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Am I addicted to trading?

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By Theodore Germanos, MD — triple board-certified psychiatrist (adult, child & adolescent, and addiction medicine) who trades his own account.

The fact that you are asking is worth something. Most people who trade too much never get as far as the question — and the ones who do usually already know the answer and are hoping to be talked out of it. So here is the honest version: how much you trade is not what decides this. Two things decide it. Whether you can stop, and whether it is costing you things that matter.

The questions that actually matter

Clinicians assessing gambling disorder work through nine criteria, and they translate to a brokerage account almost word for word. Read them slowly and answer for the last twelve months.

Have you needed to trade bigger to get the same feeling? Do you get restless or irritable when you try to cut back? Have you tried to cut back or stop and failed — more than once? Do you find yourself preoccupied outside market hours: replaying trades, planning the next session, watching pre-market with no intention of trading? Do you trade when you feel bad, to change how you feel? Do you go back the next day specifically to get even? Have you lied to someone about how it is going? Has it cost you a relationship, a job, or your education? Have you needed someone else to help you out of a hole it created?

Four or more of those nine in a year is the diagnostic threshold. Chasing losses and lying about it are the two that carry the most weight.

Those are the DSM-5 criteria for gambling disorder (American Psychiatric Association, 2013). They were written for casinos, and they were not adapted for markets — they simply fit. When a French clinic examined its gambling-treatment cohort, a subgroup had never been inside a casino: their gambling was trading, and it looked the same from the inside (Grall-Bronnec et al., 2017).

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What does not settle the question

Some things people treat as proof either way are not evidence at all. Being profitable does not rule it out — plenty of people meet full criteria while up on the year, and the money usually goes later. Trading small does not rule it out either, because the criteria are about control and consequences, not position size. And trading a lot does not rule it in: a professional with a written process, defined hours, and a life outside the screen can trade far more than you do without meeting a single criterion.

The one thing that is genuinely informative is what happens when you try to stop. Someone without a problem finds a week off mildly annoying. Someone with one finds it very hard, and usually does not manage it.

If several of those are yes

It is worth knowing that this is one of the more treatable things in psychiatry, and that the outlook is much better than the shame around it suggests. Cognitive-behavioural therapy aimed at gambling reduces both the behaviour and the financial harm (Cowlishaw et al., 2012). Gamblers Anonymous is free. And because this rarely travels alone — depression, anxiety, ADHD and substance use are all common companions — an evaluation that looks at the whole picture usually finds something else that is worth treating on its own terms.

If several are yes and you are also having thoughts of harming yourself, that combination is well described and it is a reason to get help now rather than later. In the US you can call or text 988. For gambling specifically, 1-800-GAMBLER is free, confidential and available around the clock.

WHEN IT’S MORE THAN PROCESS

If you answered yes to four or more, or to chasing losses and concealment in particular, that is worth a proper evaluation rather than another attempt at willpower. Gambling disorder, ADHD, autism spectrum traits, mood and anxiety conditions and substance use each change what the right plan looks like. Dr. Germanos sees traders in clinical practice by telehealth — details at doctheo.com/trading-psychiatrist.

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COMMON QUESTIONS

What are the signs of trading addiction?

Needing bigger size for the same feeling, restlessness when cutting back, repeated failed attempts to stop, preoccupation outside market hours, trading to change how you feel, going back to get even after a loss, lying about it, harm to a relationship or job, and needing someone to bail you out. Four or more in a year meets the clinical threshold for gambling disorder.

Can you be addicted to trading and still be profitable?

Yes. The diagnosis rests on loss of control and continued behaviour despite harm, not on the P&L. Profitable periods are common and often delay recognition, because the money appears to justify the behaviour. The pattern usually reasserts itself when a losing stretch arrives.

Is trading a lot the same as being addicted?

No. Someone with defined hours, a written process and a life outside the screen can trade heavily and meet none of the criteria. What matters is whether you can stop, and what it is costing you.

What should I do if I think I am addicted to trading?

Reduce access first, tell one person the real numbers, and get an evaluation, because an untreated condition underneath is the most common reason attempts to quit fail. Cognitive-behavioural therapy for gambling has good evidence, Gamblers Anonymous is free, and 1-800-GAMBLER is confidential and available 24/7.

References: American Psychiatric Association (2013). DSM-5. · Grall-Bronnec M et al. (2017). Excessive trading, a gambling disorder in its own right? Addict Behav Rep. · Cowlishaw S et al. (2012). Psychological therapies for pathological and problem gambling. Cochrane Database Syst Rev.

Also on Psychiatrade: How to stop a day trading addiction · Stock market gambling addiction · Is day trading addictive? · Take the 2-minute quiz