Salus
Gambling addiction treatment

Gambling addiction treatment in Malaysia, with a plan for the debt

Salus offers gambling addiction treatment in Malaysia as a 90-day residential stay in Cyberjaya, Selangor. Gambling rehab here means therapy for the urge to bet, a practical plan for the debt and the secrecy, and care for the low mood or anxiety that usually sits underneath. It is run by the clinical team behind Solace Asia. Many of the people who call are not the gambler but the spouse, parent or sibling who has just found the loan.

Signs that gambling has taken over

Gambling leaves no smell, no bottles and no marks, so the signs are mostly about money, time and honesty. A study in Selangor found 4.4 per cent of the general population were problem gamblers, with a further 10.2 per cent at moderate risk. Clinicians look for four or more of the signs below within a year.

  • Bigger bets to get the same excitement, or going back the next day to win the losses back.
  • A loan, a credit card balance or money borrowed from relatives that nobody was told about.
  • Lying about how much, how often or where the money went.
  • Restlessness or a short temper when trying to cut down, and promises to stop that do not hold.
  • Late nights on slots, sports betting or live casino apps, with sleep and work slipping.
  • Gambling to escape guilt, stress or low mood, then feeling worse afterwards.

How gambling treatment works at Salus

Gambling disorder is treated with therapy, not medicine. On arrival you have a medical review, a psychiatric assessment and a psychological assessment, and the diagnosis decides the therapy. A Salus Clinician plans recovery alongside medical care, including the practical side of money, debt and work. The plan is reviewed every week.

01

Assessment on arrival

We look at the gambling and at what drives it: low mood, anxiety, poor sleep, impulsiveness, loneliness or boredom.

02

Taking the urge apart

CBT works on beliefs that feel true and are not, such as a losing run making a win more likely. Motivational interviewing deals with the part of you that still wants to bet.

03

A plan for money and debt

Your Salus Clinician helps you list what is owed, who is owed it and how it will be repaid, with you doing the work. Debt and employment are part of the six areas of life the plan covers.

04

Family sessions

Families learn what helps and what quietly enables the habit, and agree how to rebuild trust through open handling of money, one step at a time.

05

A written plan for home

Before you leave, a written aftercare plan covers money, phone use, work and free time, and support carries on afterwards.

The programme

Ninety days, residential, in Cyberjaya.

A private room, all meals, 24-hour care with medical oversight, individual and group therapy, family sessions and a written plan for going home. One price, with nothing added later.

90 days

Four phases: Restore, Connect, Participate, Integrate

RM7,000 per month

All-inclusive

Is there withdrawal from gambling, and is medical care needed?

There is no medicine to come off, so gambling does not need a medical detox the way alcohol or sedatives can. That is why therapy can start on the first day. The first weeks are still not easy. Many people feel restless, irritable or flat when the betting stops, and sleep can fall apart, especially when a phone was the last thing they looked at every night.

Because mood can drop sharply, the psychiatrist and psychologists watch mood and sleep closely early on. If someone has talked about ending their life because of what gambling has cost, take it seriously and call 999 or go to the nearest emergency department. The weight of debt and shame can feel unbearable, and both can be treated.

What do we do about the gambling debt?

Two steps, in this order. First, stop the losses. Until treatment is under way, the person should not have unsupervised access to money. Families often ask a trusted relative to hold the cards and online banking, pay the salary into an account the person cannot draw from alone, and set up self-exclusion on every licensed platform that offers it. It is the equivalent of taking the bottle away.

Second, do not pay the debt off quietly. A debt cleared by the family with no treatment attached tends to fill up again. List what is owed, speak to the creditors and plan repayment as part of recovery, with the person doing the work.

How long does gambling rehab take, and what does it cost?

The programme is 90 days, in four phases: Restore, Connect, Participate and Integrate. Progress follows readiness, not the calendar. Research on addiction treatment links stays of three months or more with the best results, and the urge to bet often returns in a quiet moment long after the first weeks, so a full season to practise a new routine matters.

Salus costs RM7,000 per month, all-inclusive. Over 90 days that is about RM21,000, covering your room, meals, medical oversight, individual and group therapy, family sessions and aftercare. Gambling often leaves a family short of money, so payment plans can be discussed openly. Calling to ask costs nothing.

What happens after treatment, and who will know?

Leaving is planned from the first week. You go home with a written plan for money, phone use, work and free time, and with continued support. The hours that gambling used to fill are filled with real activity, people and routine, so there is something to return to besides an empty evening.

In the hotel you are simply a guest. Clinical information stays with the care team, and who knows you are here is your decision. Malaysia's own clinical guidelines on behavioural addiction were shaped by members of the clinical advisory board that Salus shares with Solace.

Questions

Questions families ask.

How do I help someone who does not want to stop gambling?

Say what you have seen and how it makes you feel, rather than listing what they have done. Expect denial or anger, because gambling has also been their escape. Protect the money in the meantime and keep the relationship. You can call Salus without them knowing, and a conversation with a clinician sometimes lands where a family member's cannot. Our guide on how to raise it is linked below.

Is online gambling treated differently from other gambling?

The treatment is the same: CBT for the beliefs and urges, motivational interviewing, and work on the mood and sleep underneath. What changes is the practical plan. Online gambling lives on a phone that is always in the pocket, so time away from the apps often makes therapy possible, and the plan for going home covers phone use and access to money.

Is gambling a real addiction or a bad habit?

Gambling disorder is a recognised diagnosis, listed in the same chapter of the diagnostic manual as substance dependence because it behaves in a similar way: needing more to feel the same, failed attempts to cut down and carrying on despite harm. A 2020 review found no structured gambling treatment in Malaysia's public sector, which is why many families do not know where to turn.

Can gambling be treated at the same time as drinking or drug use?

Yes. Many people who come to us for gambling are also drinking or using, and we treat both in one plan. If alcohol or sedatives are involved, a medical assessment comes first, because stopping them suddenly can be dangerous and some people need hospital care before a residential stay.

Is Salus a hospital, and who looks after me?

No. Salus is a residential retreat with 24-hour care and medical oversight. Guests live in private rooms. The team includes psychologists, counsellors and medical officers, with psychiatric input from our advisory board, and every guest has a named lead clinician responsible for their plan from arrival to aftercare.

Who runs Salus

The clinical team behind Solace Asia.

Salus is part of Solace Wellbeing Group, which opened Solace Asia in 2014. It shares Solace's clinical leadership, methods and advisory board of senior Malaysian psychiatrists and clinicians, in a residential setting designed to cost less.

2014

Solace Asia founded

5,000+

Patients treated across the group

90

Days in the programme

Sources

  1. 1Rathakrishnan B, George S. Gambling in Malaysia: an overview. BJPsych International, 2020
  2. 2Cleveland Clinic, Gambling disorder: symptoms and treatment
  3. 3NIDA, Principles of Drug Addiction Treatment: how long does treatment last

This page is general information, not medical advice, and does not replace an assessment by a qualified clinician. If someone is in immediate danger, call 999.

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