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Why do older people gamble more?

"With age, there can be a decrease in the activity of decision-making parts of the brain related to executive functioning," Grant says. "If you have a deficit because of age, gambling may become riskier for you."

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Older people with dementia are at especially high risk because they are unable to recognize limitations or use appropriate judgments. And dopamine agonists, a class of prescription drugs used to treat the symptoms of Parkinson's disease and restless legs syndrome, seem to be associated with compulsive gambling as a side effect, according to Marc Potenza, M.D., a professor of psychiatry at Yale University who studies problem gambling. Psychologists also suspect that people are more likely to run into problems if they turn to gambling for the wrong reasons — to escape loneliness, depression or even chronic pain. "For a lot of the older people we see, it was never about the money," says Gordon Greco, 62, a compulsive gambler most of his life who now works as a counselor for the Problem Gambling Center in Las Vegas. "They go to the casino to escape regrets, loneliness, isolation, sadness. And when they start losing money, they find themselves with even bigger problems and regrets." Video gambling machines, now permitted in more than 40 states, are the overwhelming favorite among older casino-goers, Hunter says. And that puts them at even greater risk. Although any kind of gambling can become addictive, video slot and poker machines are the most seductive because they offer the greatest escape, experts say. "Machine gambling is really the crack cocaine of compulsive gambling," says Lia Nower, the director of the Center for Gambling Studies at Rutgers University in New Jersey. Indeed, in Addiction by Design: Machine Gambling in Las Vegas, Massachusetts Institute of Technology anthropologist Natasha Schull argues that mechanical rhythms that lull players into a trance-like state are deliberately built into electronic gambling machines. In what Schull calls the "machine zone," gamblers quickly lose track of daily worries, social demands and even their bodily needs. Some psychologists and psychiatrists specialize in treating gambling addiction. Compulsive gamblers, these experts say, suffer from low self-esteem and fall into two broad categories: action gamblers, who relish excitement and believe they can beat the house, and escape gamblers, who seek to forget about pain or trauma in their lives. Gamblers Anonymous programs are available in most parts of the country. Breaking a gambling addiction isn't easy, but GA programs do help some people. "It saved my life," says Marilyn Lancelot. After being released from prison, she began attending GA meetings. She slowly paid off her debts and has managed to steer clear of gambling. "For a recovering gambler, there's always the itch to try it again," she admits. "But I know now that if I give in to it, I'm dead."

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