4 Finally, pathological gambling may be viewed as a stand-alone impulse control disorder with unique characteristics, disease course, and pathophysiology.Īccording to current DSM-IV criteria, pathological gambling is characterized by continued gambling despite harmful consequences. 3 Another possibility is to view pathological gambling as an obsessive-compulsive spectrum disorder because of the shared symptoms of preoccupation tension and repetitive, almost ritualistic behaviors. One viewpoint is to include pathological gambling as an addictive disorder because both conditions share core features-namely, loss of control in the face of adverse consequences. There is an ongoing debate as to where to include pathological gambling in DSM-V. As a result, clinicians may not recognize the signs and symptoms of pathological gambling and may lack the training and experience to provide state-of-the-art treatment.ĭSM-IV lists pathological gambling in the section on impulse control disorders. Screening and treatment for pathological gambling-otherwise known as compulsive gambling, gambling addiction, or disordered gambling-is not generally taught in medical school, during psychiatry residency, or during training for mental health or substance abuse counselors. 2 This prevalence is similar to that of schizophrenia and bipolar disorder, yet pathological gambling often goes unrecognized by most health care providers. Beyond this, approximately 1% to 2% of the population currently meets criteria for pathological gambling. 1 The majority of people who gamble do so socially and do not incur lasting adverse consequences or harm.
Surveys show that approximately 60% of the general population has gambled within the past 12 months. Gender Differences Should Be Considered in Treatment of Addiction
Psychiatric Comorbidity Associated With Pathological GamblingĬlinical Assessment and Management of Pathological Gambling
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