant for the family or the kids can be spent on gambling other times it can lead to the breakdown of a relationship and even the home. Involving your family and getting the support you need from them, Strengthens family bonds, reestablishes trust and is quite effective in not only getting rid of an addiction but also ensuring that you do not relapse.
  • In-patient care: A more intensive program may be required if compulsive gambling has resulted in financial, legal, medical and other challenges. The inpatient care typically involves close supervision; individual and group therapy as well as life coaching that is designed to get you back on track.


Symptoms Or Tips For Identifying Gambling Addiction



It is necessary to be able to prevent a problem before it becomes uncontrollable and to do this, careful and precise attention must be placed at noticing the signs attributed to the problem. Gambling addiction has its symptoms and these symptoms make it easy to unravel the involvement of someone; and also to check one’s self towards preventing a great fall.

There are various possible means to understanding or realizing people that are already addicted, apart from having a talk therapy; that will be intended at figuring out someone’s intention and involvement, other symptoms can be taken note of as well.

It is not enough to talk about the symptoms for identifying gambling addictions without taking a brief look at this addiction.

Gambling Addiction


Gambling is the willingness to sacrifice something of value in other to acquire something of greater value compared to what was sacrificed. So, gambling addiction is the consistent urge for gambling irrespective of the adverse effects it will have on one’s life. It is that point when gambling becomes a habit and there’s really nothing that can stop a person from gambling even after losing.

“Even those who have never been to a casino and likely never will can still become addicted gamblers because of the proliferation of gambling websites.” –Dr. David Hodgson

It is also referred to as problem gambling; it is an addictive disorder according to the Diagnostic and Statistical Manual of Mental Disorders (DSM 5) and has also been tagged as an impulse control disorder according to the American Psychiatric Association (APA) based on the study on pathological gambling.

Gambling addiction can be caused by an excessive hunger for gambling and it is at that point when nothing else appears paramount except gambling. Though it is possible to have control over your gambling habit, this is rare and might even end up leading to an addiction.

Symptoms and Tips


It is necessary to be able to help those that are addicted and also to keep one’s self in check, there are various things that can be taken into consideration to know when to quit or when to seek help. As it is hard to give up easily on addiction, it is better to be conscious of the symptoms or signs of addiction.

So, what signs must be seen to know that gambling addiction is occurring to someone?

  1. Financial instability: One of the most obvious signs is finance as the person will have to struggle to meet up with his/her daily target and the hunger for more will always be there. As Eric Dammann, PhD used to say, “We all have money issues and quirks of one kind or another. If we don’t know what those quirks are, they will emerge in a time of real stress or panic.” When a person that gambles begin to have issues with finance and then still continues to gamble in that instability; then it’s time to stop because the same feeling he/she gets with a lesser amount of money, will not be able to be met by the same amount; which leads to an increasing amount of money spent daily.
  2. Keeping Secrets: When the problem persists, the gambler begins to keep secrets of his/her movements and even of their spending. They are very much interested in placing bets and putting a large sum of money into gambling than any other thing, so the need for secrecy begins. When this is noticed, seek help.
  3. Spending time away: Addicted gamblers derive so much pleasure in giving a large chunk of their time to gambling, this allows them to spend time away from their family and even friends. They can decide to come home late from work or just head out after work and come back very late, the time they spend increases as the addiction grows. They also neglect to gather with people who are not gamblers because that’s where they feel they fit in.
  4. Desperation: When there is a desperate need for money and they are willing to do anything it’ll take to get more, just so they will have more money to gamble, and they can even consider theft or fraud, then that is another sign to identify gambling addiction. They can even spend time talking about gambling and express how it makes them feel.
  5. Source of happiness: “Happy people do things differently. They make their emotional wellbeing a priority and practice daily and weekly habits that help them create joy, happiness and satisfaction in their lives.” Dr. Chantal Gagnon PhD LMHC said. But there are those who tend to get enough satisfaction from gambling than any other thing. It becomes their number one priority and ultimately becomes their source of happiness. They derive pleasure in gambling any time and no love is shown by the family of friends will seem enough to match their burning desire for gambling.

When questions begin to bug our minds about our stand with gambling and we find ourselves testing positive to them instead of having negative responses, it’s a call to check ourselves. Questions like:

  • Do you spend so much on gambling than any other thing?
  • Do you find pleasure in meeting with friends or spending that time in a casino?
  • Do you constantly fall into debts and then continue to still borrow to quench your desire to gamble?
  • Do you neglect family time just to meet up with a gambling activity?
  • Do you continuously find yourself going back to gamble after you have decided to quit?

It means there’s a lot to be done and help is very much needed as quickly as possible.

Reasons Why I Gamble

I am a fan of gambling. I like anything that involves betting a considerable amount of cash onto something. This type of habit that I have supports my desire for a different level of thrill and excitement. I get to feel energized every time I win, and I also feel motivated whenever I lose. But that is just me. I don’t know how gambling affects other people because I understand that every person had different views and opinions on that particular matter.


Source Of Entertainment

Perhaps you will agree with me that gambling seems entirely designed for entertainment. Those flashing lights with all the colorful slot machines, it fits perfectly with the idea of a party themed environment. It pretty much appears to be a place for fun and relaxation. But of course, kids are not allowed in there. Presumably, it is a haven only for adults that are young at hearts. So yeah, part of the reason why I gamble is to entertain myself. As Dr. Chantal Gagnon PhD LMHC explains, “Happy people do things differently. They make their emotional wellbeing a priority and practice daily and weekly habits that help them create joy, happiness and satisfaction in their lives.”


Earn Cash Instantly

Admittedly, my primary reason for gambling is to earn a lot of cash instantly. Seriously, who wouldn’t want that these days? I know so many people who dream of winning a lot of money by betting everything, and I am one of them. You see, gambling, if you are lucky, is all about bringing you tons of cash without sweating so hard for it. Gambling, for me, is all about getting doubled or tripled the amount of money without hard work. That is something.

Challenge Luck

The truth is, a lot of gamblers are mentally oriented, but not all of them are emotionally prepared. Meaning, an avid gambler like me knows when things are turning my way. I understand that there are times where I see no luck at all. But I believe in this particular instinct that somehow tells me to try my luck over and over again. But despite that optimism, I get to feel anxious and scared inside. Like any other hard gamblers, I also think the fear of luck moving away from me from time to time. “As long as we feel like we’re doing average and have basic needs met, such as food and shelter, there is no correlation between money and happiness.” Brad Klontz, PsyD explains.



The Truth About My Habit

“As long as you talk about it, a saver and a spender can figure out how to manage things so they’re both happy,” says Eric Dammann, PhD. Of course I know there are only two results that might happen – winning and losing. When you lose, you just got to try again. When you win, you merely celebrate. But with all the different views of people have, including what’s mine, one thing is sure. Gambling is not a habit. It is an addiction, and I am addicted to it.

Sadly, it seems too late for me to instantly distance myself from the detrimental habit I build up for so long. I was wrong to think that gambling is a form of entertainment. It is not even useful for interactive social growth. There are no long-term benefits to it, to be honest. Not only it does takes so much of my time, money, and energy, it does not also allow me to develop overall emotional and psychological strength. Now it becomes a question of “what I think is right” and “how I see things right.”

Roles Of Family And Friend As A Support System For Gambling Addicts



Gambling doesn’t just affect the gambler. It can have serious consequences for the people around them too. Its far-reaching consequences involve the lives of spouses, children, friends, employers, and co-workers, but most especially is the immediate family.

Gambling addicts rarely see the problem with gambling; to them, it is just a game of luck. A person with a gambling problem uses defense mechanisms and manipulation to protect their habit and it becomes very hard to convince them of a need for change. Heather Berlin, a neuroscientist at Mt. Sinai, says that like drug addicts, problem gamblers are unable to stop gambling even when the behavior becomes destructive. “They’ll do it at the cost of losing their job, destroying their relationships, or losing their money,” she says. “Gambling addicts just can’t seem to stop themselves from engaging in this negative or detrimental behavior.” Here are some helpful tips for friends and family on how you can be a support to a loved one who is a gambling addict.

Understand the trigger


“Because gambling is known to trigger these addiction pathways, it is often considered to be a behavioral addiction – or behavior that can become compulsive over time, causing a lot of harm to people’s lives,” says Hailey Shafir, LPCS, LCAS, CCS-I. Family and friends need to understand what triggered your loved one into gambling, could it have been reasons of desperation for money, the desire to experience the thrills and highs, the social status associated with being a successful gambler, or the entertaining atmosphere of the mainstream gambling scene or plain depression. In this way, you are able to relate and support them from that angle. Avoid trying to protect them by giving in to their whims and schemes. Don’t envision him or her as the enemy. Envision the addiction as the problem that must be overcome.

Understand the struggle

Overcoming a gambling addiction is a tough process, it’s a tough battle to beat down addiction and they need all the right support to stop gambling and act responsibly.  Gambling is also everywhere; readily available to suck them back into the old pattern. So help them resist the desire to gamble again by being supportive. Help your loved one understand that you see him or her as more than a person with a problem by telling them explicitly how much you care about them and their wellbeing. Offer to be someone the person can call or talk to when they find themselves in a stressful situation or on the verge of a relapse. Because “Suffering has complicated factors that interface including: physical, psychological, social, emotional and neurological.” says Karen Doll, Psy.D., L.P.

Show Respect


Remember it takes tremendous strength and courage to own up to one’s inadequacies, especially if they have lost a lot of money and strained or broken relationships along the way. Respect them as a person not for the wrong choice they made but for who they really are. More importantly, relate to them as an equal person and not as a disappointment. Remind them of their many positive attributes, good qualities, and past accomplishments. This will help build their self-esteem and confidence.  

Be kind

When a loved one has chosen to give up gambling and realizes he or she has a problem which is the first step towards overcoming the addiction and recovery. He or she may often feel alone, depressed, ashamed and have low self-esteem. They may feel out of control and embarrassed about their actions and the consequence it has brought upon them. This feeling can lead them into a state of relapse and sometimes contemplate suicide. This crucial period we need to support them in their struggle and that they are not alone, relate to them as an equal person.

As Jennifer L. Taitz, PsyD once stated, “I’m pretty blown away by the idea of Loving-Kindness Meditation. Meaning, instead of drowning in sadness, purposefully spending a few minutes wishing people well (from you to a mentor to a stranger to a person you know struggling) can actually lead to productive actions and increase your joy.” With that, you must be cautious with your interactions and dialogue, keep your temper in check, be patient with his or her treatment and recovery and make sure you don’t exclude them from the family. Offer to be someone the person can call or talk to when they find themselves in a stressful situation or on the verge of a relapse. Be kind