Gambling addiction—often referred to as gambling disorder—is a serious and progressive condition that can quietly take a toll on a person’s emotional well-being, financial stability, and relationships. With the growing accessibility of gambling, especially through legalized online sports betting and the continued presence of in-person casinos and gaming venues in North Carolina, it’s becoming easier than ever for people to slip into harmful patterns without even realizing it.
A 2023 report from the National Council on Problem Gambling estimates that approximately 2.2% of adults in North Carolina struggle with a gambling problem.
At Southeastern Recovery Center, we recognize how overwhelming and isolating this issue can feel. That’s why we offer compassionate, personalized treatment plans designed specifically for North Carolina residents. Whether someone is just beginning to question their gambling habits or has been struggling for years, we’re here to help with support that’s grounded in understanding, not judgment.
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Gambling in North Carolina has changed a lot in a short amount of time. Not too long ago, options were pretty limited—mainly the state lottery, a few tribal casinos, and things like bingo through charitable organizations. But things took a big turn in March 2024 with the launch of legalized online sports betting, opening the door to a whole new level of access.
With all these new options, gambling has become more accessible than ever—especially for young adults and anyone using a smartphone. And with that increased access, it’s not too surprising that more people are running into issues with gambling-related harm.
What’s legal now? North Carolina allows lotteries, tribal casinos, charitable games, in-person sportsbooks, and regulated online sports betting. While traditional online casinos are still off-limits, sweepstakes-style games and social casinos have been gaining traction, even though they exist in a bit of a legal gray area.
Gambling addiction is more than just a bad habit. It is a behavioral addiction recognized by mental health professionals and classified under the Diagnostic and Statistical Manual of Mental Disorders (DSM-5). Individuals with gambling disorder experience:
Gambling addiction often co-occurs with depression, anxiety, and substance abuse, making integrated treatment critical.
Despite bringing in a substantial $131 million in tax revenue for the state from gambling, the result of legalization is showing a growing impact on residents’ well-being.
Since North Carolina rolled out regulated online sports betting in March 2024, there’s been a noticeable spike in gambling activity—and with it, a rise in related challenges. In just the first year, over $6.6 billion was wagered, and bettors saw about $470 million in losses in the first eight months alone.
According to the North Carolina Department of Health and Human Services, calls to the state’s Problem Gambling Helpline jumped by 79%, and there was a 34% increase in calls from people actively seeking clinical support. One quarter alone saw over 500 calls—the highest number ever recorded. Adults between the ages of 25 to 55 were especially affected, with a 33% rise in calls from those in the 25–44 age group.
Gambling disorder isn’t just about money—it can impact nearly every part of someone’s life, from their mental health to their relationships and even their job. While the financial side tends to get the most attention, the emotional and social costs can be just as heavy.
Here are just a few of the ways problem gambling can show up:
In fact, a recent study from the Federal Reserve found that people who engage in legal online gambling tend to have lower credit scores, are more likely to miss mortgage payments, and face a higher risk of bankruptcy—showing just how far-reaching the consequences can be.
It’s clear that as access to gambling expands, so does the need for awareness, support, and effective treatment options.
At Southeastern Recovery Center, we offer a holistic and compassionate approach to recovery. Our programs are designed to treat not just the gambling behavior itself, but the underlying emotional and psychological issues that drive it.
We begin with a thorough evaluation to determine the severity of your gambling addiction and identify any co-occurring disorders.
Our primary treatment modality is Cognitive Behavioral Therapy (CBT), which helps individuals recognize and change harmful thoughts and behaviors associated with gambling. Other therapeutic options may include Motivational Interviewing (MI), Dialectical Behavioral Therapy (DBT), Group Therapy, and Family Counseling.
We believe recovery is a long-term process. After completing a structured program, clients continue with relapse prevention strategies, peer support groups, and ongoing therapy.
Many clients benefit from financial education and planning to repair the damage caused by gambling-related debt.
In addition to treatment at Southeastern Recovery Center, North Carolina residents can access public and nonprofit resources, including:
North Carolina Problem Gambling Helpline: 1-877-718-5543 (available 24/7)
NC Department of Health and Human Services (DHHS): Provides state-funded treatment, prevention education, and research initiatives
Gamblers Anonymous (GA): Peer-led 12-step support meetings throughout North Carolina
Gam-Anon: Support for friends and families of individuals with gambling problems
Signs include increasing time or money spent on gambling, hiding gambling from others, chasing losses, and feeling restless when trying to stop.
Yes. With the right support and treatment plan, individuals can recover from gambling disorder and rebuild their lives.
While no medications are FDA-approved specifically for gambling addiction, some antidepressants or mood stabilizers may help with underlying issues such as anxiety or depression.
Absolutely. At Southeastern Recovery Center, we work with clients on a case-by-case basis to create affordable treatment plans. North Carolina also offers free or low-cost support through the DHHS Problem Gambling Program.
Yes. There are self-exclusion tools available for both casinos and online gambling apps. Our team can help guide you through setting these up.
Open communication is key. Encourage them to seek help, offer to attend a support meeting together, and avoid enabling their behavior. Gam-Anon is a great place for families to find their own support.
We know that gambling addiction can feel isolating, but you are not alone. Our experienced team understands the unique landscape of gambling in North Carolina and is committed to helping clients find lasting recovery.
Here’s what sets us apart:
Licensed mental health professionals and addiction specialists
Individualized treatment plans tailored to your specific needs
Safe, supportive, and stigma-free environment
Continuum of care from detox (if needed) to aftercare
Guidance in financial recovery and rebuilding relationships
Gambling addiction doesn’t have to control your life. With the right support, you can break the cycle and find freedom. Southeastern Recovery Center is here to help you or your loved one every step of the way.
Contact us today to schedule a confidential consultation or learn more about our comprehensive gambling addiction treatment programs.