Few problem gamblers seek treatment (Volberg et al., 2006; Suurvali et al., 2008). However, meta-analyses show that treatment is effective (Gooding & Tarrier, 2009); Pallesen et al, 2005). Reasons for not seeking treatment: shame, pride and ”denial” that you have a problem with gambling (Pulford et al., 2008). High drop outs rates from treatment. A higher degree of impulsivity might be the cause for dropping out (Leblond, Ledouceur & Blaszczynski, 2003). Few preventive strategies that show long term positive results (Williams, 2011). A need to develop more effective preventive strategies and increase awareness regarding gambling and responsible gambling!