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Appendix B: Diagnostic and Statistical Manual of Mental Disorders Criteria for Pathological Gambling
Pages 273-282

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From page 273...
... Problems that arise as a result of the gambling lead to an intensification of the gambling behavior. Characteristic problems include loss of work due to absences in order to gamble, defaulting on debts and other financial responsibilities, disrupted family relationships, borrowing money from illegal sources, forgery, fraud, embezzlement, and income tax evasion.
From page 274...
... During a manic or hypomanic episode loss of judgment and excessive gambling may follow the onset of the mood disturbance. When manic-like mood changes occur in Pathological Gambling they typically follow winning.
From page 275...
... The gambling is not due to Antisocial Personality Disorder. CRITERIA FROM THE 1987 DSM-III-R Impulse Control Disorders Not Elsewhere Classified: Pathological Gambling The essential features of this disorder are a chronic and progressive failure to resist impulses to gamble, and gambling behavior that compromises, disrupts, or damages personal, family, or vocational pursuits.
From page 276...
... Characteristic problems include extensive indebtedness and consequent default on debts and other financial responsibilities, disrupted family relationships, inattention to work, and financially motivated illegal activities to pay for gambling. Associatedieatures.
From page 277...
... During a manic or hypomanic episode, loss of judgment and excessive gambling may follow the onset of the mood disturbance. When manic-like mood changes occur in Pathological Gambling, they are generally related to winning streaks, and they are usually followed by depressive episodes because of subsequent gambling losses.
From page 278...
... that disrupts personal, family, or vocational pursuits. The diagnosis is not made if the gambling behavior is better accounted for by a Manic Episode (Criterion B)
From page 279...
... Of individuals in treatment for Pathological Gambling, 20% are reported to have attempted suicide. Specific Culture and Gender Features There are cultural variations in the prevalence and type of gambling activities (e.g., pal go, cockfights, horse racing, the stock market)
From page 280...
... Differential Diagnosis Pathological Gambling must be distinguished from social gambling and professional gambling. Social gambling typically occurs with friends or colleagues and lasts for a limited period of time, with predetermined acceptable losses.
From page 281...
... Loss of judgment and excessive gambling may occur during a Manic Episode. An additional diagnosis of Pathological Gambling should only be given if the gambling behavior is not better accounted for by the Manic Episode (e.g., a history of maladaptive gambling behavior at times other than during a Manic Episode)
From page 282...
... relies on others to provide money to relieve a desperate financial situation caused by gambling B The gambling behavior is not better accounted for by a Manic Episode.


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