The research, published in the Journal of Medical Internet Research, analyzed a dataset of 1,305 adults treated between June 2024 and April 2026. Findings indicate that 71.7% of clients experienced significant reductions in symptom severity over a 12-week period, as measured by the Gambling Symptom Assessment Scale. Notably, these improvements occurred even among patients with complex clinical profiles, including those managing co-occurring conditions like anxiety, depression, and ADHD.

Elliott Rapaport, founder and CEO of Birches Health, argued that the healthcare system has historically treated gambling addiction as an afterthought, often referring patients to generalists lacking specific expertise. The study validates a multi-component virtual model that integrates individual psychotherapy, group sessions, peer support, and financial counseling. With over 20 million U.S. adults meeting the criteria for problem gambling, the authors suggest this data provides a scalable blueprint for insurers and state health systems to address a condition that carries one of the highest risks of suicidality in the behavioral health sector.