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IPGAP: Indiana Problem Gambling Awareness Program

DSM-IV Pathological Gambling Diagnostic Form
Persistent and recurrent maladaptive gambling behavior as indicated by five (or more) of the following criteria:
IN THE PAST YEAR...

1. Have you often found yourself thinking about gambling [e.g., reliving past gambling experiences, planning the next time you will play or thinking of ways to get money to gamble]?
  • Yes
  • No
2. Have you needed to gamble with more and more money to get the amount of excitement you are looking for?
  • Yes
  • No
3. Have you become restless or irritable when trying to cut down or stop gambling?
  • Yes
  • No
4. Have you gambled to escape from problems or when you are feeling depressed, anxious or bad about yourself?
  • Yes
  • No
5. After losing money gambling, have you returned another day in order to get even?
  • Yes
  • No
6. Have you lied to your family or others to hide the extent of your gambling?
  • Yes
  • No
7. Have you made repeated unsuccessful attempts to control, cut back or stop gambling?
  • Yes
  • No
8. Have you been forced to go beyond what is strictly legal in order to finance gambling or to pay gambling debts?
  • Yes
  • No
9. Have you risked or lost a significant relationship, job, educational or career opportunity because of gambling?
  • Yes
  • No
10. Have you sought help from others to provide the money to relieve a desperate financial situation caused by gambling?
  • Yes
  • No


Score:
Adapted from the American Psychiatric Association Diagnostic Criteria from the DSM IV 1994