GPs and other healthcare professionals in England should help identify potential problem gambling, in the same way they look for alcohol and smoking addiction, new guidance says. In its first recommendations on gambling, the National Institute for Health and Care Excellence says they should look for “gambling-related harms”, including to health, finances and people around the patient, such as their family and local community. In 2023, a survey of 20,000 adults found 2.5% had a gambling problem, with young men most at risk of addiction. The Problem Gambling Severity Index remains available on the NHS website. Asking about gambling in an environment where the patient is comfortable, or with a trusted individual, could help breakdown some of the stigma and shame associated with this addiction, it is hoped. NICE also wants those working in mental health and social services to ask about gambling, especially when speaking to those with depression and anxiety or previous issues with other addictions, self-harm or suicidal thoughts. Those at increased risk may also have other diagnoses, such as post-traumatic stress disorder (PTSD), personality disorder, or attention deficit hyperactivity disorder (ADHD). Some medications may also make some people more impulsive, while difficult home environments could also increase their risk.
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