Understanding Gambling and Mental Health
Gambling can start as a source of entertainment, but for some, it becomes a persistent pattern that negatively impacts finances, relationships, and well-being. Gambling disorder is now recognized as a behavioral addiction, sharing many features with substance use disorders, including cravings, withdrawal, and loss of control.
When Is Gambling a Problem?
Problem gambling isn’t defined by how often you gamble, but by how it affects your life. You may:
-Feel unable to stop or control gambling
-Chase losses or gamble to escape stress
-Lie about gambling habits
-Struggle with finances or relationships because of gambling
-Experience anxiety, depression, or anger tied to gambling behavior
Can Therapy Treat Gambling Addiction?
Cognitive Behavioral Therapy (CBT) is currently the most evidence-supported treatment for gambling disorder. A 2023 meta-analysis found that CBT significantly reduces the severity of gambling disorder symptoms, as well as gambling frequency and intensity—especially when treatment includes tools like:
-Identifying triggers and high-risk situations
-Managing urges and cravings
-Challenging gambling-related thoughts
-Building alternative coping strategies
-Planning for relapse prevention
Katie McCloskey, RCC
Katie McCloskey is a Registered Clinical Counsellor, offering in-person sessions in Vancouver and virtual counselling to clients throughout British Columbia. Katie completed specialized training at the first residential gambling treatment program in the world, located at the Cleveland VA Medical Center. Katie takes a holistic approach to gambling concerns, recognizing that they often occur alongside other life stressors, such as anxiety, shame, depression, relationship issues, loneliness, or trauma. She works collaboratively with clients to understand the social, emotional, and behavioral influences that may be shaping their gambling, and teaches practical skills on how to better manage their behaviour.
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