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Signs of a gambling problem — warning signs, the PGSI self-assessment and when to get help

Last reviewed: 19 May 2026

A thoughtful person reflecting, representing recognising the signs of a gambling problem

Gambling problems rarely arrive all at once. They build quietly, and the earliest signs are easy to explain away. Recognising them early makes them much easier to address. None of the points below is a diagnosis — but if several feel familiar, it is worth talking to someone.

Common warning signs

The PGSI self-assessment

The Problem Gambling Severity Index (PGSI) is the most widely used way to gauge gambling risk. It asks nine questions about the past year — for example, whether you have bet more than you could afford to lose, needed to gamble with larger amounts to get the same feeling, or felt guilty about gambling. Each answer scores from 0 ("never") to 3 ("almost always"), giving a total between 0 and 27. Clinicians also use the criteria in the DSM-5, but the PGSI is the simplest place to start because you can complete it yourself.

What the total broadly indicates:

A self-assessment is a prompt to reflect, not a medical verdict. If your score is higher than you expected, that is a reason to reach out — not a label.

How common is each level?

Putting individual worry into context can help. The chart below shows how adults in Great Britain fall across the PGSI bands, based on official statistics.

Gambling risk in Great Britain, 2024 Share of adults by Problem Gambling Severity Index (PGSI) band 85.5% of adults show no problem-gambling indicators Low risk · PGSI 1–2 8.3% Moderate risk · PGSI 3–7 3.7% Problem gambling · PGSI 8+ 2.5% Source: Gambling Survey for Great Britain, Gambling Commission · OGL v3.0
Most adults in Great Britain do not show signs of gambling harm — but a meaningful minority do. Around 2.5% score at the level used to identify problem gambling.
Embed or cite this chart <p><a href="https://onlinegamblinghelp.com/signs-of-a-gambling-problem/">Gambling risk in Great Britain (PGSI), 2024</a> — data: Gambling Commission, Open Government Licence v3.0.</p>

When to get help

There is no threshold you have to reach before you are "allowed" to ask for help. If gambling is affecting your money, mood, sleep, work or relationships — or if someone close to you has raised it — that is enough. Free, confidential support is available whether you want to stop completely or simply cut back. The practical steps on how to stop gambling online are a good next move, and self-exclusion can put a barrier in place straight away.

It also matters who notices first. Sometimes the clearest sign is not on any checklist but in the reactions of people around you — a partner asking where money has gone, or a friend pointing out how much time betting now takes. Their concern is worth taking seriously even if you feel in control, because gambling harm is often easier for others to see than for the person living with it.

To talk to someone now, call the UK National Gambling Helpline free on 0808 8020 133, or find your national service on the help by country page. If you are worried about someone else, you will find family support listed there too.

Common questions

Is the PGSI a medical diagnosis?
No. The Problem Gambling Severity Index is a screening tool, not a diagnosis. It is designed to help you gauge your level of risk and decide whether to seek support — a score of 8 or more is the threshold used to identify problem gambling, but only a qualified professional can make a clinical assessment. Think of a high score as a prompt to reach out, not a verdict.
What is the difference between problem gambling and gambling addiction?
"Problem gambling" describes gambling that is causing harm to your finances, relationships, work or wellbeing, across a spectrum of severity. "Gambling addiction" — clinically, gambling disorder — sits at the severe end, where gambling is compulsive and hard to control despite the harm. The same support services help across the whole range, so you do not need to decide which label fits before asking for help.
Can someone have a gambling problem without being in debt?
Yes. Money problems are common but not universal. Gambling can take a serious toll through lost time, secrecy, anxiety, disrupted sleep and strained relationships well before — or even without — obvious financial damage. If gambling is affecting how you feel or how you live, that is reason enough to take it seriously.
How do I bring up a gambling concern with someone I care about?
Choose a calm moment, lead with what you have noticed rather than accusations, and listen more than you advise. Avoid blame and ultimatums, which tend to push the conversation away. It also helps to know what support exists before you talk, so you can point to practical next steps — and to look after your own wellbeing, as family-support services such as Gam-Anon exist for exactly this.