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Stock market gambling addiction: when trading stops being investing

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

Nobody thinks of a brokerage account as a slot machine. It has a research tab, a tax document, a respectable name. That respectability is exactly why a gambling problem that lives inside a trading account can run for years without anyone — including the person holding it — calling it what it is. In addiction medicine the question is never what the activity is called. The question is what it is doing to the person, and whether they can stop.

Investing, speculating, gambling: the line is behavioral

The three words are usually sorted by instrument — index funds are investing, options are speculation, roulette is gambling. Research that has looked carefully at the overlap sorts them differently. Investing, speculation and gambling sit on a single continuum defined by how much the outcome depends on chance, how short the time horizon is, and how much the activity is being done for the action itself rather than for a return (Arthur, Williams & Delfabbro, 2016). By that definition a person can gamble in a retirement account and invest at a poker table. What moves someone along the continuum is not the ticker. It is holding period, frequency, leverage, and the reason they are clicking.

The market makes this easy to miss because it pays out often enough to look like skill. Frequent retail traders, as a group, underperform the market by roughly the cost of their own activity (Barber & Odean, 2000), and the individuals most drawn to lottery-like stocks — cheap, volatile, skewed — share the demographic profile of people who buy lottery tickets (Kumar, 2009). None of that makes trading a disorder. It makes it an environment in which a disorder can develop while wearing a suit.

The clinical picture

Gambling disorder is the only behavioral addiction with its own entry in the DSM-5, and its criteria were written for casinos and sportsbooks. They translate to trading with almost no editing. Needing to trade larger size to get the same feeling. Restlessness or irritability when trying to cut back. Repeated failed attempts to stop or set limits. Preoccupation — replaying trades, planning the next session, watching pre-market when there is no plan to trade. Trading when distressed, to change a mood. Going back the next day to win back yesterday, which traders call revenge trading and clinicians call chasing losses. Lying to a partner about the P&L. Jeopardizing a relationship, a job, or an education. Relying on someone else to cover a hole. Four or more of those nine over a year is the threshold for a diagnosis (American Psychiatric Association, 2013).

Chasing losses is the single most specific sign. Investors rebalance. Gamblers go back in to get even — and the market will take the trade at any hour.

This is not a theoretical mapping. When a French clinic studied its cohort of individuals in treatment for gambling disorder, a subgroup had never set foot in a casino — their gambling was excessive trading, and the clinical picture was the same: escalating stakes, chasing, concealment, and financial harm (Grall-Bronnec et al., 2017). The authors’ conclusion was that excessive trading can be a gambling disorder in its own right. In practice, it is one of the most under-recognized presentations of the disorder, because both the patient and the people around them have a respectable word for it.

Why the market is a better slot machine than a slot machine

Slot machines are engineered around variable-ratio reinforcement: unpredictable reward, delivered on an unpredictable schedule, which is the most persistent learning schedule there is. Markets deliver the same schedule without engineering it. Add features no casino offers — an open session most of the week, leverage on tap, a phone in your pocket, the social proof of every screenshot on the internet, and a cultural story that says the activity is work — and the environment is more habit-forming, not less. The individual in it does not need a weak character to get caught. They need a nervous system, which everyone has, and enough exposure.

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What actually helps

Treatment for gambling disorder has an evidence base, and the same tools apply when the venue is a brokerage. Cognitive-behavioral therapy that targets the beliefs specific to gambling — the illusion of control, the near-miss effect, the conviction that the next session will fix the last one — reduces gambling behavior and its consequences (Cowlishaw et al., 2012). The structural moves that work in a casino context work here too: removing access, which for traders means closing the margin account, deleting the mobile app, or moving to a platform with friction; involving another person in the finances; and treating the urge as a wave to be timed out rather than an instruction. And because gambling disorder travels with other conditions far more often than it travels alone — depression, anxiety, ADHD, alcohol and other substance use — treatment that ignores what is underneath usually fails at the next stressful month.

That last point is where a psychiatrist rather than a coach earns their place. The person who cannot stop trading is frequently a person with an untreated condition that made trading irresistible in the first place. Treating the condition is often what makes the rules finally hold.

WHEN IT’S MORE THAN PROCESS

If you have tried to stop or cut back and could not, if you are hiding the account from someone, or if you are trading to get even or to feel something, this is not a discipline problem to be white-knuckled through — it is a treatable condition, and the evaluation is where treatment starts. Gambling disorder, ADHD, autism spectrum traits, mood and anxiety conditions, and substance use all change what the right plan looks like. Dr. Germanos sees traders in clinical practice by telehealth — details at doctheo.com/trading-psychiatrist.

COMMON QUESTIONS

Can you be addicted to the stock market?

Yes. Gambling disorder is defined by behavior and consequences, not by venue. When trading involves escalating size, failed attempts to cut back, preoccupation, chasing losses, concealment, and harm to relationships or finances, it can meet full criteria for gambling disorder. Clinical cohorts of people in treatment for gambling include individuals whose only gambling was trading.

What is the difference between trading and gambling?

Not the instrument. Investing, speculation and gambling sit on one continuum defined by how much the outcome depends on chance, how short the holding period is, and whether the activity is being done for a return or for the action. Very short holding periods, high frequency, leverage, and trading to change how you feel move an activity toward the gambling end regardless of what is being traded.

What are the signs of a stock market gambling addiction?

The DSM-5 lists nine: needing bigger stakes for the same effect, restlessness when cutting back, repeated failed attempts to stop, preoccupation, trading when distressed, chasing losses, lying about it, risking a relationship or job, and relying on others for money. Four or more in a year meets the diagnostic threshold. Chasing losses and concealment are the most specific.

Is trading addiction treatable?

Yes. Cognitive-behavioral therapy for gambling has a solid evidence base, structural changes that reduce access matter, and because gambling disorder usually co-occurs with another condition such as depression, ADHD, or substance use, evaluating and treating what is underneath is often what allows the rules to hold. No outcome is promised before an evaluation.

References: American Psychiatric Association (2013). Diagnostic and Statistical Manual of Mental Disorders, 5th ed. · Arthur JN, Williams RJ, Delfabbro PH (2016). The conceptual and empirical relationship between gambling, investing, and speculation. J Behav Addict. · Grall-Bronnec M et al. (2017). Excessive trading, a gambling disorder in its own right? A case study on a French disordered gamblers cohort. Addict Behav Rep. · Barber BM, Odean T (2000). Trading is hazardous to your wealth. J Finance. · Kumar A (2009). Who gambles in the stock market? J Finance. · Cowlishaw S et al. (2012). Psychological therapies for pathological and problem gambling. Cochrane Database Syst Rev.

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