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Gambling disorder

Ludomania (lusus pathologicus) · Patologické hráčství

What it is

Gambling that cannot be stopped despite harm — a behavioural addiction with the same brain reward circuits as drugs, made worse by online betting.

Symptoms & signs

  • Preoccupation with gambling
  • needing bigger bets
  • chasing losses
  • lying and debt
  • restlessness when trying to stop
  • damaged relationships and work

🚩 Get help if…

  • call 112 / 911 now Thoughts of suicide or self-harm
  • see a doctor soon Hiding gambling or borrowing or stealing to pay debts
  • see a doctor soon Unable to stop despite trying
  • see a doctor soon Low mood, heavy drinking or losing work or family

Where it strikes

Medical treatment

  • Cognitive behavioural therapy
  • Gamblers Anonymous and peer support
  • naltrexone
  • self-exclusion from betting sites and venues
  • treat depression and other addictions

Natural & lifestyle

  • Limit access to money and apps
  • tell someone you trust
  • replace with other activities

Emerging & experimental

  • Transcranial magnetic stimulation
  • digital interventions

Alternative, off-label & anecdotal

Approaches used outside the guidelines, with what their supporters report and what testing has found so far.

  • N-acetylcysteine — a small trial cut urges early / small studies
  • Mindfulness — small trials early / small studies
  • Hypnotherapy — anecdotal anecdotal / traditional

ICD codes