Compulsive or pathological gambling is a progressive illness, a psychological disorder which is just as difficult to overcome as addiction to alcohol or drugs. The compulsive gambler experiences a series of stages, each with its own warning signs. While the number of stages varies from 3 to 5, depending on the source, all are similar in the first three. This article discusses the 5 stages, since that is the most complete. Note that not all compulsive gamblers will experience all of the phases, as they may give up before the final one. In addition, here we will refer to the action compulsive gambler, primarily male, as opposed to an escape problem gambler, primarily female. Action Compulsive Gambler Profile Generally male, the action compulsive gambler possesses an I.Q. over 120, is controlling, manipulative and domineering and has a big ego. He is also confident, assertive, energetic and very persuasive, yet with a low self-esteem. Typically, the action compulsive gambler started gambling early, often in the teenage years. The phases occur over a 10 to 30 year period. Games of choice are typically those of skill, usually card games, such as poker, or craps or dice games, horse or dog racing, and sports betting \u2013 both legal and illegal gambling venues. The action compulsive gambler seeks to beat the \u201chouse,\u201d and believes he has a system that will enable him to score the big win. Studies of action compulsive gamblers show that during the later phases, he will often switch to slots or video poker games in an attempt to escape from the desperation he feels over continued losses. The numbing or narcotic-like effect of these machines acts as a kind of medication to the action compulsive gambler. But it doesn\u2019t stop the progression of compulsive gambling. Stage One \u2013 Winning According to the Arizona Council on Compulsive Gambling (ACCG), the winning stage lasts from 3 to 5 years. During this first period, the action compulsive gambler enjoys many more wins than losses and likely scores a significant \u201cbig win\u201d that may be many times his monthly or annual salary. It\u2019s actually this early major win that promotes the gambler\u2019s belief that he is smarter than other gamblers, that he has it down, knows how to win, and can not only turn professional, but believes he is one. Of course, this is an illusion. At this point, the gambler spends more and more time gambling, increasing both gambling frequency and amounts of money. Eventually, and predictably, the action compulsive gambler embarks on the second stage. State Two \u2013 Losing The ACCG indicates that the losing stage lasts longer than 5 years. During this time, the action compulsive gambler bets increasingly larger sums and steps up the pace and frequency of his gambling. If queried, he will usually dismiss it as \u201cjust a losing streak,\u201d insisting that he can recoup his losses. In such self-delusional state, he doubles down on bets, and bets on the long shots even when he has the nagging feeling they won\u2019t win \u2013 all in the hope of the big payday. The result is he loses much more often than he wins and, consequently, bets even more money in the frantic race to win it all back, a practice known as \u201cchasing his losses.\u201d It\u2019s at this point in the losing phase that other types of deceptive and negative behavior occur. \u2022 Borrowing money - Gambling requires money, and when money is consistently lost, it has to come from somewhere. The action compulsive gambler resorts to borrowing money to finance his compulsion. It may be a credit card advance, or dipping into savings. He may ask for a loan from a friend. \u2022 Lies and deception - In addition, it\u2019s getting hard for the gambler to keep his facts straight, as he must weave ever more elaborate lies to cover his tracks, to keep others from knowing the extent of his gambling problem. \u2022 Boasting about wins \u2013 Wanting everyone to think he\u2019s still the happy-go-lucky gambler, the action compulsive gambler boasts about all his wins, never discussing his losses. \u2022 Major setback \u2013 Eventually, the losses mount up, requiring an infusion of quick cash. The action compulsive gambler has to cook up some phony emergency to convince his spouse, family, friends or employer to ante up the money to cover this setback. Depending on how accomplished a liar he is, he probably gets this first emergency loan. Of course, he asks for and receives more than he really needs. He uses the extra cash for his gambling money and, naturally, is back in the thick of gambling just as before \u2013 with one exception: he\u2019s on the downhill slope of this phase and running quickly into the next. Stage 3 \u2013 Desperation This stage may be only a brief period of time, or it may drag on for years. During this time, the action compulsive gambler spends all of his time thinking about gambling, where to obtain the money to continue gambling, what his next bet will be, when and where, ways to beat the system, and how to come out on top again. He is completely out of control. He simply has to gamble. The pattern of negative behaviors increases in frequency and intensity, along with his losses. \u2022 Out-of-control lying \u2013 There\u2019s no yarn too outrageous, no lie that can\u2019t be told at this point. The action compulsive gambler frequently trips up in his lies, spinning yet more elaborate lies in an effort to cover up the earlier fabrications. \u2022 Gambling to cover pain \u2013 Since gambling is the only activity that makes the action compulsive gambler feel better \u2013 he thinks \u2013 he continues gambling in order to cover up the increasing pain that he feels. \u2022 Anger and blame increase \u2013 When others see through his lies, the action compulsive gambler becomes angry and starts blaming other people and situations for his own problems. He even blames the person who sees through his lies. It doesn\u2019t matter that there\u2019s no basis for his anger. In his mind, it\u2019s \u201ctheir fault.\u201d \u2022 Home life deteriorates \u2013 Home is no longer a haven for the action compulsive gambler. It stopped being a source of comfort years ago. In fact, his spouse may have already threatened to leave him, take the kids away and deprive him of visitation \u2013 or has already left. \u2022 Illegal activity begins \u2013 Where does the money to gamble come from now that sources of cash are no longer readily available? Friends, family and co-workers are wise to the game. Credit cards are maxed out, savings depleted. At this point, the action compulsive gambler will steal or embezzle money while he convinces himself that he will pay it back once he wins big. \u2022 Financial difficulties increase \u2013 The mortgage or rent is probably in arrears and the utilities may have even been turned off at this point. Merchants are on a cash-only basis. Everywhere are unpaid bills \u2013 and no cash to pay them. Every cent goes back into gambling. The desperation phase wreaks havoc on the wife of the action compulsive gambler, if she\u2019s even still around. She is fully aware of his lying, and that he cannot stop gambling. She suffers incredible hurt at his betrayal and deception. Still, she covers for him by lying to others and trying to keep up a good front. She begs him to stop gambling, and wants to believe him when he says he promises to stop. But he doesn\u2019t, and the situation continues to worsen. The wife often believes she is at fault for her husband\u2019s compulsive gambling and falls into a deep depression. For his part, the action compulsive gambler still believes and acts as if he is in complete control. He thinks others still buy his falsehoods. He wants his family life to go back to the way it was - because he does truly love them. The fact is, however, that he just can\u2019t quit gambling, thus jeopardizing the respect and stability he professes to want. Ask him why he has to gamble, and he can\u2019t answer. He doesn\u2019t know why, only that he has to do it. He continues to punish himself with his compulsive gambling, knowing he\u2019s not going to win. At this downward spiral of the desperation phase, the action compulsive gambler starts to think about ways of ending his misery. Suicidal thoughts or attempts to commit suicide become more commonplace. It may take an arrest or a suicide attempt for the spouse of the action compulsive gambler to be galvanized into action \u2013 forcing the gambler to get treatment. Some action compulsive gamblers arrive at this conclusion on their own, but not many. They may make a call to a treatment facility or group, but only after someone else either strongly recommended it or gave him an ultimatum. It\u2019s usually the spouse who says he must enter treatment or else. Or, it could be a court-ordered recovery program or an employer-mandated 12-step group. Time and time again, studies of action compulsive gamblers show that when he enters treatment, his heart isn\u2019t really into it. He thinks his family should rally around him and support him. He goes through the motions, paying lip-service to the treatment. After only a few meetings or sessions, he believes he has all he needs from the program, and that he has again become a hero because he stopped gambling. He stops going or quits treatment. His ego is again inflated. After all, he\u2019s come through all this in one piece. In reality, all along he\u2019s been scheming and thinking about getting back to gambling. All too soon, he really is back gambling, and losing, and on an ever more progressive downward slide. He may go back into a treatment program or attend some more meetings, over and over again. Eventually, he may sincerely wish to end his compulsive gambling and take the program seriously. Often, however, the cycle of gambling has an end result of more criminal activity, jail time, or even death. Stage 4 \u2013 Hopelessness There is yet another negative phase in the stages of compulsive gambling. And, yes, it does get worse. You\u2019d think it couldn\u2019t possibly be worse than the desperation phase, but the difference is that in the hopeless phase, the action compulsive gambler completely loses all hope. He just gives up, not caring any longer whether he lives or dies. In fact, he wishes he were dead, and may make one or more attempts at suicide at this point, if he has not already done so. If not ending their actual life, many action compulsive gamblers in the final throes of stage four resort to activities that cause them to become incarcerated. In this way, they\u2019ve taken themselves out of the equation \u2013 they can no longer do harm to others if they\u2019re in prison. Having lost all hope, the action compulsive gambler believes that there is no hope left. No one cares and all is lost. For many action compulsive gamblers, the fourth phase is the final phase. They either die or go to jail. For a few, however, there is a fifth phase \u2013 one, finally, of recovery. Stage 5 \u2013 Recovery It takes a sincere and, for many action compulsive gamblers, a herculean effort to go into stage five. They have to admit that they have a problem and genuinely want to do whatever it takes to overcome it. Finally, they enter treatment for compulsive gambling and\/or attend 12-step programs and\/or counseling. Beginning the process of trying to rebuild the lives they\u2019ve lost, the action compulsive gambler has to learn new behaviors that don\u2019t involve any form of gambling. Total abstinence from gambling is required \u2013 just as it is for recovering alcoholics and substance abusers. There can be no such thing as a little gambling, or gambling for fun. One slip back into gambling is just like the first drop of alcohol, the first hit of a drug \u2013 relapse. Tips and techniques, and support from others in like situations (12-step groups) are immensely important in the recovery phase. Ditto the participation of spouse and family in co-dependent programs or 12-step meetings, and\/or individual and group counseling. For the recovering action compulsive gambler to be successful in recovery, he can\u2019t simply go back to things the way they were. Considerable changes in attitude and behavior have to occur on the part of the gambler and spouse\/family. In conclusion, while not every action compulsive gambler will go through every stage of the cycle, he will normally go through the first three at a minimum. Many stop at stage four and never make it to recovery. But there is hope for those who do reach the recovery stage. With more attention to compulsive gambling and the tremendous cost to the individual, the family, and society, better treatments and coping skills will continue to be developed.