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Early recognition of senior problem gambling

Problem gambling has often been referred to as the "hidden addiction". In the early stages of this disorder, mounting debts can be secreted away without detection. Gambling activity is difficult to detect because it leaves no obvious telltale signs such as odor or intoxication. As a result, many older adult problem gamblers are able to shield their escalating gambling from those closest to them. Consequently, most problem gamblers will seek assistance only when the problems resulting from their gambling have become unbearably painful. By that time, some consequences can become irreversible; for example: severe health problems, loss of retirement savings or the family home, and the onset of depression and the risk of suicide. Early detection can promote more timely intervention into the gambling problem to foster earlier recovery and lessen the potential for severe, long-term consequences.

The following warning signs are changes in normal daily functioning frequently seen as an adult develops a gambling problem.

	Loss of interest in meaningful activities such as work, hobbies, recreation, or religious activities.
	Absences from routine family and social activities.
	Changing from gambling with others to gambling alone.
	Secrecy or deception when asked about gambling or financial activities.

Many of the following signs are also observed for non-problem gambling adults. In the absence of outright gambling concerns voiced by problem gamblers and their family members and friends, gambling problems can be overlooked! Note: Any one of these warning signs does not reliably indicate a gambling problem. However, the more signs present, the more likely a gambling problem may exist. In that event, a more thorough assessment is necessary.

Intense interest in gambling-related matters, manifested in statements of repeated winnings, more frequent gambling trips, or spending more time and money gambling.

Moodiness, irritability, anxiety, or depression, or expressions of hopelessness and reference to death and suicide.

Worsening of chronic health problems, including cardiac and respiratory problems, gastric distress, or more frequent minor illnesses.

No longer using prescribed medications because money is used to gamble or pay gambling debts.

Increased difficulty living within a household budget.

Late notices of bills or telephone calls from creditors.

Borrowing money, especially if the reason is unclear or seems inappropriate.

Missing personal or household items.

Liquidation of assets and/or the onset of bankruptcy proceedings.

Reprinted from COMMON CENTS, Senior Problem Gambling: Trends, Prevention, and Treatment, Produced and Distributed By: CT DMHAS Compulsive Gambling Treatment Program, CT Council on Problem Gambling. November 2000.