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Gambling addiction can go unnoticed for years, leaving men struggling with debt, mental health problems and relationship breakdown before they seek help. Clinical director Ryan Eripse explains why gambling needs to be discussed more openly during Men’s Health Awareness Month, and what could help more people access support.

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00:01Part of what makes gambling difficult to recognise is that the symptoms or the consequences are not as easily seen
00:12as quickly as maybe, you know, something like an addiction to a substance, for example.
00:18For some men, gambling can become a problem long before anyone realises what's happening. What may begin as an occasional
00:26bet can turn into a cycle of chasing losses, hiding spending and trying to win back money that's already gone.
00:33And because there isn't always an obvious outward sign, the people closest to them may not realise how serious things
00:39have become.
00:40Increased time spent engaging in the behaviour. For someone themselves who's struggling with gambling, who may even think, perhaps I
00:50could have a slight problem, is usually how we start framing that.
00:56Are we spending more time, more time this month than last month? More money, you know, this month than three
01:07months ago?
01:08Is there a pattern of increased time, money, resources? I suppose hiding is a big part of addiction, right? How
01:19open are we about our behaviour?
01:22Are we hiding from our spouse, from our friends, from our family? How would you feel about being completely honest
01:30about how much you spend and you're gambling and when you do it?
01:35The scale of the problem is difficult to ignore. The Gambling Commission estimates that around 1.3 million adults in
01:43Great Britain scored in the problem gambling range in its 2025 survey.
01:47Yet just 3.4% of people who had gambled in the previous year said they'd sought support for their
01:53own gambling. So what's stopping people from reaching out?
01:56Some of these targeted ads, a large percentage of them use sports, right? Like football and cricket, where the audience
02:07is largely male, for example.
02:09It sort of also plays on competitiveness in terms of predicting or some sense of achievement through winning or predicting
02:19the right score.
02:21Otherwise, it meant, I suppose, socialised more towards hiding vulnerability as has been sort of well documented.
02:30The signs aren't always as straightforward as people might expect. It could be unexplained borrowing, money going missing from a
02:37household budget, or a change in someone's mood that seems to come out of nowhere.
02:42None of these things automatically means gambling is involved, but there can be reasons to ask a difficult question rather
02:48than ignore the possibility.
02:50The mental preoccupation also means that people become absent in their personal relationships, right?
02:58They're not able to, even when they're not engaging in their behaviour, they're not able to be sort of emotionally
03:05available in between those periods because of obsession, really, around their addictive behaviours.
03:17Which means that people often, even when they do engage with family or family events or a family time, that
03:26there's a sense of distance, there's a sense of sort of getting through between, you know, between the behaviour to
03:34get on, to get on to the next one again.
03:37There is now a new source of funding for gambling harm treatment, backed by a statutory levy on gambling operators.
03:43In England and Wales, responsibility for commissioning treatment services sits with the respective NHS.
03:50But funding treatment is only part of the challenge. People also need to recognise when gambling has become harmful, know
03:56where to turn and feel able to ask for help.
03:59I think the first thing is to speak to professionals, right? Raise your concerns. Try and figure out what it
04:07is that you're seeing.
04:08Oftentimes, people can be unclear, right? You may have a sense that maybe something's wrong, but then it doesn't, you're
04:14not quite sure how to approach it.
04:16Speak to someone who knows. There are a wealth of professionals who are willing to sort of offer suggestions of
04:23advice and even help facilitate the process of sort of bringing it out.
04:29How do you, how do you, how do you approach that subject? Sometimes that can be hard as well, right?
04:33But to have somebody with you first to figure out what your own thoughts and feelings are, make sense of
04:38that, and then find a way to deal with it appropriately.
04:42Chances are, you know, people could be met with some level of resistance or, which then can be challenging and
04:50have consequences.
04:51The message from clinicians is that people don't have to wait until they reach crisis point to seek help.
04:57Asking about gambling, taking concerns seriously, and addressing both the financial and psychological impact could help more people get support
05:05sooner.
05:06And for anyone struggling in silence, starting that conversation could be the first step towards getting their life back on
05:13track.

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