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Four in five Americans say they have gambled at least once in their lives. With the exception of Hawaii and Utah, every state in the country offers some form of legalized gambling.

And today you do not even need to leave your house to gamble—all you need is an Internet connection or a phone. Various surveys have determined that around two million people in the U.

The APA based its decision on numerous recent studies in psychology, neuroscience and genetics demonstrating that gambling and drug addiction are far more similar than previously realized.

Research in the past two decades has dramatically improved neuroscientists' working model of how the brain changes as an addiction develops.

In the middle of our cranium, a series of circuits known as the reward system links various scattered brain regions involved in memory, movement, pleasure and motivation.

When we engage in an activity that keeps us alive or helps us pass on our genes, neurons in the reward system squirt out a chemical messenger called dopamine, giving us a little wave of satisfaction and encouraging us to make a habit of enjoying hearty meals and romps in the sack.

When stimulated by amphetamine, cocaine or other addictive drugs, the reward system disperses up to 10 times more dopamine than usual.

Continuous use of such drugs robs them of their power to induce euphoria. Addictive substances keep the brain so awash in dopamine that it eventually adapts by producing less of the molecule and becoming less responsive to its effects.

As a consequence, addicts build up a tolerance to a drug, needing larger and larger amounts to get high.

In severe addiction, people also go through withdrawal—they feel physically ill, cannot sleep and shake uncontrollably—if their brain is deprived of a dopamine-stimulating substance for too long.

At the same time, neural pathways connecting the reward circuit to the prefrontal cortex weaken. Resting just above and behind the eyes, the prefrontal cortex helps people tame impulses.

In other words, the more an addict uses a drug, the harder it becomes to stop. Research to date shows that pathological gamblers and drug addicts share many of the same genetic predispositions for impulsivity and reward seeking.

Just as substance addicts require increasingly strong hits to get high, compulsive gamblers pursue ever riskier ventures. Likewise, both drug addicts and problem gamblers endure symptoms of withdrawal when separated from the chemical or thrill they desire.

And a few studies suggest that some people are especially vulnerable to both drug addiction and compulsive gambling because their reward circuitry is inherently underactive—which may partially explain why they seek big thrills in the first place.

Even more compelling, neuroscientists have learned that drugs and gambling alter many of the same brain circuits in similar ways.

These insights come from studies of blood flow and electrical activity in people's brains as they complete various tasks on computers that either mimic casino games or test their impulse control.

In some experiments, virtual cards selected from different decks earn or lose a player money; other tasks challenge someone to respond quickly to certain images that flash on a screen but not to react to others.

A German study using such a card game suggests problem gamblers—like drug addicts—have lost sensitivity to their high: when winning, subjects had lower than typical electrical activity in a key region of the brain's reward system.

In a study at Yale University and a study at the University of Amsterdam, pathological gamblers taking tests that measured their impulsivity had unusually low levels of electrical activity in prefrontal brain regions that help people assess risks and suppress instincts.

Drug addicts also often have a listless prefrontal cortex. Further evidence that gambling and drugs change the brain in similar ways surfaced in an unexpected group of people: those with the neurodegenerative disorder Parkinson's disease.

Characterized by muscle stiffness and tremors, Parkinson's is caused by the death of dopamine-producing neurons in a section of the midbrain. Over the decades researchers noticed that a remarkably high number of Parkinson's patients—between 2 and 7 percent—are compulsive gamblers.

Treatment for one disorder most likely contributes to another. To ease symptoms of Parkinson's, some patients take levodopa and other drugs that increase dopamine levels.

Researchers think that in some cases the resulting chemical influx modifies the brain in a way that makes risks and rewards—say, those in a game of poker—more appealing and rash decisions more difficult to resist.

A new understanding of compulsive gambling has also helped scientists redefine addiction itself. Whereas experts used to think of addiction as dependency on a chemical, they now define it as repeatedly pursuing a rewarding experience despite serious repercussions.

That experience could be the high of cocaine or heroin or the thrill of doubling one's money at the casino. Redefining compulsive gambling as an addiction is not mere semantics: therapists have already found that pathological gamblers respond much better to medication and therapy typically used for addictions rather than strategies for taming compulsions such as trichotillomania.

For reasons that remain unclear, certain antidepressants alleviate the symptoms of some impulse-control disorders; they have never worked as well for pathological gambling, however.

Medications used to treat substance addictions have proved much more effective. Opioid antagonists, such as naltrexone, indirectly inhibit brain cells from producing dopamine, thereby reducing cravings.

Dozens of studies confirm that another effective treatment for addiction is cognitive-behavior therapy, which teaches people to resist unwanted thoughts and habits.

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The following links can help:. National Domestic Violence Helpline: 24 hours or www. NSPCC: www. Problem gamblers can lose interest in maintaining personal relationships, career or hobbies as they are preoccupied with gambling, and they can suffer from social isolation.

Arguments, strained relationships, failure to meet responsibilities, alienation, separation, divorce, physical or mental abuse can all impact someone with a gambling problem.

The gambler may isolate themselves due to guilt or shame, or perhaps because they have borrowed or stolen to fund their gambling.

It can begin to feel like there is no way back. Talk to our Advisers for more information on our face to face, online and telephone support services, or join our Forum and chatroom to share your experiences and speak to others in similar situations.

Get Support. Speak to an Adviser for free: call , 24 hours a day, seven days a week. Chat with an Adviser one to one for confidential advice, information and emotional support, 24 hours a day.

Live text chatroom - speak to others in similar situations about your experiences and find support. Home Gambling Impacts How can gambling affect your life?

How can gambling affect your life? Gambling can affect many areas of your life. Finances Are you: Spending more than you want on gambling? Struggling to find the money for bills?

Taking out loans to cover gambling debts? Think about contacting a specialist not for profit debt advice agency.

So it will also be important to take steps to address your gambling, as well as your debt. Our Advisers can give you more information and advice to help you take the first step — talk to us now.

Mental health According to the Royal College of Psychiatrists, problem gamblers are more likely than others to suffer from low self-esteem, develop stress-related disorders, to become anxious, have poor sleep and appetite, to develop a substance misuse problem and to suffer from depression.

Are you experiencing all or some or all of the following? Extreme emotions or mood swings Feeling that gambling is the only thing you enjoy, to the exclusion of other things Using gambling as a way to deal with other problems or emotions in your life Difficulty sleeping Feeling depressed or anxious Having suicidal thoughts If you answered yes to any of these questions, gambling could be a problem.

Get help It is important to speak to professionals if you are worried about the impact of gambling on your mental health. Problem gambling and suicide Recent research has shown a strong link between gambling problems and thoughts of suicide — more than double the amount of people affected by gambling problems say that they have considered taking their own life compared to those who are not affected by gambling.

Don't wait until it seems like life is not worth living. There is help available and you are not on your own. Relationships Having a gambling problem can be very all-consuming, and as well as the effect on the gamblers themselves, it can have a devastating impact on their relationships with other people.

Arguing more with your partner or family, especially about money Being preoccupied with gambling and finding it difficult to focus on other things Spending less time with people and more time gambling Lying to friends and family about losses Stealing money from friends or family to gamble with These are signs that gambling is becoming a problem.

Get help Once a problem gambler seeks help and enters recovery there can be an opportunity to re-establish relationships.

Concerned about a violent relationship? The following links can help: National Domestic Violence Helpline: 24 hours or www. GamCare can help. Share this page.

Get Support Close Our expert services are confidential and non-judgemental. Call us now. Live Chat. Group Chat. Talk to someone Close.

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2 Kommentare

Voodoojora · 29.04.2020 um 18:52

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