Pathological Gambling in Clinical Psychiatric Practice: A Case Series from a Tertiary Care Setting
Published
Keywords:
Gambling disorder, Behavioral addiction, Online betting, Case series, Impulse control, Psychiatric comorbidityDimensions Badge
Issue
Section
License
Copyright (c) 2026 Shradha Khatri

This work is licensed under a Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License.
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.Abstract
How to Cite
Downloads
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.
References
Most read articles by the same author(s)
- Shradha Khatri, Sunil Goyal, Childhood Sexual Abuse among Adults with First-Episode Depression and Generalized Anxiety Disorder: Comparison with Healthy Controls , Indian Journal of Clinical Psychiatry: Vol. 5 No. 02 (2025): Indian Journal of Clinical Psychiatry
- Shradha Khatri, Phineas of Punjab: A Young Contused Brain , Indian Journal of Clinical Psychiatry: Vol. 5 No. 02 (2025): Indian Journal of Clinical Psychiatry
- Shradha Khatri, The Chemistry of Hope: Ketamine as a Turning Point in a Self-Harm Crisis , Indian Journal of Clinical Psychiatry: Article in Press: 2026
Similar Articles
- Rahul Mathur, Abhishek Chakladar, Anuranjan Vishwakarma, Jawahar Singh, Corpus Callosum Agenesis in a Child with Attention Deficit Hyperactivity Disorder with Prenatal Exposure to Sodium Valproate: A Case Report , Indian Journal of Clinical Psychiatry: Vol. 3 No. 01 (2023): Indian Journal of Clinical Psychiatry
- Shradha Khatri, Phineas of Punjab: A Young Contused Brain , Indian Journal of Clinical Psychiatry: Vol. 5 No. 02 (2025): Indian Journal of Clinical Psychiatry
- Jasdeep Saluja, Successful Management of Polysubstance Dependence Syndrome with Endoxifen – A Case Report , Indian Journal of Clinical Psychiatry: Vol. 5 No. 01 (2025): Indian Journal of Clinical Psychiatry
- Arghya Pal, Discrepancies in the Diagnostic Guidelines Pertaining to Bipolar and Related Disorders , Indian Journal of Clinical Psychiatry: Vol. 2 No. 02 (2022): Indian Journal of Clinical Psychiatry
- Chetan Choudhary, Rishabh Tripathi, Jishi Joshi Joseph, Kalpesh Gaur, Jitendra Jeenger, Longitudinal Effects of Escitalopram on Quality of Life in Drug-Naive Generalized Anxiety Disorder Patients: A Six-Month Prospective Study , Indian Journal of Clinical Psychiatry: Vol. 4 No. 02 (2024): Indian Journal of Clinical Psychiatry
- R. K. Mahendru, A Private Psychiatric Specialty Hospital in Kanpur – Some Initial Experiences , Indian Journal of Clinical Psychiatry: Vol. 1 No. 1 (2021): Indian Journal of Clinical Psychiatry
- Aditi Jain, Abbas Mehdi, Evaluation of Language Dysfunction among Untreated Patients with Psychosis Attending the Psychiatry Inpatient Services of a Tertiary Healthcare Centre from North India: A Cross-sectional Study , Indian Journal of Clinical Psychiatry: Vol. 4 No. 01 (2024): Indian Journal of Clinical Psychiatry
- Sujita K. Kar, Babli Kumari, Amit Singh, Neuromodulation in bipolar disorder: Diversity of evidences & Practice recommendations , Indian Journal of Clinical Psychiatry: Vol. 2 No. 02 (2022): Indian Journal of Clinical Psychiatry
- Ravikant Kumar, Rahul Mathur, Abhishek Chakladar, Anuranjan Vishwakarma, Levetiracetam Induced Acute Suicidal Ideations in a Patient of Juvenile Myoclonic Epilepsy , Indian Journal of Clinical Psychiatry: Vol. 3 No. 02 (2023): Indian Journal of Clinical Psychiatry
- Mohit kumar Shahi mohit, Ashwin J.V, Astha Singh, Dhat Syndrome in Geriatric Population: Cultural Beliefs and Implications , Indian Journal of Clinical Psychiatry: Vol. 3 No. 02 (2023): Indian Journal of Clinical Psychiatry
You may also start an advanced similarity search for this article.



