What role does cognitive-behavioral therapy play in the management of gambling disorder?

Cognitive-behavioral therapy (CBT) plays a central role in the management of gambling disorder by reducing gambling severity and frequency. It is recommended to offer group CBT as soon as possible after diagnosis to achieve these outcomes. If group therapy is not suitable or the person prefers, individual CBT should be offered instead.

CBT for gambling disorder should be delivered by trained practitioners with gambling-specific CBT competence, following evidence-based treatment protocols. Typically, group CBT involves 8 to 10 sessions, while individual CBT involves 6 to 8 sessions, though the number may vary based on individual needs.

A key component of CBT in this context is relapse prevention, which includes strategies to manage triggers and respond effectively to relapse.

CBT should be delivered in a supportive, empathic manner that encourages engagement and ownership by the person experiencing gambling-related harms, avoiding stigmatising language and minimising concerns.