ROLLING THE DICE BECAUSE OF COVID-19

With the re-opening of casinos and online gambling booming, the risk of cash strapped people turning to gambling for a rapid solution to their money woes is significant – and very worrying.

Samukelisiwe Mthembu, Clinical Psychologist at Riverview Manor, a specialist clinic in the Drakensberg that deals with everything from eating disorders to gambling and drug addictions, warns that this could threaten already tentative family food security and relationships. When fueled by alcohol, this could also increase arguments that can spiral into gender based violence.

She notes that while it is still too early to predict the impact of lockdown, followed by the easing of gambling restrictions in South Africa, research released by the UK Gambling Association was cause for concern.

During the toughest periods of lockdown, there was a marked increase in the number of new betters online, although the size of bets remained small. However, when it came to engaged gamblers, 64% increased either the amount of time or the money spent gambling. Almost one in eight saw online gambling sessions lasting for over an hour.

This could indicate an increase in new gamblers as well as increased intensity amongst established gamblers. Many could become or already are addicted to gambling, she says.

The South African Responsible Gambling Foundation (SARGF) says about three per cent of South Africans can be classified as problem gamblers with 0,5 per cent being classified as pathological gamblers. The latter has an impulse control disorder that leads them to gamble uncontrollably which leads to significant damage to themselves and others.

Gambling as an addiction works like any other addiction such as an alcohol use disorder. Thus, in the same way as individuals went to great lengths to access alcohol and cigarettes during lockdown, risky gambling is no different. With the added financial strain of Covid-19, illegal gambling may also be increased.

 

According to Mthembu, pathological gamblers develop a cycle of winning, losing and desperation and their compulsive behaviour as they try to unsuccessfully win back their losses often destroys family relationships, causes job losses and leads to criminal activity to feed their habits.

Mthembu notes that compulsive gamblers are likely to increase their activities during adversity.

“If they are struggling with interpersonal relationships, grief, low self-worth, a financial crisis such as one sparked by the Covid-19 pandemic or any mental illness, they may increase their risk-taking behaviour,” she says.

She says that gambling can stimulate the brain’s reward system in a similar way
to drugs or alcohol.

“The rewards center reinforces the behavior. For example, when a child does well in school, the teacher rewards the child with a gold star. Then, after five gold stars, the child gets a treat. This may then motivate the child to continue with this good behavior. When a compulsive gambler gambles and wins, the rewards center releases an organic chemical called dopamine. Dopamine functions as a ‘feel-good’ generator thus bringing about feelings of euphoria or pleasurable relaxedness.

“While substances (psychoactive drugs”) directly alter the dopamine and other neurotransmitters in the brain, activities such as gambling, shopping and watching porn cause a chain reaction in the pleasure center that leads to the release of dopamine. This contributes to obsessive thinking about the object or behavior of the addiction and the feeling that one doesn’t have control,” she explains.

Addiction also involves the process of learning, memory and recollection. Once someone can remember how they experienced a behavior or substance (euphoric high state or relaxedness), it becomes ingrained. A person with a gambling disorder will continue to play after many loses because they will keep reminding themselves of the times they won and the feeling this bought about.

According to Mthembu, an individual with a gambling disorder gains very little entertainment or enjoyment from gambling but rather a sense of relief and, ultimately, develops an unhealthy obsession with gambling and thus feels obliged to gamble. This person will also take risks to continue gambling. This could even include selling their car, stealing, selling themselves or taking out loans!

Other negative behaviors include losing control when wanting to gamble or whilst gambling; no longer being able to function adequately in interpersonal relationships with partners, family or employers; lying and isolating themselves to gamble.

Those who are most at risk usually have a family history of gambling.

Gambling is also interlinked with other mental illnesses such as bipolar mood disorder, depression, anxiety, poor impulse control (such as borderline personality disorder) as well as addictions to other substances and pathological behaviors.

Mthembu says that, although compulsive gambling can be treated, the process is challenging and is best handled through long term therapy rather than a short term approach which has a poor success rate.