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Gambling & Gaming Addiction at PCI Centers

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Understanding Behavioral Addictions

At PCI Centers, we recognize that not all addictions involve substances. Gambling disorder and gaming addiction are examples of behavioral addictions, where the brain’s reward system is hijacked by compulsive behaviors rather than drugs or alcohol. These conditions can be just as disruptive as substance use disorders—impacting finances, relationships, academics, work, and overall well-being.

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Gambling & Gaming Addiction

Gambling Disorder

Gambling disorder is the only behavioral addiction formally recognized in the DSM-5 (American Psychiatric Association, 2013). It involves persistent, recurrent gambling behavior that continues despite serious negative consequences.

Common signs include:

  • Preoccupation with gambling or reliving past gambling experiences
  • Needing to wager larger amounts to feel excitement
  • Unsuccessful attempts to cut back
  • Gambling when distressed or to escape problems
  • Chasing losses by returning to gamble after setbacks
  • Risking relationships, employment, or finances due to gambling

Gaming Addiction

Gaming disorder is not formally included in the DSM-5 but is recognized by the World Health Organization (2019) as a clinical concern. It involves impaired control over gaming, with increasing priority given to gaming over other interests or responsibilities.

Warning signs may include:

  • Losing track of time while gaming
  • Prioritizing gaming over school, work, or relationships
  • Irritability or withdrawal symptoms when not gaming
  • Continued play despite declining physical health, sleep, or social connections
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Our Treatment Approach at PCI Centers

We provide evidence-based, holistic treatment for gambling and gaming addictions:

  • Comprehensive Assessment - Identifying the scope of the behavior, its triggers, and its impact on functioning.
  • Therapy - Evidence-based modalities like Cognitive Behavioral Therapy (CBT) and Motivational Interviewing (MI) help clients recognize thought patterns, address urges, and build healthier coping strategies.
  • Family Involvement - Where appropriate, family or couples therapy helps restore trust and communication impacted by addictive behaviors.
  • Relapse Prevention - Skills training, mindfulness, and support strategies equip clients to manage triggers and maintain recovery.
  • Flexible Levels of Care - Outpatient, Intensive Outpatient (IOP), and telehealth options allow treatment to fit into daily life.

Why Choose PCI Centers

  • Expertise in both substance use and behavioral addictions
  • Individualized treatment plans designed around each client’s unique challenges
  • Integration of mental health care, recognizing that depression, trauma, or anxiety often underlie addictive behaviors
  • A compassionate, nonjudgmental environment that supports lasting change
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Taking the Next Step

If gambling or gaming has begun to take control of your life—or the life of someone you love—help is available. At PCI Centers, we provide clinically informed, supportive care to help individuals regain balance, strengthen relationships, and rebuild their future.

References

1. American Psychiatric Association. (2013). Diagnostic and statistical manual of mental disorders (5th ed.). Arlington, VA: American Psychiatric Publishing.

2. World Health Organization. (2019). Gaming disorder..

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