Aubrey Price’s office is covered in posters illustrating therapeutic techniques. She’s a counselor at the Zepf Center, which houses one of the largest gambling treatment programs in Ohio.

When someone with a gambling problem comes to her office for the first time, she often starts by evaluating their behavior.

“This is the gambling screen that we utilize,” she said, pulling out a questionnaire. “One of the questions is, ‘Have you ever felt guilty about the way you gamble or what happens when you gamble? Have you ever argued with people you live with over how you handle your money?’”

If someone answers yes to more than five questions like these, Price said they likely have a gambling disorder.