short-term chasing behavior and loss of control) that do not meet the full criteria for Pathological Gambling.

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). Alternatively, an individual with Pathological Gambling may exhibit behavior during a gambling binge that resembles a Manic Episode. However, once the individuals is away from the gambling, these manic-like features dissipate. Problems with gambling may occur in individuals with Antisocial Personality Disorder; if criteria are met for both disorders, both can be diagnosed.

Diagnostic Criteria for 312.31 Pathological Gambling
  1. Persistent and recurrent maladaptive gambling behavior as indicated by five (or more) of the following:
  • (1)  

    is preoccupied with gambling (e.g., preoccupied with reliving past gambling experiences, handicapping or planning the next venture, or thinking of ways to get money with which to gamble)

  • (2)  

    needs to gamble with increasing amounts of money in order to achieve the desired excitement

  • (3)  

    has repeated unsuccessful efforts to control, cut back, or stop gambling

  • (4)  

    is restless or irritable when attempting to cut down or stop gambling

  • (5)  

    gambles as a way of escaping from problems or of relieving a dysphoric mood (e.g., feelings of helplessness, guilt, anxiety, depression)

  • (6)  

    after losing money gambling, often returns another day to get even ("chasing" one's losses)

  • (7)  

    lies to family members, therapist, or others to conceal the extent of involvement with gambling

  • (8)  

    has committed illegal acts such as forgery, fraud, theft, or embezzlement to finance gambling

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