gambling

How to Recognize Pathological Gambling

The DSM IV (the American Psychiatric Association's Diagnostic and Statistical Manual of Mental Disorders) classifies compulsive gambling as an impulse control disorder and lists ten behaviors to guide psychotherapists in their diagnoses. These behaviors include preoccupation, tolerance, withdrawal, escape, lying, loss of control, and risking significant relationships, among others, due to gambling. Again, an accurate diagnosis is usually dependent on gamblers being forthcoming about their behaviors, for, as noted above, gamblers are prone to misrepresent their activities, motivations, and gambling losses. So, a pathological gambler will exhibit — but not necessarily admit to — at least five of the following ten behaviors:

  • Is preoccupied with gambling (i.e., preoccupied with reliving past gambling experiences, handicapping or planning the next venture, or thinking of ways to get money with which to gamble).
  • Needs to gamble with increasing amounts of money in order to achieve the desired excitement.
  • Is restless or irritable when attempting to cut down or stop gambling.
  • Gambles as a way of escaping from problems or relieving dysphoric mood (e.g., feelings of helplessness, guilt, anxiety, or depression).
  • After losing money gambling, often returns another day in order to get even ("chasing one's losses").
  • Lies to family members, therapists, or others to conceal the extent of involvement with gambling.
  • Has made repeated unsuccessful efforts to control, cut back, or stop gambling.
  • Has committed illegal acts (e.g., forgery, fraud, theft, or embezzlement) in order to finance gambling.
  • Has jeopardized or lost a significant relationship, job, or educational or career opportunity because of gambling.
  • Has relied on others to provide money to relieve a desperate financial situation caused by gambling. 1
1 National Gambling Impact Study Commission Report, June 1999, p. 4-2.

Background Information

Compulsive and Problem Gambling: A National Problem
An addiction to games of chance has become a widespread epidemic in America.

Gambling and Kids
Not only is gambling legal, for the first time in modern American history, it's being promoted as family entertainment.

Gambling's Impact on Families
Casino owners want you to think gambling is a benign activity. Here's what they don't want you to know.

Questions and Answers

What role does denial play in the life of the compulsive gambler?
Answer

I am married to a compulsive gambler and have heard the expression "enabler." Could you help me determine if I am an enabler?
Answer

Review Frequently Asked Questions

Stories

His Ticket Home: A Gambler's Story
After struggling for years with an addiction to gambling, my brother eventually found redemption. Here's his story.

If you've been through a experience related to this topic, we invite you to share your story with others.
Share Your Story

Other Things to Consider

God and Gambling
What does the Bible say about gambling?

Filling the Holes in Our Souls
When harmless "hobbies" become compulsions, it may be time to take a closer look at the emotional deficits in our lives.

Life Pressures: Workaholism

Parenting Teens Drugs and Alcohol, Eating Disorders, Internet Concerns

Relationships:  Anger