Pathological Gambling

From WikiLectures

Belongs to the group of F63: Habit and impulse disorder

Definition[edit | edit source]

  • Internal compulsion to gamble despite negative consequences
  • try to stop often times without success

Epidemiology[edit | edit source]

  • m > w, can happen in any age group
  • Often occurs in conjunction with other psychiatric disorders (antisocial personality disorder, depressive disorder, bipolar disorder, and substance use disorders)

Etiology[edit | edit source]

  • multifactorial (i.e. genetic, neurochemical abnormalities, environment)

Diagnosis according to the clinical criteria of the DSM V[edit | edit source]

  • need 4 or more over a 12 month period
  • Criteria
    • Using increasing amounts of money to gamble
    • Relying on others for financial support to maintain habit
    • Restlessness or irritability when attempting to stop gambling
    • Constant preoccupation with gambling
    • Continuous gambling in an attempt to undo losses (“chasing one's losses”)
    • Jeopardizing relationships or careers as a result of gambling
    • Numerous failed attempts to quit gambling
    • Lying to others to conceal the extent of gambling
    • Gambling when feeling helpless, guilty, anxious or depressed

DDx:[edit | edit source]

  • excessive gambling by manic patients (F30.-)
  • gambling and betting NOS (Z72.6)
  • gambling in dissocial personality disorder (F60.2)

Treatment[edit | edit source]

  • Psychotherapy > Pharmacotherapy
    • Gamblers Anonymous
    • CBT
    • Pharmacotherapy is being researched
    • Treat psychiatric conditions (e.g. bipolar disorder)

Prognosis:[edit | edit source]

  • 1/3 recover without treatment