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PHILADELPHIA: 2401 Pennsylvania Ave, Unit 1C52, Philadelphia, PA 19130       BALA: 2 Bala Plaza, Suite 13, Bala Cynwyd, PA 19004

Jeremy Frank & Associates

Jeremy Frank & Associates

Therapy for Addiction & Mental Health

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  • About
    • Mission and Values
    • Testimonials
  • Meet the Therapists
    • Jeremy Frank, PhD, CADC
    • Carla Runnels, LPC, CAADC, MA
    • Nick Nehéz, MFA, LSW
    • Jordan Lief, PsyD, CSAT
    • Alexander Ott, MA, LMFT
    • Yona Davidson, PhD
    • Jake Brennan, MA, LPC
    • Kent Matthies, MFT, MDiv
    • Molly Schenker, LSW
    • James R. McKay, PhD
  • Services
    • Individual Therapy
    • Family Counseling
    • Couples Therapy
    • Evaluation
      • DUI DWI Legal Alcohol or Drug Evaluation
    • Teletherapy – Online Counseling
    • Groups
  • How We Work
    • Evidence Based, Empirical & Best Practices Models
    • Individualized and Personalized Therapy
    • Harm Reduction
    • Twelve Step (12 Step) Approaches
    • SMART Recovery
    • Abstinence Based Approaches
    • The ASCENT Approach
  • Specialties
    • Drug and Alcohol Addiction
    • Gambling Addiction
    • Gaming Addiction
    • Sex & Love Addiction
    • Shopping and Spending Addiction
    • Other Addictions
    • Mental Health and Co-Occurring Issues
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When Gambling Becomes a Problem

Gambling can start as harmless fun but for some, gambling becomes compulsive and destructive.

Gambling can start as harmless fun—an occasional bet with friends or a weekend trip to the casino. But for some, gambling becomes problematic, compulsive, and destructive. When this happens, it’s not just about money. It affects relationships, work, mental health, and self-worth.

Gambling Addiction Doesn’t Always Look Like an Addiction

Unlike drug or alcohol use, gambling doesn’t leave physical signs. It’s often called a “hidden addiction.” People may gamble in secret, lie about losses, or deny there’s a problem. Loved ones might notice something is wrong long before the gambler does.

Warning signs of compulsive gambling include:

  • Constant thoughts about gambling
  • Hiding or lying about gambling habits
  • Gambling to escape stress or depression
  • Risking relationships, jobs, or savings
  • Repeatedly chasing losses

How It Starts and Why It Escalates

Most people who gamble recreationally can stop. They stick to a budget and walk away. But some develop a growing need for the thrill. They take bigger risks and gamble more often. They lose control. It becomes a major problem.

While some develop issues quickly, most gambling addictions build gradually, especially under stress, financial strain, or life changes.

Is It Just a Hobby or Something More?

Gambling is likely a problem if:

  • It causes you to miss work, school, or family time
  • You gamble longer or spend more than planned
  • You use gambling to escape sadness or boredom
  • You borrow or steal to gamble
  • You struggle to stop—even when it causes harm

The earlier someone seeks help, the more manageable the recovery. Denial can delay treatment, but recognizing the problem is the first step toward healing.

The Criteria for Gambling Disorder

The Diagnostic and Statistical Manual of Mental Disorders (DSM-5) outlines nine criteria for diagnosing gambling disorder. A person must meet at least four in a 12-month period:

  1. Needing to gamble with more money for excitement
  2. Feeling restless or irritable when trying to stop
  3. Repeated unsuccessful attempts to cut back
  4. Constant thoughts about gambling
  5. Gambling to escape problems or feel better
  6. Chasing losses with more gambling
  7. Lying about gambling habits
  8. Damaging relationships or careers due to gambling
  9. Relying on others for financial help because of gambling

Who Is at Risk?

Some factors make people more vulnerable:

  • Co-occurring mental health conditions like depression or ADHD
  • A family history of addiction
  • Certain medications (e.g., dopamine agonists)
  • Personality traits like impulsivity, competitiveness, or boredom
  • Age and gender (men often start younger; women may become addicted faster)

Getting Help for Gambling Addiction

Recovery is possible. Many people with gambling problems stop or reduce their gambling with the right support. Professional therapy, peer support groups like Gamblers Anonymous, and online screening tools can be helpful first steps.

Gamblers Anonymous offers a simple self-assessment. Their “20 Questions” quiz can help someone decide if it’s time to seek help.

A Final Thought

According to the National Council on Problem Gambling, about 2 million U.S. adults (1%) meet the criteria for gambling disorder each year. An additional 4–6 million show some signs of problematic gambling.

Whether you’re concerned about your own gambling or worried about someone you love, remember: you’re not alone. The sooner someone gets help, the easier it is to recover relationships, financial stability, and emotional health. Our therapists at Jeremy Frank and Associates are available to support you on this journey. Contact us today and get started now.

July 1, 2025 by Jeremy Frank and Associates
Category: Addiction Recovery, Addiction Treatment, Couples, Families, Gambling, Mental HealthTag: addiction counseling, gambling, gambling addiction, gambling recovery, problem gambling, therapy

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Let’s find out where you are right now and together we’ll choose the best approach so you can recover.

Schedule a consultation. Reach out today.

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Jeremy Frank & Associates
About
  • About
  • Meet the Therapists
  • Therapy Services
  • Our Approaches
  • Blog & Resources
  • Common Questions
  • Get Started
Specialties
  • Drug and Alcohol Addiction
  • Gambling Addiction
  • Gaming Addiction
  • Understanding Sex Addiction
  • Shopping and Spending Addiction
  • Mental Health and Co-Occurring Issues
Connect
  • Locations
  • New Clients Start Here
  • Contact
  • (215)356-8061
  • Email Us
  • 2401 Pennsylvania Ave
    Unit 1C52
    Philadelphia, PA 19130

  • 2 Bala Plaza
    Suite 13
    Bala Cynwyd, PA 19004

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Information on this website www.jeremyfrankassociates.com does not constitute a therapeutic relationship and should not be construed as clinical advice, counseling or therapy. We assume no liability for the information within this website or harm that may result from using, referencing, relying on, or decisions executed from its use. 

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