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Pathological gambling

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.

Review Date: 4/7/2008
Reviewed By: A.D.A.M. Editorial Team: David Zieve, MD, MHA, Greg Juhn, MTPW, David R. Eltz, Kelli A. Stacy, ELS. Previously reviewed by Benjamin W. Van Voorhees, MD, MPH, Assistant Professor of Medicine, Pediatrics and Psychiatry, The University of Chicago, Chicago, IL. Review provided by VeriMed Healthcare Network (7/27/2007).

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