Pathological Gambling in Clinical Psychiatric Practice: A Case Series from a Tertiary Care Setting

Published

2026-06-12

Keywords:

Gambling disorder, Behavioral addiction, Online betting, Case series, Impulse control, Psychiatric comorbidity

Dimensions Badge

Issue

Section

Case Series

Authors

  • Shradha Khatri AFMC

Abstract

significant psychological, financial and interpersonal consequences. In recent years, the expansion of online betting platforms and digital gaming applications has increased accessibility to gambling activities, particularly among young adults. Despite these changes, clinical descriptions of gambling disorder in Indian psychiatric settings remain limited. This case series describes five individuals presenting to a tertiary care Psychiatry OPD with features consistent with gambling disorder as defined in the Diagnostic and Statistical Manual of Mental Disorders Fifth Edition Text Revision (DSM-5-TR).

The cases highlight diverse forms of gambling, including online sports betting, fantasy gaming platforms, casino gambling and traditional card betting. Common themes included persistent gambling urges, chasing losses, financial distress, concealment of behavior and comorbid psychiatric symptoms. The cases emphasize the importance of early recognition and integrated management of gambling disorder within routine psychiatric practice.

How to Cite

Khatri, S. (2026). Pathological Gambling in Clinical Psychiatric Practice: A Case Series from a Tertiary Care Setting. Indian Journal of Clinical Psychiatry. Retrieved from https://www.ijocp.com/index.php/IJOCP/article/view/297

Downloads

Download data is not yet available.

References

1. Diagnostic and Statistical Manual of Mental Disorders Fifth Edition Text Revision. American Psychiatric Association; 2022.

2. Potenza MN. The neurobiology of pathological gambling and drug addiction. Philos Trans R Soc Lond B Biol Sci. 2008;363:3181-3189.

3. Calado F, Griffiths MD. Problem gambling worldwide: An update and systematic review of empirical research. J Behav Addict. 2016;5:592-613.

4. Gainsbury SM. Online gambling addiction: The relationship between internet gambling and disordered gambling. Curr Addict Rep. 2015;2:185-193.

5. George S, Murali V. Pathological gambling: An overview of assessment and treatment. Adv Psychiatr Treat. 2005;11:450-456.

6. Lorains FK, Cowlishaw S, Thomas SA. Prevalence of comorbid disorders in problem gambling. Addiction. 2011;106:490-498.

7. Hing N, Nuske E. Help-seeking behavior in problem gambling. Int Gambl Stud. 2012;12:421-439.

8. Ladouceur R, Walker M. Cognitive perspectives on gambling. Psychol Addict Behav. 1996;10:49-59.

9. Cowlishaw S, Merkouris S, Dowling N, et al. Psychological therapies for pathological and problem gambling. Cochrane Database Syst Rev. 2012;11:CD008937.

10. Grant JE, Potenza MN, Hollander E, et al. Multicenter investigation of the opioid antagonist nalmefene in pathological gambling. Am J Psychiatry. 2006;163:303-312.

11. Hodgins DC, Stea JN, Grant JE. Gambling disorders. Lancet. 2011;378:1874-1884.

12. Dowling NA, Merkouris SS, Greenwood CJ. Early risk and protective factors for problem gambling. Clin Psychol Rev. 2017;55:109-121.

Similar Articles

1 2 3 4 5 6 7 8 9 > >> 

You may also start an advanced similarity search for this article.