Alternative Names
Gambling - compulsive; Compulsive gambling; Addictive gambling
Symptoms
People with pathological gambling often feel ashamed and try to avoid letting others know of their problem. The American Psychiatric Association defines pathological gambling as having 5 or more of the following symptoms:
- Spending a lot of time thinking about gambling, such as past experiences or ways to get more money with which to gamble
- Needing to gamble larger amounts of money in order to feel excitement
- Having had many unsuccessful attempts to cut back or quit gambling
- Feeling restless or irritable when trying to cut back or quit gambling
- Gambling to escape problems or feelings of sadness or anxiety
- Gambling larger amounts of money to try to make back previous losses
- Lying about the amount of time or money spent gambling
- Committing crimes to get money to gamble
- Losing a job, relationship, or educational or career opportunity due to gambling
- Needing to borrow money to get by due to gambling losses
Exams and Tests
A psychiatric evaluation and history can be used to diagnose pathological gambling. Screening tools such as the Gamblers Anonymous 20 Questions can help with the diagnosis.
References
Pathological Gambling (DSM-IV-TR #312.31). Moore DP, Jefferson JW, eds.
Handbook of Medical Psychiatry. 2nd ed. St. Louis, Mo: Mosby; 2004:chap 132.