Rohini, a first-generation Indian immigrant, seeks help as her husband Raghav struggles with a gambling disorder, highlighting the complexities of addiction and the importance of support and treatment.
Rohini, a 43-year-old first-generation Indian immigrant, moved to Las Vegas with her husband Raghav and their son Rahul five years ago. Raghav, an IT professional, has recently developed a troubling relationship with gambling, which has raised concerns for Rohini.
Over the past year, Raghav has increasingly spent time and money at local casinos. Although he has experienced occasional wins, they have been overshadowed by significant losses. He often reassures Rohini that he will win big next time, but his preoccupation with gambling has led him to make excuses for absences from work and to lie to her. Worried about the impact of Raghav’s behavior on their family, Rohini sought advice.
Dr. Sharma, a mental health expert, diagnosed Raghav with signs of compulsive gambling, also known as gambling disorder. This condition is characterized by a persistent urge to gamble despite negative consequences, such as financial loss and strained relationships. According to Dr. Sharma, approximately 0.5% of the adult population in the United States suffers from this disorder, which is classified as a behavioral addiction that can lead to severe impairment in various aspects of life.
The fifth edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM-5-TR) has redefined pathological gambling as “gambling disorder,” placing it within the Substance-Related and Addictive Disorders chapter. This change underscores the similarities between gambling addiction and substance abuse disorders.
When asked about the causes of this addiction, Dr. Sharma explained that gambling disorder arises from a complex interplay of genetic and environmental factors. Stress, depression, domestic violence, substance use, financial instability, and impulsivity can all contribute to the development of this disorder. In Raghav’s case, living in Las Vegas, a city known for its casinos, may have exacerbated his gambling behavior. Additionally, studies have indicated a rise in online gambling disorders during the COVID-19 pandemic.
For treatment, Dr. Sharma recommended that Raghav reach out to a mental healthcare provider. He highlighted the National Problem Gambling Helpline (1-800-522-4700) as a confidential resource for support. Cognitive behavioral therapy (CBT) is one effective approach, as it helps individuals identify and change unhealthy thought patterns and behaviors. Motivational interviewing (MI) can also be beneficial, fostering commitment and confidence in the recovery process.
Family therapy may be another avenue for Rohini and Raghav, as it can improve their relationship and communication. In some cases, a psychiatrist might prescribe medications to address coexisting mental health issues. Support groups, such as Gamblers Anonymous, which follows a 12-step program, can serve as valuable adjuncts to recovery. For severe cases, residential treatment options in structured environments may be necessary.
Dr. Sharma outlined several signs of recovery from gambling addiction. Research indicates that recovery often involves improved insight, empowerment, enhanced well-being, and reduced risk of relapse. Observable behavioral signs include a decrease in gambling frequency, better impulse control, and avoidance of high-risk situations. Emotionally, individuals may experience less preoccupation with gambling, improved mood, and increased self-awareness. Socially, recovery can lead to stronger relationships, greater financial stability, and enhanced coping strategies.
Preventing relapse is crucial, according to Dr. Sharma. He advised Rohini to remain vigilant about both internal and external triggers that may lead Raghav back to gambling. Keeping a journal to track his thoughts and feelings can be helpful. Raghav should also develop healthy coping mechanisms, such as engaging in hobbies, exercising, or pursuing creative activities. Building a supportive social network is essential, as is maintaining transparency about finances and establishing clear boundaries.
Removing access to gambling opportunities and having a relapse action plan in place are also critical steps in the recovery journey. Dr. Sharma emphasized that practices like yoga and meditation can support recovery by reducing stress and anxiety, improving emotional regulation, and fostering mindfulness.
For those seeking additional resources, Dr. Sharma recommended several websites, including the Cleveland Clinic’s information on gambling disorder, the Victoria State Government’s guide on regaining control over gambling, and the Mayo Clinic’s resources on compulsive gambling. Treatment recommendations can also be found on Mass.gov.
For further questions, individuals can reach out to Dr. Manoj Sharma at editor@indiacurrents.com.
This situation illustrates the complexities of gambling addiction and the importance of seeking help. With the right support and treatment, recovery is possible.