It is estimated that only up to 20% of individuals experiencing problem gambling seek help, and only about half of those who connect with formal support will complete treatment. To determine predictors of dropout among persons in gambling treatment, the present study analyzed intake data from state-funded gambling treatment admissions. To gain insight into client motivation for premature termination, researchers conducted interviews with individuals who abruptly stopped attending treatment. Findings and implications for gambling treatment providers are discussed, including proposed strategies to improve retention rates.