The opportunity is everywhere
A phone can provide access in seconds, making it difficult to create the distance that support strategies often rely on.
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.
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.
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.
A phone can provide access in seconds, making it difficult to create the distance that support strategies often rely on.
There may be no outward sign until money, relationships, sleep or work have already been affected.
The build-up, near-miss and possibility of winning can reinforce the loop even when the overall experience is harmful.
Someone can stay away for weeks or months while the underlying response remains ready to reactivate under stress or opportunity.
Clinical decisions, practical strategies and coaching are brought together so that you are not left to interpret the process alone.
A UK-registered clinician reviews your gambling pattern, health, medicines, sleep, mood and any overlap with alcohol use.
A clear programme with practical weekly steps, progress reviews and adjustments when something is not working.
One consistent point of contact for one-to-one support by phone, video and email throughout the programme.
Suitability, safety, response and any concerns are reviewed by the clinical team rather than left to guesswork.
Guidance can help you decide what to share and how to rebuild practical trust, while respecting your confidentiality.
Your closing review brings together progress, warning signs and practical next steps for maintaining change.
GP · GMC 4503868
GP · GMC 7406876
Prescribing Pharmacist · GPhC 2063769
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.
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.
Clinical suitability, programme costs and alternative support routes are explained before you make a decision.
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.
The full programme fee and any separate costs are confirmed before booking, so you can review everything before deciding whether to proceed.
The first conversation is confidential and does not commit you to treatment.
Tell us briefly what is happening and what kind of support you are looking for.
A UK-registered clinician reviews suitability, safety and the available treatment options with you.
If the programme is suitable and you choose to proceed, your clinician and named coach guide the next steps.
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.
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.
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.
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.
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.
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.
This page provides general information and does not replace individual medical advice. Treatment is subject to individual clinical assessment and suitability.