March is Problem Gambling Awareness Month, a good time to talk honestly about an addiction that often hides in plain sight throughout our community.

Gambling is part of everyday life in Oregon. You see it in neighborhood bars and restaurants, where lottery terminals glow in the corner. Scratch-its sit beside the register at convenience stores. Sports betting is available on our phones.

Most people who gamble will never develop a serious problem. But when gambling opportunities are this widespread, the number of people who struggle inevitably grows.

National researchers have begun to notice. The Center for Addiction Science, Policy, and Research recently ranked Oregon among the states most exposed to gambling harm. One reason is the state’s heavy reliance on Oregon Lottery revenue to help fund public priorities such as education, parks and economic development. The system generates billions in sales each year. But its ubiquity also means gambling opportunities are rarely far away.

For many people, that accessibility never becomes a problem. For others, the pattern of harm unfolds gradually and almost invisibly.

Problem gambling rarely looks like the dramatic stories people imagine. It usually develops slowly, beginning with small changes in behavior.

A person spends a little longer playing lottery machines after work. Losses lead to the belief that the next round will make things even. Treatment providers call this chasing losses, and it is one of the most common warning signs. The logic feels persuasive in the moment. If you keep playing long enough, the odds will eventually swing back your way. Instead, the losses often grow.

You might recognize the pattern in a friend, a co-worker or someone in your own household. Money meant for rent, groceries or utilities starts disappearing, and credit card balances begin to grow. A short-term loan is taken out with the hope that one lucky streak will fix everything. Financial pressure builds quickly, but the emotional pressure builds even faster.

For the person caught in that cycle, the experience can feel deeply isolating. Shame and anxiety grow alongside the financial losses. Sleep becomes harder. Gambling may begin as a way to escape stress, but over time it becomes the source of that stress. Even when someone wants to stop, the compulsion can feel overwhelming.

Families often notice the shift before they understand what is happening. Conversations about money become tense or are avoided altogether. Bank statements disappear. Explanations stop making sense. Loved ones may sense something is wrong long before they understand the cause. Partners and children end up living with the financial strain and emotional stress that follow.

Oregon has recognized these risks for decades and has built a statewide treatment system to respond. A small portion of Oregon Lottery revenue funds prevention programs and counseling services that are available at no cost to those seeking help. Confidential treatment is available not only for people struggling with gambling, but also for family members trying to support someone they love.

But the amount of the investment does not yet match the scale of the problem. Roughly 1% of lottery revenue goes toward prevention and treatment for gambling addiction. In other words, only the smallest fraction of the money generated by gambling is dedicated to addressing the harm it has caused.

Still, many people simply do not realize help exists. Gambling addiction carries a powerful stigma, and people often feel embarrassed or ashamed to ask for support. Awareness matters because problem gambling is not a moral failure. It is a recognized and treatable behavioral health condition, and recovery is possible with the right support.

If you are worried about your own gambling or about someone close to you, help is available. The Oregon Problem Gambling Helpline connects callers with trained professionals who can listen, answer questions, and connect people with counseling and recovery resources in their community.

You can reach the Oregon Problem Gambling Helpline at 1-877-MY-LIMIT.

Problem gambling thrives in silence. Conversations like this one are a reminder that support exists, and recovery is possible. Sometimes the first step is simply picking up the phone.

Chris Wig is executive director of Emergence Addiction and Behavior Therapies, and a champion for second chances.