Gambling Addiction: Effects on the Psychological Well-Being of Individuals

in:Mental Healthpublished:23 Sep 2021, last updated:28 Oct 2021

Gambling addiction is unspoken and undetected in most people yet has far-reaching consequences on persons and their families if not diagnosed.

It has been shown that a gambling habit can have many negative psychological, physical, and social repercussions. Pathological gambling and problem gambling have been re-classified by DSM-5 to be behavioural addiction. Individuals with problem or pathological gambling should seek help early to beat the habit and recover from the disorder without hitting rock-bottom

Problem gamblers experience feelings of despair when they realise how quickly their life savings are disappearing without being able to stop themselves. Individuals with problem or pathological gambling should seek help early to beat the habit and recover from the disorder without hitting rock-bottom.

A technique called "cognitive restructuring" may be helpful to some individuals who find themselves struggling with these addictions, but our main objective should be prevention!

What is a Gambling Disorder?

Most people might think that gambling is just for fun. But unknown to them, the underlying fact is that gambling can become a problem that, if left untreated, will lead to compulsive behaviour called gambling disorder.

In some people, gambling is not anymore for fun, but it becomes an addiction. Just like an alcoholic that craves more alcohol, gamblers crave gambling just the same way. Little did they know that this compulsive behaviour can lead to financial problems, personal relationships, and work.

People can notice that people with gambling disorders often lie and hide their behavior. For example, they can lie to their families and other people to cover their compulsive gambling. They may even turn to others to seek financial assistance to support their habit.

Gambling addiction in Singapore ranks high because more than half of its gamblers are elderly. However, it may be a direct result of several factors, such as retirement, lack of opportunities to socialize during their youth, death of relatives or loved ones, and illnesses that lead them to turn to gamble.

How does the brain get addicted to gambling?

Gambling addiction refers to the uncontrollable urge to gamble, despite knowing the severe consequences. Countless instances proved gambling addiction had negatively impacted a person's financial situation, family relationships, and mental and physical health. Recently, it was determined as an addiction.

The same as drugs or alcohol, gambling excites the brain's reward system, and this has the potential possibility to lead to addiction. In addition, it's been noticeable that gambling disorder shares many diagnostic criteria with those of drug dependence. Some of them are withdrawal, tolerance, unsuccessful quit attempts, and significant disturbances in life.

Located deep inside our brain is an area that sits in the centre and is called the ventral tegmentum. It is considered the brain's reward centre and has been involved in the processing of rewards. For example, whenever a person with a gambling disorder watches a video about gambling or participates in mock gambling, scientists notice changes in blood flow in some brain regions that indicate which parts are more active. The finding concluded that those people who suffered from gambling disorders have lesser activation in their reward pathways.

The finding explains why they are craving ways to stimulate their reward system. It may include a higher dose of drugs for people involved in drug addiction and increased betting until the last dollar drop for problem gamblers.

How do you stop gambling addiction?

First and foremost, you have to accept that you have a gambling problem. Second, we can't deny the fact that doing this takes tremendous strength and courage, mainly if you've been into it for quite a long time. However, don't forget that others have successfully overcome their gambling problem and started to rebuild their lives. In that case, it only means that you, too, can break the habit.

Here are some but highly effective steps on how to stop gambling addiction:

  • Replace uncomfortable feelings with healthier thinking - when do you gamble? Is it when you are lonely or alone? After an argument with your boss or colleague, or wife? Regardless of your reasons, gambling is undeniably a way to eradicate unpleasant feelings or emotions. But don't forget that there are healthier ways to manage your unpleasant emotions and relieve the feeling of loneliness. Instead, you can do exercise, relaxation techniques, read, or spend quality time with your loved ones who do not gamble or take up a new hobby.
  • Seek professional help from experts - certain factors trigger gambling problems such as stress, anxiety, depression, and abuse of illegal substances. It would be best if you seek the assistance of experts to stop gambling for good.
  • Make a decision - for all we know, gambling doesn't happen without you being conscious about it. For gambling to happen, you have to choose to gamble. In case an urge to gamble suddenly occurs, stop and ponder on the consequences. Tell yourself that you are a new person, a new human being. Or better yet, call someone immediately to help you find something else to do so you can divert that feeling.

Final Words

Counselling can also be a significant help for those affected family members. It can help you identify your family's strengths that you can use to overcome compulsive gambling. Remember that those individuals known as problem gamblers are at a high risk of committing suicide. Therefore, it is paramount not to take gambling addiction lightly.

Although their families and friends should support compulsive gamblers, the final decision will still lie on them to quit gambling addiction. Singapore has various gambling addiction Healthline that can assist them in overcoming the gambling problem.

In case you or one of your family members have a compulsive gambling problem, you can contact the following gambling addiction hotline:

1. Gambling Helpline:

1800-6-668-668

2. Recovery Support Group Meetings

WE CARE Community Services

11 Kampong Bugis

Singapore, 338988

For further inquiries, you can call: +65-6471-5346

3. National Council of Social Services (NCSS)

Ulu Pandan Community Building

170 Ghim Moh Road, #01-02 Singapore

279621

Tel #: 6210 2500

Fax #: 6468 1012

4. National Council on Problem Gambling

510 Thomson Rd, #05-01 SLF Complex, Singapore 298135

Tel #: +65 6354 8154

5. The Silver Lining Counselling Centre

11 Playfair Rd, Singapore 367986

Tel #: +65 6749 0400

6. Arise2Care Community Services

5 Harper Rd, #02-01/A, Singapore 369673

Tel #: +65 6909 0628

Author's Profile
Biography

Yit Shiang obtained his medical degree from the National University of Singapore (NUS) in 2002 and qualified as a specialist in Psychiatry in 2012. He has been a Member of the Royal College of Psychiatrists (RCPsych) since 2013. He is certified as a substance abuse & gambling addiction counsellor by the Association of Professionals Specialising in Addiction Counselling (APSAC). He obtained the Master of Science in Addiction Studies at King’s College London with distinction and best research in 2016 when National University Hospital (NUH) awarded him the academic medicine development opportunity (AMDA). He is also conferred Associate of King's College (AKC) and is currently an associate member of the Academy of Consultation Liaison Psychiatry (ACLP) in the US.

Yit Shiang was previously a consultation-liaison psychiatrist with the department of psychological medicine in NUH with a clinical focus in transplant psychiatry and addiction medicine, particularly dual disorders within the medical and surgical disciplines in the hospital. He led the psychiatric ward in NUH and developed the addiction clinic in addition to his role as patient safety officer. He partnered with pain anaesthetists and palliative care specialists to enhance mental health care for their patients. He was appointed as an assessor for Vulnerable Adults by Ministry of Social and Family-development (MSF). He was also a sub-committee member in the workgroup contributing to the Opioid Prescribing Guidelines released by Ministry of Health (MOH).

Besides experience in providing clinical service, Yit Shiang has been actively involved in medical education including curriculum development, lecturing, mentoring, assessing and training nursing and medical students in NUS. He received excellent teaching feedback scores and this passion in medical teaching led him to attain a Certificate in Medical Education from the Medical Education Unit in 2014. He was examiner for NUS Medicine, NUS Master of Nursing and RCPsych. He volunteers for Project Sa'Bai and NUS Medicine Admission Exercise.

Yit Shiang has also researched on the attitudes and perceptions of healthcare workers towards their patients with alcohol use problem and is interested in teaching them screening and brief interventions for patients with substance use. His graduating thesis was on Very Brief Advice in Smoking Cessation. He had published on several topics in mental health and addiction ( Yit Shiang Lui Publications | National University of Singapore (nus.edu.sg)), and authored articles on alcohol and gambling in the media. 

Yit Shiang left public service to set aside time to contribute to disability medicine in the community while embarking on private practice. He is currently a locum specialist with MINDS Developmental Disability Medicine Clinic. He has an outpatient service at Katong i12 Core Clinic. 

Credentials And Achievements

MBBS, MMed (Psych), MRCPsych, MSc in Addiction Studies, 
Certified Substance Abuse Counsellor (CSAC), Certified Gambling Addiction Counsellor (CGAC), AKC

Accepted Insurance

Fullerton Healthcare Network (FHN)  
Integrated Health Plans (IHP) 

References
  1. https://www.thecabinsingapore.com.sg/blog/why-problem-gambling-is-on-the-rise-among-elderly-singaporeans/
  2. https://www.brainfacts.org/diseases-and-disorders/addiction/2015/gambling-addiction-and-the-brain
  3. https://www.psychiatry.org/patients-families/gambling-disorder/what-is-gambling-disorder
  4. https://www.medicalnewstoday.com/articles/15929
  5. https://www.healthhub.sg/live-healthy/877/when-gambling-becomes-an-illness
  6. https://www.mayoclinic.org/diseases-conditions/compulsive-gambling/symptoms-causes/syc-20355178

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