Find a Therapist for Gambling Addiction in Durham

Medically reviewed by Gabriela Asturias, MD on May 23, 2025
Written by the MiResource team

If you’re in Durham and considering help for Gambling Addiction, deciding to seek support is a big step. This page explains the condition and offers ways to find local therapists, with options that may fit your schedule, transportation, and budget.

  • Auran Piatigorsky, PhD, LP, CMPC, Sport Psychologist

    Auran Piatigorsky, PhD, LP, CMPC

    Sport Psychologist

    Remote only

    Auran Piatigorsky, PhD, LP, CMPC is a Sport Psychologist in undefined, undefined and has been in practice for 30 years. They treat Gambling, Career, Substance Use.

    Licensed Clinical Sport Psychologist — services for mental health care & performance enhancement

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  • Michael Wildman, Certified Addiction Counselor (CAC)

    Michael Wildman

    Certified Addiction Counselor (CAC)

    430 Battleground Avenue, Greensboro, North Carolina 27401

    Michael Wildman is a Certified Addiction Counselor (CAC) in Greensboro, North Carolina and has been in practice for 20 years. They treat Gambling, Drug Use, Alcohol Use.

    I work with persons who have issues related to alcohol, marijuana, other drugs, tobacco, gambling or related issues.

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  • Cecilia Stonebraker, Licensed Clinical Mental Health Counselor (LCMHC)

    Cecilia Stonebraker

    Licensed Clinical Mental Health Counselor (LCMHC), Independent Substance Abuse Counselor

    1426 Navaho Trail, Wilmington, North Carolina 28409

    Cecilia Stonebraker is a Licensed Clinical Mental Health Counselor (LCMHC) in Wilmington, North Carolina. They treat Gambling, Gaming/Internet Concerns, Divorce.

    I run a group practice with several therapists specializing in addiction, trauma. couples, life changes, depression, anxiety, and disordered eating.

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  • Marie Agius, Licensed Clinical Mental Health Counselor (LCMHC)

    Marie Agius

    Licensed Clinical Mental Health Counselor (LCMHC), Certified Addiction Counselor (CAC)

    5401 Six Forks Road, Raleigh, North Carolina 27609

    Marie Agius is a Licensed Clinical Mental Health Counselor (LCMHC) in Raleigh, North Carolina and has been in practice for 17 years. They treat Gambling, Performance Anxiety, Self-Harm.

    It is possible to love who you are without having to be perfect. I am here to help you to learn to do just that.

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  • Lydia Ramos, Physician Assistant

    Lydia Ramos

    Physician Assistant

    1500 Sunday Drive, Raleigh, North Carolina 27607

    Lydia Ramos is a Physician Assistant in Raleigh, North Carolina and has been in practice for 5 years. They treat Gambling, Conflict Resolution, Physical Stress.

    I welcome clients of all identities and backgrounds to my practice. Please contact me if you have any questions. I look forward to working with you.

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  • Lisa Saponaro, Psychotherapist

    Lisa Saponaro

    Psychotherapist, Licensed Mental Health Practitioner (LMHP), Psychologist, Licensed Marriage and Family Therapist (LMFT)

    7820 Peters Road, Plantation, Florida 33324

    Lisa Saponaro is a Psychotherapist in Plantation, Florida and has been in practice for 24 years. They treat Gambling, Personal Growth, Sexual Assault.

    Planting the seeds for personal growth. At our practice, WE NOURISH the growth of individuals, couples and families so YOU FLOURISH!

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Understanding Gambling Addiction

Gambling Addiction is a recognized mental health condition, not a personal weakness or a lack of willpower. It involves repeated gambling that becomes hard to control, even when it causes problems in a person’s life. People may keep gambling to try to win back money, cope with stress, or feel the same excitement again. Over time, it can affect finances, relationships, and daily responsibilities.

Common Signs and Symptoms

Symptoms can look different from one person to another, and they may change depending on stress, money concerns, sleep, and what is happening around you. Some days it may feel easier to manage, while other days urges, worry, or restlessness can feel much stronger.

What you might notice internally

  • Strong urges to gamble, even after deciding to stop
  • Trouble focusing at work, at home, or while driving because your mind keeps going back to bets or losses
  • Feeling tense, keyed up, or restless, especially when trying not to gamble
  • Lying awake, sleeping poorly, or waking up with racing thoughts about money or chances to “win it back”
  • Feeling guilty, ashamed, or stuck in a cycle of chasing losses
  • Using gambling to quiet stress, boredom, or low mood for a short time

What others might notice

  • Being more irritable, impatient, or quick to snap over small things
  • Pulling away from family, friends, or usual routines to gamble or recover from it
  • Canceling plans, missing work, or showing up distracted and tired
  • Talking more about money, borrowing, or seeming unusually secretive about finances
  • Seeming physically tense, fidgety, or unable to relax during conversations
  • Avoiding questions about where time or money has gone

Why This Happens

Gambling addiction often develops from a mix of biological vulnerability, emotional stress, and exposure to gambling opportunities rather than a single cause. Risk can build gradually, especially when gambling starts to feel like a way to escape worry, boredom, or low mood. Some people are more vulnerable because of inherited traits, impulsivity, or other mental health concerns. Repeated wins and losses can also reinforce the behavior over time.

  • Biological factors
  • Family history of addiction or substance use disorders
  • Impulsivity or strong sensation-seeking tendencies
  • Co-occurring depression, anxiety, or ADHD
  • Psychological factors
  • Using gambling to cope with stress, loneliness, or low mood
  • Believing one can “win back” losses
  • Difficulty tolerating frustration or delaying rewards
  • Environmental factors
  • Easy access to casinos, online betting, or lottery games
  • Social circles where gambling is normalized
  • Financial stress or major life changes that increase risk

How Treatment Works

Getting professional help for Gambling Addiction can help you develop coping strategies and make sense of what you have been going through. Support can also make it easier to reduce the impact on daily life and find ways to manage urges before they become overwhelming. In Durham, it may take some planning to get to appointments because traffic can be heavier during peak hours and parking can be limited near downtown and campus. Telehealth can reduce transportation barriers, which may be helpful when bus service varies by neighborhood and many residents drive to appointments. Costs can also differ because insurance acceptance varies by provider, and sliding-scale and community clinics may have waitlists, but steady support can still make progress possible.

Finding the right provider in Durham

Start by searching for therapists in Durham who specifically work with Gambling Addiction, since a condition-focused search can help you find someone with the right experience. Then use filters to narrow by insurance, availability, and approach so the options fit your budget, schedule, and preferences. Because insurance acceptance varies by provider and sliding-scale or community clinics may have waitlists, it can help to compare several choices at once. If getting to appointments is a concern, look for telehealth options since they can reduce transportation barriers when traffic, parking, or bus service make travel harder. Personal fit matters too, so choose someone whose style feels comfortable and whose approach matches what you want from care. MiResource makes comparing options easier.

Local Care Logistics in Durham

In Durham, it can help to look for therapists near neighborhoods like Trinity Park, Walltown, Old West Durham, Ninth Street, and Hayti. These areas may be convenient if you want to stay closer to central Durham or reduce travel time. If you are connected to Duke University or North Carolina Central University, campus calendars and student schedules can affect demand and appointment availability, especially around semester peaks and move-in or move-out periods. For gambling addiction, it may be useful to contact providers early and ask about openings that fit your schedule. You may also want to consider options near Brightleaf or Southside if you need easier access to a broader range of appointment times. When availability is limited, planning ahead can make it easier to find steady support.

Taking Care of Your Mental Health in Durham

Non-emergency community supports in Durham can help with navigation, peer connection, family support, and practical coping while someone is in therapy for Gambling Addiction. Alliance Health can be a place to ask about connecting with behavioral health resources, Durham County Department of Public Health can help with community-based health support, and NAMI Durham can be useful for peer and family support. If you are a student, Duke University Counseling and Psychological Services or North Carolina Central University support services may also be relevant for campus-based counseling and student support. In a city with higher education, healthcare, biotech, and research schedules, plus rising housing costs and long waitlists, these supports can help people stay engaged in care and manage stress, transportation, and schedule strain.

When to Seek Immediate Help

If gambling addiction leads to thoughts of suicide, self-harm, inability to stay safe, or a sudden mental health crisis, call 911 or 988 right away. In Durham, you can also contact the Alliance Health Access and Information Center or the Durham Mobile Crisis Team via Alliance Health for urgent help. If the person cannot wait for a regular appointment, go to an emergency department such as Duke University Hospital, Duke Regional Hospital, UNC Hospitals, or UNC REX Hospital. Call 911 immediately if there is immediate danger.

  1. Watch for crisis signs like talking about suicide, feeling unable to stop gambling, panic, severe distress, or being unable to stay safe.
  2. Call 988 for immediate crisis support, or 911 if there is immediate danger or the person may hurt themselves or someone else.
  3. In Durham, contact the Alliance Health Access and Information Center or the Durham Mobile Crisis Team via Alliance Health, or go to Duke University Hospital, Duke Regional Hospital, UNC Hospitals, or UNC REX Hospital.
  4. Expect a safety check, assessment, and next-step guidance; if you drive, plan for possible traffic and limited parking near downtown and campus.

Common Questions About Gambling Addiction

Q: When should someone in Durham seek therapy for gambling addiction? A: It can help to reach out when gambling starts causing stress, secrecy, money problems, conflict, or trouble at work or home. Therapy is also worth considering if attempts to cut back have not lasted or if cravings feel hard to manage. In Durham, it may be useful to choose a time and place that fits your commute and parking needs so getting to appointments is more manageable. If symptoms feel urgent or there are safety concerns, seek help right away.

Q: What should I do if the first therapist is not a good fit? A: It is okay to try another therapist if you do not feel understood, supported, or comfortable. A good fit can matter for trust and progress, especially with gambling addiction. You can ask for referrals, switch providers, or look for someone with more experience in addictive behaviors. If access is limited, telehealth may make it easier to keep looking without adding travel stress.

Q: Can virtual therapy help with gambling addiction? A: Virtual therapy can help many people with gambling addiction, especially if transportation, parking, or traffic make in-person visits harder. It may also be useful if you want more flexible scheduling or if local appointment options are limited. Some people prefer in-person care, so the best choice depends on comfort, privacy, and the level of support needed. If you choose telehealth, make sure you have a private space for sessions.

Q: What should I ask when choosing a therapist for gambling addiction? A: You can ask whether the therapist has experience treating gambling addiction and what approaches they use. It is also helpful to ask about session format, communication style, fees, insurance, and whether they offer telehealth. In Durham, you may want to ask about scheduling flexibility if you need to work around traffic, bus routes, or parking limits. You can also ask how they handle relapse, family concerns, and financial stress related to gambling.

Q: Does therapy for gambling addiction help over time? A: Therapy can help many people build skills to manage urges, reduce risky behavior, and understand the triggers behind gambling. Over time, some people notice better control, less distress, and improved relationships and finances. Progress may be gradual, and setbacks can happen, so ongoing support can be important. Consistent care often works best when paired with practical steps like limiting access to gambling and support from trusted people.

Local Resources in Durham

MiResource can help you search for clinicians in Durham, NC who treat Gambling Addiction. You can filter by insurance, specialty, and availability to find someone who fits your needs.

Find care for you

Recovery is possible. With early intervention, a supportive community, and the right professional care, you can overcome challenges and build a fulfilling life. We’re here to help you find the support you need.

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