What is gambling addiction?
Gambling disorder is a behavioural addiction. Both the DSM-5 and the World Health Organization's ICD-11 recognise it as a mental health condition, so treating it as a character flaw gets it wrong. Betting products are built to keep people playing, and stopping can be hard whether the bets are on a phone, in a betting shop or at a casino.
Harm from gambling isn't rare in Britain. In the Gambling Commission's Gambling Survey for Great Britain covering 2025, 2.4% of adults scored 8 or more on the Problem Gambling Severity Index. A questionnaire score isn't a diagnosis, but it gives a sense of how many people are dealing with this.
Signs you may be dealing with problem gambling
No single sign settles it. Look for a pattern, and for whether the pattern is getting worse.
- Chasing losses, going back to win back what you lost.
- Betting more over time to get the same buzz.
- Hiding your gambling, or lying about how much you've spent.
- Borrowing money, selling things or missing bills so you can gamble.
- Feeling restless or irritable when you try to cut down.
- Pulling back from family, friends or work.
A quick self-check
Clinicians use the Problem Gambling Severity Index, and you can use the same nine questions to look at your own gambling. Think about the past 12 months. Your answers stay on this page. We don't send or save them.
This isn't a formal diagnosis. A low score doesn't rule out a problem, and if gambling worries you, that's reason enough to talk to someone.
Can you go into rehab for gambling?
Yes. Rehab for gambling works much as it does for drugs or alcohol, though you don't always need to move in. London has three broad routes, and plenty of people use more than one.
Free NHS and charity help
You can refer yourself to the NHS clinic or a charity. Expect an assessment, then therapy or one-to-one support while you live at home. Waiting times vary, so ask when you first call.
Private outpatient
Regular sessions at a clinic or online, usually around work and family. You pay per week or per programme, and you stay in the same surroundings where you gambled, which suits some people and not others.
Residential rehab
You stay at the centre for a structured programme. It takes you away from easy access and daily triggers. It costs the most, and you need to arrange time away from work and home.
What is the best treatment for gambling addiction?
Most programmes combine several therapies, because gambling problems often sit alongside depression, anxiety or other addictions. A good assessment looks at all of it.
Cognitive behavioural therapy
CBT has the strongest evidence behind it for problem gambling. You learn to spot the thoughts that lead to a bet, such as "I'm due a win", and practise other ways of handling urges.
Medication
No medicine is licensed in the UK specifically for gambling addiction. A doctor may still prescribe for a related condition such as depression.
Support groups
Gamblers Anonymous runs twelve-step peer meetings across the UK. Many people find them useful alongside professional treatment. Some services also offer family therapy where gambling has damaged relationships.
How problem gambling affects the brain
Gambling triggers dopamine in the brain's reward system, the same pathway involved in drug and alcohol addiction. Unpredictable rewards produce a stronger response than expected ones, and a win could come on any spin.
Near misses matter too. One symbol off a jackpot, or one goal short of an accumulator, can act on reward systems almost like a win. That's part of why people keep playing through heavy losses, and why willpower alone is often not enough.
The effects of problem gambling
Money is usually where the damage shows first, especially once someone borrows to keep betting or tries to win their way out of debt. The strain then reaches relationships and work. Gambling problems are also closely linked with depression and anxiety.
Some people reach a point where they think about ending their life. If that's you, call Samaritans free on 116 123 at any time, or 999 if you're in immediate danger. You don't need to have a plan to stop gambling before you call.
How can I stop a gambling addiction?
You can put barriers in place today, before any treatment starts. They buy you time when an urge hits.
Self-exclusion
GamStop blocks you from online gambling sites licensed in Great Britain for six months to five years, and you can't lift it early. Betting shops and casinos run their own schemes.
Blocking gambling transactions
Most UK banks let you put a gambling block on your card, usually with a delay before you can switch it off. Blocking software can also stop gambling sites loading on your devices.
Finding support
Call the National Gambling Helpline free on 0808 8020 133, speak to your GP, or contact a service on our London list. The NHS gambling addiction page lists clinics and charities across England. For debt, StepChange gives free advice.
Can you get your money back if you have a gambling addiction?
Sometimes, but nobody can promise it. UK gambling companies must watch for signs of harm and step in. Where a company clearly failed, for example by letting someone gamble after self-excluding, some people have won refunds.
Start with a complaint to the gambling company. If that doesn't settle it, you can take the dispute to an independent adjudicator such as the Independent Betting Adjudication Service. Every case depends on its own facts. This is general information, not financial or legal advice.
Choosing a London rehab: what to ask before you pay
- Do you have a programme for gambling, or is it mainly a drug and alcohol programme that also takes gamblers?
- Who will treat me, and what are their qualifications?
- What is the full cost, and what happens to my money if I leave early?
- How long is the wait to start?
- What aftercare is included once the programme ends?
- Do you include my family, and how?
- Can you handle other conditions I have, such as depression?
Hospitals and residential services in England are normally registered with the Care Quality Commission. You can search for a provider and read its latest inspection report on the CQC website.
FAQs
How long does gambling rehab take?
Residential programmes in London are often around 28 days, and Priory's Transform 28 is one example. More complex cases can take longer. Outpatient and NHS treatment runs for a number of weeks, and the service will set the length after your assessment.
How much does gambling rehab cost in London?
NHS and charity services on this page are free. Private costs vary a lot. Of the services we list, CATCH Recovery quotes from about £1,000 a week for in-person outpatient care, and Rehab Today quotes from £8,500 for 14 days residential. Others give prices only when you call.
Can I get free gambling treatment in London?
Yes. The National Problem Gambling Clinic is free on the NHS, and GamCare and Betknowmore UK offer free support. You can contact all three without going through your GP.
Is gambling addiction a mental illness?
Yes. Gambling disorder is classed as a mental health condition in both the DSM-5 and ICD-11.
Can you recover without going to rehab?
Yes, many people do, with outpatient therapy, support groups, self-exclusion and bank blocks. Residential rehab is one option among several. If you've tried these and kept gambling, or home makes stopping too hard, that's a reason to ask about a residential stay.
A family member gambles. Who helps me?
The National Problem Gambling Clinic has a Family and Friends service, and GamCare supports family and friends too. The NHS also points to GamAnon, GamFam and Gambling with Lives.
Can you book a place at a rehab for me?
No. This site only gives information. We don't take bookings, referrals or enquiries, so contact the service directly using the details above.