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THE MANUAL MOVED GAMBLING IN WITH ADDICTION
Gambling Disorder Has A Formal Definition In Psychiatry
You Might Think Addiction Needs A Substance
Not Always
Gambling Is Listed In Addiction Chapter
Nothing Else There Is A Behaviour
Earlier Editions Listed It With Impulse Control
The Criteria Were Rewritten As Well
This Part Follows The Listing And The Criteria
THIS NEWSLETTER IS FOR INFORMATIONAL PURPOSES ONLY. NOTHING IN THIS CONTENT CONSTITUTES MEDICAL, PSYCHOLOGICAL, OR PROFESSIONAL ADVICE. ALWAYS CONSULT A QUALIFIED HEALTHCARE PROFESSIONAL BEFORE MAKING ANY HEALTH RELATED DECISIONS.
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OKAY BACK FROM THE MANUAL 📕
👇🏻
WHEN IT ENTERED THE MANUAL 📖
The American Psychiatric Association Publishes The Manual
Its Third Edition Appeared In 1980
That Edition Named Pathological Gambling For The First Time
The Name Went Into The Impulse Control Section
Pyromania And Kleptomania Were Listed There Too
Those Are Disorders Of Failing To Resist An Urge
Robert Custer Treated Gamblers Before That Edition
He Had Written About Their Illness For Years
The Committee Had Already Decided To Include Gambling
It Brought Custer In After That Decision
His Contribution Was To Reframe The Condition
Richard Rosenthal Described That Role Directly
Custer Focused On It As An Addiction
He Argued The Condition Followed A Progressive Course
Debt And Family Damage Were Visible Consequences
The Committee Wrote Those Consequences Into The Criteria
That Mirrored How The Manual Treated Substance Use
The Chapter Heading Still Said Impulse Control
Its Criteria Already Described Addiction
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WHAT CHANGED IN 2013 🔀
The Fifth Edition Arrived In 2013
It Moved Gambling Out Of Impulse Control
The New Chapter Was Substance Related And Addictive Disorders
Luke Clark Called That A Major Shift In Thinking
Gambling Was The Only Behaviour In That Category
No Other Behaviour Qualified At The Time
The Diagnostic Threshold Also Changed
Its Predecessor Required Five Of Ten Symptoms
The New One Requires Four Of Nine
One Criterion Was Removed
It Had Described Committing Illegal Acts
Forgery And Theft Had Counted Toward Diagnosis
Removing It Left Nine Criteria
The Name Changed At The Same Time
Pathological Gambling Became Gambling Disorder
That Chapter Now Contains Both Kinds Of Disorder
One Kind Involves A Substance And One Does Not
No Substance Has To Be Consumed To Qualify
The Behaviour Itself Is What Is Diagnosed
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WHAT THE NINE CRITERIA COVER 🧮
A Diagnosis Needs Four Of The Nine Over Twelve Months
Needing Larger Amounts To Feel Excited Is The First
Restlessness When Cutting Down Is The Second
Failed Attempts To Stop Make Up The Third
Preoccupation With Gambling Is The Fourth
Gambling While Distressed Is The Fifth
Returning Another Day To Get Even Is The Sixth
That Behaviour Is Named Chasing Losses
Lying To Conceal It Is The Seventh
A Lost Job Or Relationship Is The Eighth
Relying On Others For Money Is The Ninth
Four Or Five Criteria Count As Mild
Six Or Seven Count As Moderate
Eight Or Nine Count As Severe
A Manic Episode Excludes The Diagnosis
No Criterion Names An Amount Of Money
The List Describes Control And Not Losses
A Small Loss Can Satisfy Several Of Them
One Large Loss On Its Own Satisfies None
