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Addiction 18: Exploring the Intersection of Addiction and Mental Health with Andrew Kim

Season 2
February 24, 2026

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In this episode, hosts Jon Bruford and Dr. Michael Auer engage with Andrew Kim, a Canada research chair in addictions and mental health comorbidity. They explore the complex relationship between addictions and mental health, focusing on gambling, cannabis, and the role of poverty. The conversation delves into the motivations behind gambling, the impact of social determinants of health, and the need for personalized approaches in treatment and responsible gambling messaging. Andrew shares insights from his clinical experience and research, emphasising the importance of addressing underlying mental health issues in addiction treatment.

Things we discuss, but in a list:

  1. Addictions often co-occur with mental health issues.
  2. Self-medication hypothesis explains why individuals turn to substances.
  3. Cannabis addiction can be psychological, not just physiological.
  4. Gambling serves as a coping mechanism for many individuals.
  5. Poverty significantly impacts addiction and mental health.
  6. Motivations for gambling vary, including escapism and social factors.
  7. Responsible gambling tools may not be effective for all individuals.
  8. Addiction substitution can occur when one addiction replaces another.
  9. Treatment approaches should address both addiction and underlying mental health issues.
  10. Advertising influences gambling behavior, especially among younger demographics.

Choice quotes:

  1. “No one chooses to become addicted.”
  2. “You can’t CBT poverty away.”
  3. “You can’t really will that away.”

Chapters (add a minute or so though, because I glued an ad read and our theme music to the front):

  1. 00:00 Introduction to Addiction and Mental Health
  2. 02:51 Understanding Addictions and Mental Health Comorbidity
  3. 05:58 The Role of Cannabis in Addiction
  4. 09:03 Gambling as Escapism and Coping Mechanism
  5. 11:52 Motivations Behind Gambling
  6. 15:09 The Impact of Poverty on Addiction
  7. 17:53 Addiction Substitution and Concurrent Recovery
  8. 20:55 Treatment Approaches for Gambling Addiction
  9. 23:48 The Interconnectedness of Addictions
  10. 27:11 The Role of Social Determinants in Addiction
  11. 30:05 The Shift in Gambling Demographics
  12. 32:53 The Influence of Advertising on Gambling Behavior
  13. 36:06 Responsible Gambling Tools and Their Effectiveness
  14. 39:01 The Need for Personalized Gambling Messaging
  15. 41:56 The Future of Gambling Regulation
  16. 44:49 Conclusion and Future Discussions

Andrew Kim: https://profiles.ucalgary.ca/andrew-kim

Addiction: An Hour With Auer is a weekly podcast where hosts Dr Michael Auer – he of the title – and Jon Bruford talk about addiction in all its forms. Not just gambling addiction, they discuss all forms of addiction with experts, academics and researchers from around the world.

Dr Auer on LinkedIn: https://www.linkedin.com/in/michael-auer-51a48a/

Jon Bruford on LinkedIn: https://www.linkedin.com/in/jon-bruford-84346636/

Podcast homepage: https://www.thegamblingfiles.com/addiction/

Media behemoth homepage: https://www.thegamblingfiles.com/

Other podcasts we do:

https://www.thegamblingfiles.com/the-gambling-files/

https://www.thegamblingfiles.com/dessert-island-discs/

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