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“Often when the problem gambler decides to gamble, they will plan to do it “responsibly”. They will get a set amount of cash and intend to leave when that amount is lost. I have used exactly this plan approximately a million times—basically every time I’ve gone to the casino. The problem with that plan is that after I’ve lost my allotted amount, I don’t want to quit gambling. By that I mean I desperately want to keep playing. I will walk around the casino looking for cash on the floor (you would be surprised how many times I find bills down there), I’ll collect two cent tickets until I have enough to get a dollar bill. I’ll go out to the car and scrounge for change on the floor or in the ash tray. That’s how desperate the addicted gambler gets when they are physically in the casino, staring at the machines, and unable to play because they are out of money. If I do have any credit cards in my wallet that have available cash advance amounts, I will take that card to the cage and get whatever the maximum allowable cash advance. Often that amount is a thousand or more dollars. This scenario is played out by every addicted slot machine player that I have ever known, over and over again. If I went to the casino with $300 in my pocket, knowing that was all I could afford, by getting an advance I could easily walk out having lost $2,300. It is precisely that unanticipated failure of my plan, that now unmanageable loss, the confusion, shame, and despair of my weakness, that leads to the sudden and unexpected impulse to commit suicide. This is why restricting cash advances from your credit card is so important.”

“Credit card advances at the casino are perhaps the biggest indicator that you have a serious gambling addiction. They are the last resort to get cash after you have spent the money you brought with you, then maxed out your debit card at the ATM, then cashed checks and emptied your checking account.”

“This is the part that you non-addicts cannot relate to: After the money is gone, the addict is overwhelmingly desperate to keep gambling. The brain juices are flowing. You are in the casino, you have made the drive, you have broken all the barriers you have put up to protect yourself, you have already been gambling for hours, and now you are staring at the machine you were just playing. And you are certain that your machine is about to pay off, big time. But most of all, you just want to keep playing. You must keep playing! And the only thing you need is more money. So, you tip your chair forward to keep others from stealing your machine, and you hustle over to the device that authorizes a credit card advance. You figure out how much cash you might be able to get, and you go up to the cage where the casino guy hands over the last bit of money that you have access to. Then, after several more hours of messing-up-your-brain button-pushing, you stand up, broke, despairing, angry, disoriented, and you stumble out to your car. This is the moment when the impulse to commit suicide washes over you. This is the moment I’ve asked you all to prepare for. The cash advance is all too often the tipping point.”

“It is possible to turn over all your finances to a third party who will receive your paycheck, pay your bills and then give you a small allowance for spending money each week. This person or company is called a 'representative payee.”

“Us addicted gamblers are experts at lying and deception. If faced with a choice of going gambling when we really want to or lying to a friend - we will lie.”

“In some ways, the decision to voluntarily exclude yourself from all the casinos in your area is a litmus test as to how committed you are to your recovery. By doing this you can be proud of yourself and encouraged that you can stop gambling. It is a very positive step. Do it. You are worth it!”

“If the compulsive gambler desperately wants to keep gambling, and they are cut off from their own funds, they may resort to more drastic means. The options then become pawn shops, stealing, embezzlement, even bank robbery (I've been in treatment (or meetings) with two bank robbers).”

“One second the gambler is active in their addiction – the dopamine is flowing – and the next second the money is all gone and they can no longer anticipate a big reward. At that point they must get off the chair, step away from the machine, adjust their eyes to a larger field of vision, and then walk out the door in a trance, often into a dark and cold night. The intensity and severity of that instantaneous transition from hopeful to hopelessness is so dramatic and dangerous that it has led to thousands of impulsive suicides.”

“Right now, while you are reading this, your brain is functioning normally. But when you walk out of that casino your brain is seriously screwed up. Your willpower is weakened, your risk-taking tendencies are increased, and your decision-making system is not functioning in a way that can protect you from harm. As you walk out of that casino your brain is trying to kill you (or at least not able to prevent you from killing yourself). This is why, last year alone, thousands of people, who were okay 8 or 12 hours earlier as they walked into the casino, are now dead. This is why you must prepare now, while your brain is working properly. You can do things right now to prepare for that life or death moment. The primary goal of your preparation is for you to be able to walk out of the casino, get into your car, drive away, and totally ignore what just happened. Ignore the emotions, ignore the losses, ignore the despair, ignore the hopelessness – just drive on home as if nothing had happened.”