Can you play winning poker if your mood is depressed?

Can you play winning poker if your mood is depressed?

I ran cold for 2 weeks, playing a lot of poker while recovering from surgery, about 25 hrs per week.
Then, at the end of the run, I got some bad news, diagnosed with cancer, though it's not a bad cancer, and I won't need any chemo or radiation. The surgery I had is enough. I'm not going to die or get sick anytime soon.
But my mood is definitely lower than usual now, it's lasted about a week and a half, but I'm not clinically depressed.
But I'm continuing to run cold/bad at poker. October ended up being my 2nd losing month of 2025. After the news, I had 3 huge losing sessions. Now I am just up and down and not getting back to consistent winning sessions. This cold/bad run is now 3.5 weeks long.
I'm paying people off on the river when I should fold. Am I running bad or is my mental state affecting my play?
Probably some of the latter. But I don't want to take a break from playing. I want to play my way out of this slump.

03 November 2025 at 03:20 PM
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29 Replies


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I think you're touching on some pretty insightful stuff in your post. I guess I would ask yourself what your motivations are for playing poker and how is it affecting you? Are you depressed due to life circumstances and poker is basically a neutral or positive influence? In that case I don't think it's bad to just play through it, while also taking time to take care of yourself and do other things.

I do think it's still possible to play well even if you're at a bit of a low point. Of course you'll want to stay aware of your mental state and not play if you're too tilted or distracted or whatever. Also though don't beat up on yourself for making some mistakes when you understandably have a lot on your mind.

On the other hand I think poker can also turn into a sort of avoidance mechanism when you're depressed. It can be something you do instead of engaging with life. If that's the case it could be healthier to step away from the game for a bit (or just play less).

Anyway it sounds like you're going through a tough time and there are no easy answers for that. Try to give yourself some grace to not have to respond perfectly.


My mood isn't particularly depressed at this time, but it's a bit subdued. Particularly so while playing poker because I am still running pretty flat. Even when I win a several hundred bucks, I don't get too excited, not after I dropped a few thousand in October. I am still grinding out the hours though, trying play my best. Probably playing at a B+ level over the past 20 hrs.


Sorry to hear of your diagnosis, OG. But happy to hear it's not more serious.

Don't know if this helps, but my view is that more important than whatever's going on in our lives is our ability to mentally compartmentalize and stop ourselves from becoming mired in negative thoughts.

It's easier said than done, obviously. But I would point out that surely there have been times in your life when you suffered some setback, and yet you were still able to perform at your job, or maintain stable relationships with the important people in your life, simply because you didn't let the disappointment you felt infect other aspects of your life.

Poker can easily become a dark obsession, and it's an unfortunate truth that even the best players go through downswings. If you find that you're struggling to enjoy playing, either because of what's going on in your life away from the table, or because of a downswing, perhaps take a break from playing for a while, and instead use that time to do something more uplifting.


Doing what one's thinkign is saying; I don't see a problem with depression. I do see a problem if one is not settled, something bothering, disturbing, taking away capacity. Additionally, one can be too hot or cold because of too much or too little play or mental activity, especially when it comes to poker. The depression itself may not be the problem, but what it contains, that might limit one's ability, objectivity, feel.


Well, I've never been really depressed, but from time to time my mood is bad because of some life events. And well, I can play, but I play worse. I can make some mistakes which are not typical for me, and just in general, I didn't enjoy the game that much. So that's why for me it's better to wait some time with no games.


I think I've hit a ceiling in poker. It's the ceiling of how much poker can add to my life.

Throughout the stretch of my last 1200 hrs, I've consistently hovered between 9-11 BB/hr, so I don't think there is any more upside in my win rate.

Playing up in stakes is not going to be any better, because even if I win at a higher hourly rate, it's not enough money to make a difference. Plus, the downswings will be more unpleasant.

I don't think I'll significantly improve at poker without dedicated studying time with a solver, and that's just not that enjoyable to me.

Time passes too quickly in the poker room. When I run bad or run cold and 6 hours fly by in the pokerroom, I'll sometimes think "My god, that was not worth it."

Poker is for sure fun, but the enjoyment is tempered by downswings, bad beats, cold streaks, and these are unavoidable.

I'm going to stop chasing poker in search of a higher win rate. There is no goal left for me to chase (more fun, more wins, more excitement, more skill, etc.) I love poker, but I well understand all that it is, and it's not going to ever be more than that.

I've played 700 hrs in 2025. Maybe my goal for 2026 will be to keep my total hours under 400.


Ouch.

Are you on medication?


Gambling and mental conditions often do not go hand in hand.


by OGfromOCC

I think I've hit a ceiling in poker. It's the ceiling of how much poker can add to my life.Throughout the stretch of my last 1200 hrs, I've consistently hovered between 9-11 BB/hr, so I don't think there is any more upside in my win rate. Playing up in stakes is not going to be any better, because even if I win at a higher hourly rate, it's not enough money to make a difference

I'm no mental health expert, but this post reads like you get no enjoyment from things you usually enjoy (like poker) and are feeling a lack of hope and motivation.

Your post really sounds a lot like depression (if not clinical depression it could be minor depression, which is also treatable with therapy and/or medication).

I think, if for no other reason than your diagnosis with the C word, it would likely be beneficial for you to get some professional mental health support.

You understand your own situation better than I do, but just reading your last post it really doesn't sound like poker is the root of the problem. It sounds more like depression and anhedonia (associated with depression) are affecting your life and enjoyment of poker. I could be wrong about that, but with depression the tendency can be to withdraw from normally enjoyable activities (and sometimes even withdraw from seeking help).

You're going through a lot. I encourage you to get some professional help.

As for the poker, it'll still be there if you do take a break. With poker specifically sometimes all it takes is a new format to reignite your passion for the game. Anyway good luck!


Thank you for the consideration and suggestions. No, I am not on medication, and I am not clinically depressed, and don't have any diagnosable mental health condition.

I still enjoy things, such as watching the NFL playoffs, going snowboarding, eating good food. Running cold for sessions and sessions sucks for poker though.

2025 was a fun year where I did a lot of things on my modest "bucket list". I do feel a bit like there isn't much that gets me super excited now, a little "been there done that", but it's ok, I am very grateful for the life I have.

I do think I am not as mentally sharp as I have been at my most recent peak, which could be from my recent surgery, or just natural fluctuations that happen. And my mood is not at an all-time high. If my highest sustainable level of overall brain function is 100, with clinical depression and multiple impairments diagnosed at a threshold of say 70, I'm probably operating at about 90 right now. I bring this up because I was watching a Hungry Horse coaching video last night and wasn't doing great with my range analysis and building a decision tree. And I haven't been super articulate at work this week. I'm in my early 50's, so some of this I think can just be stage of life.


And to answer the question.

Yes, I think you can win at poker if your mood is depressed!

Are you a cash player?

Maybe try an event?!


I play cash games pretty much exclusively. Tournaments take too long, I can't fit them in my schedule.

My mood has improved. One sign is that when I listen to my favorite music, I can get immersed in it again, whereas a few weeks ago it would often just be a background soundtrack.

Another sign is that the bad beats and cold stretches are not as irritating as they were.

Still running cold/bad though, which sucks. Losing months in October, December, and so far in January too, though not big losses. (January 2025 thru Sept 2025, I had only 1 losing month).

I admit, I haven't been on my A game, but I think my B game is still profitable in the long run.


Ive dealt with mental issues and struggled to play. What i've found is its more common than you think especially the more you've been playing.

I think its important to deal with the mental issues first, however its more about how much you can handle while getting through the mental issues. Moreover overall you should only play as much as you can handle even without mental issues and add incrementally if you want to play more.


I agree. Dealing with mental issues first is paramount. If not, then you can fall into a loop where your mental state negatively affects your game performance, which affects your mental state...


ChatGPT anallyzed my January journal entries, and here is its verdict:

===
If I had to summarize in one sentence:

You’re in a low-vitality, high-functioning, reflective state, marked by muted pleasure, physical drag, poker-related demoralization, and moral fatigue — but with preserved insight, stability, and values.

Clinically, this sits closest to:

Adjustment + fatigue

Post-stress flattening

Early burnout, not full burnout

====

Poker is a bit of a downer these days, because I am not having the usual frequency of winning sessions that provide fun and excitement.
The state of our federal government is also a downer.


I'd be careful of using Chat GPT as a psychologist.


Yes, I understand.

On the scale of tilted to depressed, I am much closer to tilted than depressed.

And on the scale of broke to rich, I am moving closer to broke though still far away from it. (Recent results: October -$3k, Nov +$5.2k, Dec -$1k, Jan -$3.8k)

But getting back to the topic of Poker Strategy > Psychology, I do think I am in a mental state where poker is not as exciting or fun and as a result I don't play as well. Perhaps because I am not as motivated. My main leak right now is paying people off too much. I haven't made a good river fold in forever. Maybe this is akin to trying too hard not to lose pots. Anyway. I might just finish out the last few days of January playing as usual, and then take a "dry" February. Meaning no poker in February. That said I do have the opportunity to go to Vegas for a work conference in February, and if I go, I'll definitely have to play a lot of poker there.

I don't want to seem to be trying to prove that my mood around poker can be different without being clinically depressed, or that I am not clinically depressed despite what I've posted above, but here is some of what I am doing in my life: I swam 3200 yards in the pool yesterday. I ran 6 miles on Saturday, I lifted weights on Sunday and Monday. I walk my dog every day in the moring,and then in the evening with my wife. I go out to dinner with my family a couple times per week. I am going to work as usual. My 21 year old son is a poker whiz and we continue to have fun conversations about his poker hands.

by Tilted and Broke

I'd be careful of using Chat GPT as a psychologist.


by Tilted and Broke

I'd be careful of using Chat GPT as a psychologist.

I agree with this. To an extent chat GPT is just going to mirror your own thoughts back to you. Those algorithms are also being tweaked so they don't get sued. I've noticed a clear trend where the more recent iterations of chat GPT tend to give more sanitized/politically correct responses.

OG, you said in your previous post that your brain is maybe operating slightly below it's maximum efficiency, but still well above the level of clinical depression (paraphrasing). That may be true, but for example if you could go to a few therapy sessions and it improved your situation by 5%... Wouldn't that potentially be a good investment into your health and well being?

Just something to think about. It seems to me that there's probably value to be gained here. If nothing else it could be valuable to explore how different aspects of your life are affecting each other. Ie: What is the relationship between your emotional situation and other aspects of your life such as your diagnosis, poker, and your habits?

Anyway best wishes for you.


I agree with you about ChatGPT, and one of the most annoying things about it is how it's so overly complimentary and positive, even fawning towards the user.

I have met a couple times this year with an old experienced psychiatrist/therapist. The first visit was in April, to talk poker. The second visit was in November to talk poker and briefly the cancer diagnosis. I have received his blessing =) . He's very good but he is quite expensive. I honestly wouldn't mind having a good therapist to chat with, but the good ones are expensive and so looking at the combination of my needs/the benefit of therapy, the time cost, and the money cost, it's not postive EV for me right now.

Btw, it turns out this cancer I got is a weird rare lymphoma. I saw a lymphoma specialist at a fancy university hospital, and he said he expects it to be "not really a medical problem" in my lifespan. Meaning, even if it recurs, it shouldn't be too big of problem. Lucky to have this type of cancer, but maybe unlucky to have lost a lung lobe that might have not been necessary to be removed.

by GreatWhiteFish

I agree with this. To an extent chat GPT is just going to mirror your own thoughts back to you. Those algorithms are also being tweaked so they don't get sued. I've noticed a clear trend where the more recent iterations of chat GPT tend to give more sanitized/politically correct responses.OG, you said in your previous post that your brain is maybe operating slightly below it's


by OGfromOCC

I agree with you about ChatGPT, and one of the most annoying things about it is how it's so overly complimentary and positive, even fawning towards the user.I have met a couple times this year with an old experienced psychiatrist/therapist. The first visit was in April, to talk poker. The second visit was in November to talk poker and briefly the cancer diagnosis. I have recei

It sounds like your path has taken a more positive turn! I'm glad to hear you got some feedback, and especially about the news that your diagnosis is not a death sentence!

One last thing that might be helpful. I don't know what your medical insurance situation is, but if you purchase a plan through the marketplace it can be worthwhile to explore your options.

I used to be on a plan that was practically useless unless you had something major happen, because you had to pay for doctors appointments and therapist appointments all out of pocket until you hit your (high) deductible.

I found a better plan, and now I just have a reasonable copay even before I hit my deductible. It makes all the difference to enable me to proactively address any health issues. Granted my new plan is more expensive, but I see a lot of value in tilting that EV equation in favor of encouraging myself to seek care when necessary.

Anyway glad to hear things are looking up for you!


I think you can

I also think 'depressed', or whatever other label you want to put on the experience you're having means different things to different people

What's important is you're able to accept and be with whatever experience you're having fully, without needing it to be any different.

It's when we're not OK with what we have going on that we do things we later regret.

Afterwards we label it tilt, sabotage, autopilot, whatever else people come up with.

What is actually happening in the moment though, is you lose awareness of yourself, lose presence, and end up making decisions you regret.

Calling rivers is one of the most common.

Winning feels good, and you can't win if you fold.

When you're feeling good, folding tends to feel much easier, because you're in total acceptance of that good feeling, and don't need anything to change.

Learn to stay present and accept the feelings you don't like as well, and you still be able to fold rivers with the same ease.

Feel free to DM me if you want to talk more about this stuff, or add me on discord: robbie_kohler


One of the best online poker players in America has shared in private with me that he has a bad case of bipolar, lives in hotels, and is an alcoholic.

Whenever I fail at poker while depressed (almost always. i even recently quit) I think about that guy and how amazing and likely unique he is.

For me, poker takes a very high level of concentration. I can do almost everything in my life while mildly depressed, but I just cannot play good poker.


by OGfromOCC

I don't think I'll significantly improve at poker without dedicated studying time with a solver, and that's just not that enjoyable to me.

In my experience, the best players have generally enjoyed the process of studying a lot. Some enjoyed it more than they liked playing.

For me, I like that when I’m studying these boring, dry GTO rabbit holes, my opponents aren’t. And there’s a satisfying feeling when you can implement a robust strategy that is a level beyond where another reg has gotten to.

You said a higher hourly won’t make a difference, but that’s inaccurate. There is a point where it definitely would. Whether it’s $10/hr more or $30/hr more.

But if studying and working hard on your game isn’t your thing, regs putting in the work will own you, and fish are a lot more competent these days.

No shame in poker just being a fun side hustle/ hobby.


Only if I win. Nothing depresses me more than losing.

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