Confidential support from home

Stopping was never the hard part. Staying stopped is.

Many people reach this point after deleting the apps, self-excluding and promising themselves it will not happen again. Then an urge arrives and the promise does not hold.

That is not a lack of willpower. Gambling can train the brain's reward system into a powerful learned loop. Our programme combines private clinical assessment, structured support and one named coach who stays with you throughout.

Private enquiryTell us what is happening confidentially
Clinical assessmentSuitability, safety and options reviewed
Connected planClinician and named coach support

Entirely remote and confidential. We do not contact your GP, employer or family without your permission, except where a clinician has a legal safeguarding duty.

Confidential UK support Adult making a structured plan during a private online consultation about gambling urges
Named clinical and coaching support throughout
UK-registered cliniciansPrivate suitability assessment
Named supportOne coach who knows your plan
Entirely remotePhone and video appointments
ConfidentialClear privacy from the outset
Why gambling can be different

The harm can stay hidden while the urge remains active

Blocking tools and self-exclusion remove access. They are valuable protections, but they do not always change the learned anticipation that drives the next urge.

The opportunity is everywhere

A phone can provide access in seconds, making it difficult to create the distance that support strategies often rely on.

The problem may be invisible

There may be no outward sign until money, relationships, sleep or work have already been affected.

Anticipation becomes the reward

The build-up, near-miss and possibility of winning can reinforce the loop even when the overall experience is harmful.

Stopping may not quieten the urge

Someone can stay away for weeks or months while the underlying response remains ready to reactivate under stress or opportunity.

What the programme includes

One connected plan, not a collection of appointments

Clinical decisions, practical strategies and coaching are brought together so that you are not left to interpret the process alone.

Private doctor consultation

A UK-registered clinician reviews your gambling pattern, health, medicines, sleep, mood and any overlap with alcohol use.

Structured milestones

A clear programme with practical weekly steps, progress reviews and adjustments when something is not working.

Named coach support

One consistent point of contact for one-to-one support by phone, video and email throughout the programme.

Clinical oversight

Suitability, safety, response and any concerns are reviewed by the clinical team rather than left to guesswork.

Support for family conversations

Guidance can help you decide what to share and how to rebuild practical trust, while respecting your confidentiality.

A plan beyond the programme

Your closing review brings together progress, warning signs and practical next steps for maintaining change.

Dr Janey Merron, GP

Dr Janey Merron

GP · GMC 4503868

Dr Rachael Jolley, GP

Dr Rachael Jolley

GP · GMC 7406876

Dr Wisam Tatari, prescribing pharmacist

Dr Wisam Tatari

Prescribing Pharmacist · GPhC 2063769

You do not need to decide on treatment before speaking to us.Start with a confidential enquiry and we will explain the proposed pathway, costs and available alternatives clearly.
Start a private conversationStart a private conversation
Clinical options

Medication may form one part of the programme

After a full assessment, a doctor may consider naltrexone as an off-label option for gambling disorder when it is clinically appropriate. It acts on opioid receptors involved in reward and anticipation, with the aim of reducing the intensity of urges so that practical change becomes more manageable.

Available evidence suggests this option may reduce urges and gambling behaviour for some people; response and durability vary. Medication is not offered on its own and no outcome is guaranteed.

What off-label means

Off-label prescribing means a licensed medicine is used for a condition outside the wording of its marketing authorisation. It is a recognised part of UK clinical practice, but it requires an individual decision by a qualified prescriber.

  • The clinician explains the evidence, uncertainties and alternatives.
  • Medical history, current medicines and safety checks are reviewed.
  • You can ask questions and choose not to proceed.
  • No outcome is promised or guaranteed.
Clear before you decide

The important details, made clear

Clinical suitability, programme costs and alternative support routes are explained before you make a decision.

Clinical suitability

Our suitability promise

If our doctor decides at the consultation that the programme is not clinically suitable for you, your programme payment is refunded minus the stated clinical assessment fee. We will also explain appropriate alternative sources of support.

Upfront pricing

Transparent cost before you commit

The full programme fee and any separate costs are confirmed before booking, so you can review everything before deciding whether to proceed.

How it starts

Three clear steps

The first conversation is confidential and does not commit you to treatment.

01

Make a confidential enquiry

Tell us briefly what is happening and what kind of support you are looking for.

02

Complete a clinical assessment

A UK-registered clinician reviews suitability, safety and the available treatment options with you.

03

Begin a supported plan

If the programme is suitable and you choose to proceed, your clinician and named coach guide the next steps.

Need urgent gambling support?

Call the National Gambling Helpline free on 0808 8020 133, available 24 hours a day. If you are in immediate danger, call 999. For urgent emotional support, call Samaritans free on 116 123.

Free support optionsFree support options
Common questions

Private gambling support FAQs

Is the programme confidential?

Yes. Appointments and support are private. We do not contact your GP, employer or family without permission, except where a clinician has a legal safeguarding duty.

Does everyone receive medication?

No. A clinician decides whether any medication is appropriate after reviewing your health, medicines, circumstances and the available evidence. Coaching and practical support remain central to the programme.

Can I use the programme if I have already self-excluded?

Yes. Self-exclusion and blocking tools are valuable protections and can remain in place. The programme is intended to work alongside practical safeguards, not replace them.

Is free help available?

Yes. NHS gambling services and the National Gambling Support Network provide free options. The National Gambling Helpline is available 24 hours a day on 0808 8020 133.

Talk to the team privately

Start with a confidential enquiry. We will explain the proposed pathway, answer general questions and tell you what information is needed before a clinical assessment.

Confidential enquiry UK-registered clinicians Free support routes explained

This page provides general information and does not replace individual medical advice. Treatment is subject to individual clinical assessment and suitability.