Well if you can't stop on a dime for a day or two you have issues.
If you are burning free spins that is different.
I hope that no one is fully out of control, but we all know that some players lose control.
All players need to understand that if you have a problem back off if you can there is always the next day and no particular game or bet is all important. Keep a fun model for yourself not an all or nothing model.
Sadly there are players who can't help themselves. They will lose all their money and then complain how they were tricked or how the casino sent them an email or they saw an ad that they shouldn't have seen because they self-excluded themselves from the casino. It's grasping at straws and shifting the blame at others and looking for excuses. It isn't uncommon to see people like that open scam accusations against casinos on this forum. I have read such faulty accusations.