FFinalistSouthampton · 2027
Psychiatry
AKT · Psychiatry/Substance & behaviourallow yield

Gambling disorder

Overview

Persistent, recurrent problematic gambling causing significant impairment — a behavioural addiction sharing features with substance dependence (preoccupation, tolerance, chasing losses, loss of control, harm).

Recognise

  • Preoccupation; needing to bet more (tolerance); chasing losses
  • Lying about extent; jeopardising relationships/job
  • Restlessness/irritability when cutting down (withdrawal-like)

Red flags

  • High comorbid depression and suicide risk; severe debt/social crisis

Differentials & how to tell them apart

Manic episodegambling occurs only during mania with other manic features
Substance use disordersubstance-driven; may coexist

Investigations

Screening (e.g. PGSI). Assess comorbid mood, substance use and suicide risk.

Management

  1. 1CBT and structured support (e.g. NHS gambling clinics, GamCare). Treat comorbid mental illness.
  2. 2Debt/social support; address suicide risk.
No licensed drug — treat comorbid depression/anxiety; manage suicide risk

Key points

Strong association with depression and suicide — always screen.

Monitor & prognosis

Gambling behaviour, mood, suicide risk, financial/social harm.

Relapsing; CBT helps.

Source: ICD-11; NHS gambling services