Answer B. Alcohol dependence
For the DSM-5 diagnosis of gambling disorder, signs and symptoms include classic hallmarks of an addiction syndrome—in this case, alcohol dependence. Symptoms include a preoccupation with gambling, gambling with larger amounts of money over time (akin to tolerance), and agitation when stopping gambling (akin to withdrawal).
Like alcohol dependence, the criteria for gambling disorder also emphasize the negative consequences of gambling, including:
• interpersonal difficulties
• problems at work
• borrowing money
• lying about gambling
• financial debt
Clinicians should note that criminality was dropped as a specific criterion in DSM-5. Homelessness, physical health burden, and suicidal behavior are further corollaries that highlight the ultimately catastrophic downward spiral of gambling disorder.
What is it about these behaviors that enable gambling to yield a power that is comparable to drugs such as cocaine, heroin, and alcohol?
From Impulsivity to Addiction: Gambling Disorder and Beyond, by Luke Clark, PhD, on which this quiz was based.
American Psychiatric Association. What Is Addiction? Related Conditions. 2013.