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Gambling Disorder (Pathological Gambling)

Reviewed 06/2018
 


BASICS

DESCRIPTION

Gambling is the act of placing something of value at risk in the hopes of gaining something of greater value. Pathologic gambling (PG) and problem gambling is often associated with o...

DIAGNOSIS

DSM-5 criteria for gambling disorder (2): 
  • Persistent and recurrent gambling behavior leading to significant impairment or distress as indicated by ≥4 of the following in a 12-month period, A...

TREATMENT

Psychotherapeutic methods, such as cognitive-behavioral therapy (CBT) (3) and motivational interviewing are mainstay of treatment. To achieve successful treatment outcomes, patients must adm...

ONGOING CARE

FOLLOW-UP RECOMMENDATIONS

Patients seeking treatment for gambling addiction should be followed routinely to monitor the response to treatment, tolerance to medications, and relapse. 

PATIENT EDUCATION

REFERENCES

1
Poulin C. Gambling. CMAJ.  2006;175(10):1208. {L-End} [View Abstract on OvidMedline]
2
American Psychiatric Association. Diagnostic and Statistical Manual of Mental Disorders. 5th ed. ...

ADDITIONAL READING

  • Chou KL, Afifi TO. Disordered (pathologic or problem) gambling and axis I psychiatric disorders: results from the National Epidemiologic Survey on Alcohol and Related Conditions. Am...

CODES

ICD10

  • F63.0 Pathological gambling

  • Z72.6 Gambling and betting

ICD9

  • 312.31 Pathological gambling

  • V69.3 Gambling and betting

SNOMED

  • 18085000 compulsive gambling (disorder)

  • 105523009 gambling (finding)

CLINICAL PEARLS

  • Several brief screening strategies can be used to identify PG, including the SOGS, the Gamblers Anonymous 20 questions, and the Lie/Bet method.

  • The use of behavioral and CBTs for patien...

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