Gambling income is counted only when the household indicates it as self-employment income. 21 The Self-Employment Income Including. EAP Policy Manual. The Employee Assistance Program (EAP) is a formal, voluntary, non-disciplinary program designed to assist employees and their immediate families in their efforts to resolve personal issues that may impact adversely on work performance, personal well-being, or both. Issues may include, but are not limited to: (a) substance abuse; (b.
Gambling involves any activity in which a person takes the chance of losing money or belongings and when winning or losing is decided mostly by chance.
Gambling is a common activity in our society. Common forms of gambling include buying lottery tickets, playing poker with friends or going to a casino. When done in moderation, gambling can be a fun activity. But at its extreme gambling can cause problems such as bankruptcy, loss of relationships and even lead people to commit suicide.
What is problem gambling?
When gambling becomes so excessive that it starts causing problems, it is known as pathological or problem gambling. The official term is ‘pathological gambling’, and is defined by the Diagnostic and Statistical Manual of Mental Health Disorders (DSM-IV) as a “persistent and recurrent maladaptive gambling behaviour” with five or more of the following:
- A preoccupation with gambling or obtaining money with which to gamble; a need to gamble with increasing amounts of money;
- A continuous or periodic loss of control over gambling;
- Restlessness or irritability when attempting to stop or cut down on gambling; using gambling as an escape from problems;
- A continuation of the behaviour despite obvious consequences; lying about the extent of involvement with gambling;
- Involvement with legal acts to finance gambling; jeopardized or lost significant relationships and/or employment due to gambling; and
- Reliance on others for money to gamble. (APA, 2000).
Warning signs for problem gambling
- Gambling for longer and longer periods of time
- Needing to gamble more to win back money that has been lost
- Neglecting responsibilities at school, work or home
- Needing to lie to others in order to cover up from gambling
- Neglecting friends and family in order to gamble
- Borrowing money, selling possessions, or even stealing in order to have money for gambling
How common is it?
It is estimated that 3.2% of adults are affected by moderate to severe problem gambling.
Helping a friend or loved one with a gambling problem
Although you can’t simply stop someone from gambling your support helps your loved one get support for gambling.
General advice:
- Find a private, quiet time to talk to the other person.
- Tell your loved one that you care about them and that you are worried about the gambling behaviour.
- Tell your loved one how the gambling behaviours are affecting you and/or others
- Ask them how you can help and support them.
- Be prepared for denial or anger from the other person.
- If needed, consider taking measures to protect the family’s financial assets from out of control gambling for the family’s security as well as the person with gambling problems.
Treatment and help for gambling
Treatment for gambling is offered in different settings, such as:
- Counselling/therapy at a community mental health clinic.
- By physicians with expertise in addictions such as gambling
- Residential (hospital and non-hospital) programs, which is a program where you temporarily go to live and stay in the program.
- Day programs (programs where you attend during the daytime for several hours at a time) and outpatient treatment (where you see a counsellor/therapist at their office)
Types of counselling/therapy
Talk therapy or counselling is the most common way of getting help for problems with gambling, and there are different types of counselling/therapy such as:
- Motivational enhancement therapy (MET).
- Cognitive behaviour therapy (CBT).
Ep Gamblers
Motivational enhancement therapy (MET)
Motivational enhancement therapy (MET) is a type of brief therapy that helps enhance a person’s readiness to change and has been shown widely successful in many other types of addictions and problem behaviours. For people who are not ready to change, the therapy focuses on helping the person weigh the advantages and disadvantages of their gambling behaviour, as well as set limits on their gambling. For people who are ready to change, the therapy focuses on what to do in order to overcome gambling. E.g. Avoiding situations or people that trigger one to gamble.
Cognitive behaviour therapy (CBT)
Cognitive Behaviour therapy (CBT) is a type of therapy that helps people by looking at their thoughts, feelings and behaviours, and which has been adapted for gambling.
Elements of CBT for gambling include:
- Correcting unhealthy beliefs about gambling (aka cognitive distortions). For example, gamblers tend to believe unrealistically that they will get lucky, often having superstitious beliefs, which are contrary to the statistic odds of winning. Many gamblers also have an illusion of control, whereby they believe that they have the skills or abilities to beat the odds, whereas in reality skills has a tiny impact.
- Problem-solving skills. Problem-solving skills help the person deal with day-to-day problems such as how to deal with gambling urges, how to limit time and money spent on gambling, dealing with family members, finding solutions to gambling debts.
- Learning social and coping skills. There are many social, coping and life skills that can be helpful such as communication skills, assertiveness skills, how to say no to invitations to gamble, as well as coping skills such as managing stress, anger and anxiety. For example:
a) Role play: With a therapist, role play involves practicing a skills such as saying no to invitations to gamble.
b) Visualization: Imagining a situations, and visualizing a more positive way to deal with it. E.g. Thinking about a past incident where the person lost a lot of money gambling, and having the person imagine what would need to happen differently in order to have had a more positive outcome, and prevented the loss of money
c) Goal-setting: E.g. Setting a limit on how much to gamble, which helps keep one from ‘chasing’ after losses.
d) Education about gambling: E.g. learning what things to look for that would indicate problem gambling
e) Impulse management: learning how to deal with urges to gamble
f) Self-monitoring: learning how to keep track of money and time spent gambling
g) Teaching how to prevent gambling problems with happening again (i.e. relapse prevention)
Self-help
Eap Gambling Definition
Gamblers Anonymous (GA) is a self-help, mutual aid group that provides support for people with gambling problems. Like Alcoholics Anonymous, Gamblers Anonymous is based on the 12-step principle. Members are encouraged to commit to acknowledge that their gambling is a spiritual and medical disease and are encouraged to abstain from gambling. Groups are run by members, and not by professionals, and there is no membership fee.
Summary
Gambling is a common activity in our society, and unfortunately, some individuals are vulnerable to problem gambling, which is when gambling gets out of hand and starts causing problems. The good news is that help is available, and there are many things that friends and family can do to support the person with gambling problems.
One day many years ago, my then 12 year old son and his 11 year old buddy came into my living room with bracket pages all set for that year’s March madness tournament. For those unfamiliar with this annual event, each March college basketball teams compete in a tournament to determine the best team in the country. Many people fill out bracket sheets in which they make their predictions of who will win each stage of the tournament and finally who will be the overall winner. A great deal of betting takes place based on these predictions. My son’s buddy was taking small bets on that year’s tournament.
As I recall, I thought it was funny that my son and his friend were doing this, and I placed a small bet. It seemed innocent enough and the kids were pretty excited about the whole thing.
How would I have responded differently had they come into the house with a case of beer they were enjoying and offered me one? I would have been shocked and very concerned to say the least! I surely would not have joined in on the “fun”.
We are all aware of the health risks of underage drug and alcohol use. What many of us are not aware of is the risk gambling poses to millions of youth and adults.
March is problem gambling awareness month and I would like to bring readers attention to this issue.
For many people, gambling has the same destructive effect in the brain and in people’s lives as drugs and alcohol. It is estimated that 4% of the US population experiences problem or pathological gambling. In the Capital Region approximately 34,000 people are struggling with the destructive impact of problem gambling in their lives. Include family members, co-workers, and friends who are negatively impacted and the number can easily pass 100,000.
Sadly, very few seek treatment. When they do the condition has typically progressed to the point at which serious consequences have already occurred.
According to the National Council on Problem Gambling, the disorder can be defined as all gambling behavior patterns that compromise, disrupt or damage personal, family or vocational pursuits. Symptoms of the disorder include increasing preoccupation with gambling, a need to bet more money more frequently, restlessness or irritability when attempting to stop, “chasing” losses, and loss of control manifested by continuation of the gambling behavior in spite of mounting serious negative consequences. In extreme cases, problem gambling can result in financial ruin, legal problems, loss of career and family, or even suicide.
Although no substance is ingested, the problem gambler gets the same effect from gambling as someone else might get from taking a tranquilizer or having a drink. The gambling alters the person’s mood and the gambler keeps repeating the behavior attempting to achieve that same effect. But just as tolerance develops to drugs or alcohol, the gambler finds that it takes more and more of the gambling experience to achieve the same emotional effect as before. This creates an increased craving for the activity and the gambler finds they have less and less ability to resist as the craving grows in intensity and frequency.
The New York Council on Problem Gambling lists the following warning signs that might indicate that you or a loved one is having or beginning to have problems with gambling:
- Are you or a loved one haunted by bill collectors?
- Do you or a loved one gamble to escape worry, boredom, or trouble?
- Do thoughts of gambling disrupt your sleep?
- Do you or a loved one ever gamble longer than originally planned?
- Do arguments, disappointments or frustrations cause you or a loved one to gamble?
- Do you or a loved on celebrate good times with gambling?
- Have you ever had self-destructive thoughts because of problems resulting from gambling?
- Have you or a loved one lost time from work or school due to gambling?
- Do you hide the rent/mortgage or food money because your spouse, partner or other family member gambles it away?
- Do you or a loved one borrow money to finance gambling or to pay back gambling debts?
- Does your spouse, partner or other loved one promise faithfully that she or he will stop gambling, yet continues to gamble?
- Have you noticed a personality change in a loved one as his or her gambling has progressed?
- Is your spouse, partner or loved one away from home or unavailable to the family for long periods of time due to gambling?
The Center for Problem Gambling in Albany, NY has been providing professional treatment for problem gambling for over 20 years. The Center serves problem gamblers and their loved ones from the Capital Region and beyond. Over the past year the population served has nearly doubled following the expansion of casino gambling in the region. Those seeking help for themselves or a loved one in the Capital Region can contact the Center for Problem Gambling in Albany at 518-462-6531.
The New York State Office of Alcohol and Substance Abuse Services also operates the HOPEline at 1-877-8-HOPENY offering help and hope 24 hours a day, 365 days a year for alcoholism, drug abuse and problem gambling.
A number of mutual support organizations also support those seeking recovery including Gamblers Anonymous, smart recovery, and others.
Eap Gambling Advice
If you are concerned about yourself or a loved one, please know that help is available and recovery is possible.
Eap Gambling Services
Phil Rainer, LCSW-R