Gambling

At Wholeview, we treat gambling disorders using a multifaceted approach that combines individual therapy, groups and medication along with facilitation and development of support systems. The most widely studied and evidence-based psychological intervention is Cognitive Behavioral Therapy (CBT). CBT aims to address the cognitive distortions and erroneous beliefs that perpetuate gambling behavior, while also teaching problem-solving skills, social skills, and relapse prevention techniques. We may also utilize Motivational Interviewing (MI,) another effective psychological approach that helps individuals resolve ambivalence about quitting gambling and enhances motivation to change.

We may suggest an evaluation for pharmacological treatments. Though not yet FDA-approved specifically for gambling disorder, some medications have shown to be helpful. Medications such as opioid antagonists (e.g., naltrexone) and selective serotonin reuptake inhibitors (SSRIs) have been studied for their potential to reduce gambling behaviors, especially for people who also struggle with depression or anxiety.

Support groups and mutual peer support, such as Gamblers Anonymous (GA), can also play a role in recovery by providing a community of individuals who share similar experiences and challenges. In cases where family members or loved ones have been affected by gambling, we may suggest CRAFT family training to increase support from the family system.