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Why should physicians recognize compulsive gambling?
1Department of Psychiatry, Loyola University Stritch School of Medicine, Maywood, IL 60153.
Insights
Compulsive gambling is a chronic illness characterized by poor impulse control. Early detection and treatment by primary care physicians can mitigate significant psychological, social, and financial harm.
Area of Science:
- Medicine
- Psychiatry
- Public Health
Background:
- Compulsive gambling is now recognized as a distinct primary illness.
- It is a chronic condition often presenting with poor impulse control.
- Primary care physicians are likely to encounter patients with this disorder.
Purpose of the Study:
- To highlight the importance of recognizing compulsive gambling in primary care settings.
- To outline recommended diagnostic and therapeutic approaches for compulsive gambling.
- To emphasize the treatable nature of the illness and the benefits of early intervention.
Main Methods:
- Comprehensive patient history focusing on functional impairment due to gambling.
- Physical examination to identify coexisting conditions like cardiovascular disease and substance abuse.
- Review of established diagnostic criteria and therapeutic options for compulsive gambling.
Main Results:
- Diagnostic criteria for compulsive gambling are available.
- Various therapeutic options exist for managing the condition.
- Early identification and intervention are crucial for better patient outcomes.
Conclusions:
- Compulsive gambling is a treatable chronic illness requiring physician awareness.
- Thorough assessment including history and physical examination is recommended.
- Prompt diagnosis and treatment can prevent severe psychological, emotional, social, and financial damage.
Abstract:
Compulsive gambling, which was recently recognized as a separate and primary illness, is a chronic disease that has as one of its facets poor impulse control. The illness is likely to be encountered by primary care physicians who look for it. A complete history, focusing on the destructive impact of gambling on the person's ability to function, and physical examination, including a search for coexisting cardiovascular disease and alcohol or substance abuse, are recommended for these patients. Diagnostic criteria have been described and shown in table form, as have therapeutic options. This condition is treatable, and the earlier it is discovered, the less damage will be done to the psychological, emotional, social, and financial well-being of the patient.