Diagnostic Considerations
A basic powerpoint on diagnostic considerations for Gambling Use Disorder is available on Slide Share at:
http://www.slideshare.net/drleighholman/diagnostic-considerations-gambling-use-disorder
http://www.slideshare.net/drleighholman/diagnostic-considerations-gambling-use-disorder
The DSM 5 has for the first time recognized non-substance use addictive disorders by including Gambling Disorder in the same chapter with SUDs.
312.31 (F63.0) Gambling Disorder (DSM 5, p. 585-589)
A. Persistent and recurrent problematic gambling behavior leading to clinically significant impairment or distress, as indicated by the individual exhibiting four (or more) of the following in a 12-month period:
1.Needs to gamble with increasing amounts of money in order to achieve the desired excitement. (tolerance)
2.Is restless or irritable when attempting to cut down or stop gambling. (withdrawal)
3.Has made repeated unsuccessful efforts to control, cut back, or stop gambling. (Loss of control/compulsion)
4.Is often preoccupied with gambling (e.g., having persistent thoughts of relieving past gambling experiences, handicapping or planning the next venture, thinking of ways to get money with which to gamble). (obsession)
5.Often gambles when feeling distressed (e.g., helpless, guilty, anxious, depressed). (emotion regulation)
Impaired Functioning
6. After losing money gambling, often returns another day to get even (“chasing” one’s losses).
7. Lies to conceal the extent of involvement with gambling.
(Criteria 8 and 9 are least endorsed – usually most severe cases)
8. Has jeopardized or lost a significant relationship, job, or educational or career opportunity because of gambling.
9. Relies on others to provide money to relieve desperate financial situations caused by gambling.
B. The Gambling Behavior is not better explained by a manic episode.
Episodic:
Meets Diagnostic Criteria at more than one time point
Symptoms subsiding between episodes for several months
Or Persistent:
Continuous symptoms for multiple years
In Early Remission
After diagnosis, none of the criteria have been met between 3 and 12 months
or In Sustained Remission
After diagnosis, none of the criteria met 1 year or longer
Severity Level
Mild: 4-5 criteria met
Moderate: 6/7 criteria met
Severe: 8/9 criteria met
“Those presenting for treatment most often are at the moderate to severe level of severity” (p. 586).
312.31 (F63.0) Gambling Disorder (DSM 5, p. 585-589)
A. Persistent and recurrent problematic gambling behavior leading to clinically significant impairment or distress, as indicated by the individual exhibiting four (or more) of the following in a 12-month period:
1.Needs to gamble with increasing amounts of money in order to achieve the desired excitement. (tolerance)
2.Is restless or irritable when attempting to cut down or stop gambling. (withdrawal)
3.Has made repeated unsuccessful efforts to control, cut back, or stop gambling. (Loss of control/compulsion)
4.Is often preoccupied with gambling (e.g., having persistent thoughts of relieving past gambling experiences, handicapping or planning the next venture, thinking of ways to get money with which to gamble). (obsession)
5.Often gambles when feeling distressed (e.g., helpless, guilty, anxious, depressed). (emotion regulation)
Impaired Functioning
6. After losing money gambling, often returns another day to get even (“chasing” one’s losses).
7. Lies to conceal the extent of involvement with gambling.
(Criteria 8 and 9 are least endorsed – usually most severe cases)
8. Has jeopardized or lost a significant relationship, job, or educational or career opportunity because of gambling.
9. Relies on others to provide money to relieve desperate financial situations caused by gambling.
B. The Gambling Behavior is not better explained by a manic episode.
Episodic:
Meets Diagnostic Criteria at more than one time point
Symptoms subsiding between episodes for several months
Or Persistent:
Continuous symptoms for multiple years
In Early Remission
After diagnosis, none of the criteria have been met between 3 and 12 months
or In Sustained Remission
After diagnosis, none of the criteria met 1 year or longer
Severity Level
Mild: 4-5 criteria met
Moderate: 6/7 criteria met
Severe: 8/9 criteria met
“Those presenting for treatment most often are at the moderate to severe level of severity” (p. 586).