PTSD and Gambling

The Link Between PTSD and Gambling Disorder

Young couple playing slot machine
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Post-traumatic stress disorder (PTSD) and gambling disorder can go hand in hand. In fact, people with PTSD can be at risk of developing a wide range of unhealthy behaviors, such as deliberate self-harm, eating disorder behavior, or substance abuse. It is believed that most of these behaviors develop as a way of coping with the intense thoughts and feelings that often accompany PTSD.

Gambling Disorder

So, what is gambling disorder? According to the 5th edition of the Diagnostic and Statistical Manual of Mental Disorders, gambling disorder is considered an addictive disorder. It includes the following symptoms:

  • A preoccupation with gambling.
  • A need to gamble with more and more money in order obtain a certain level of excitement.
  • Repeated efforts to stop or reduce gambling that are unsuccessful.
  • Feeling restless and irritable when trying to stop gambling.
  • Often gambling when feeling distressed (helpless, guilty, anxious, depressed)
  • Continuing to gamble even when money is lost.
  • Lying to family members or other significant people so they don't know about your gambling.
  • Lost a job, relationship, career, or similar opportunity because of gambling.
  • Relying on others to help out with finances that have been negatively impacted by gambling.

To be diagnosed with a gambling disorder, a person must have at least four of the above symptoms in a one-year period. Studies have found that anywhere between 0.4% to 4% of the general population will have a problem with gambling at some point in their lives. But it appears as though certain groups of people may be more likely to develop a gambling problem, such as college students, people with a substance use problem, and people with PTSD.

Gambling and PTSD

Studies of people with gambling problems have found that up to 34% also have PTSD. In addition, people with gambling problems who also have PTSD are more likely to experience problems such as anxiety, depression, substance use, impulsivity, and they may even attempt suicide.

It is generally thought that people with PTSD may be more likely to gamble to try to escape from their problems or their symptoms of PTSD.

If you are having suicidal thoughts, contact the National Suicide Prevention Lifeline at 988 for support and assistance from a trained counselor. If you or a loved one are in immediate danger, call 911.

For more mental health resources, see our National Helpline Database.

Gambling may bring about some temporary relief or escape, and when a person is winning, it can also bring on a "high" that's similar to the reported high experienced by people who use substances. This high may be particularly desirable for someone with PTSD who is experiencing frequent and intense anxiety and other negative emotions; however, this relief is short-lived, and a person may quickly desire to gamble some more. More gambling tends to result in more financial loss, as well as the potential for greater despair.

Getting Help if You Have Problems Gambling and/or Have PTSD

Treatments for PTSD, as well as for gambling, are available; however, some people with PTSD and gambling disorder may be less likely to pursue these treatments due to shame or denial. If you have PTSD and a problem with gambling, it's very important to get help. You can learn more about getting help for gambling from Gamblers Anonymous.

Given the connection between PTSD and gambling, receiving treatment for PTSD may also help with your gambling problem (in addition to reducing your symptoms of PTSD). If you're looking for a PTSD treatment provider, there are a number of helpful websites that can help you find the right person. In seeking out a treatment provider, remember to be a consumer: shop around until you find someone that you feel can best address your needs.

5 Sources
Verywell Mind uses only high-quality sources, including peer-reviewed studies, to support the facts within our articles. Read our editorial process to learn more about how we fact-check and keep our content accurate, reliable, and trustworthy.
  1. Dixon-Gordon KL, Tull MT, Gratz KL. Self-injurious behaviors in posttraumatic stress disorder: an examination of potential moderators. J Affect Disord. 2014;166:359-367. doi:10.1016/j.jad.2014.05.033

  2. American Psychiatric Association. Diagnostic and Statistical Manual of Mental Disorders. 5th ed. Washington, DC; 2013.

  3. Welte JW, Barnes GM, Tidwell MC, Hoffman JH, Wieczorek WF. Gambling and Problem Gambling in the United States: Changes Between 1999 and 2013. J Gambl Stud. 2015;31(3):695-715. doi:10.1007/s10899-014-9471-4

  4. Green CL, Nahhas RW, Scoglio AA, Elman I. Post-traumatic stress symptoms in pathological gambling: Potential evidence of anti-reward processes. J Behav Addict. 2017;6(1):98-101. doi:10.1556/2006.6.2017.006

  5. U.S. Department of Veterans Affairs. PTSD: National Center for PTSD. Updated March 12, 2020.

Additional Reading
  • Biddle, D., Hawthorne, G., Forbes, D., & Coman, G. (2005). Problem gambling in Australian PTSD treatment-seeking veterans. Journal of Traumatic Stress, 18, 759-767.

  • Najavits, L.M., Meyer, T., Johnson, K.M., & Korn, D. (2011). Pathological gambling and posttraumatic stress disorder: A study of the comorbidity versus each alone. Journal of Gambling Studies, 27, 663-683.

  • Najavits, L.M. (2011). Treatments for PTSD and pathological gambling: What do patients want? Journal of Gambling Studies, 27, 229-241.

  • Pulford, J., Bellringer, M., Abbott, M., Clarke, D., Hodgins, D., & Williams, J. (2008). Barriers to help-seeking for a gambling problem: The experiences of gamblers who have sought specialist assistance and the perceptions of those who have not. Journal of Gambling Studies, 25, 33-48.

  • Taber, J.I., McCormick, R.A., & Ramirez, L.F. (1987). The prevalence and impact of major life stressors among pathological gamblers. International Journal of the Addictions, 22, 71-79.

By Matthew Tull, PhD
Matthew Tull, PhD is a professor of psychology at the University of Toledo, specializing in post-traumatic stress disorder.