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Type the code shown:. The diagnosis of a mental disorder is not equivalent to a need for treatment. Workshop sponsored by the American Psychiatric Association and the Arizona Psychiatric Society. Did you continue to gamble despite having lost your life savings or house due to gambling? You may need frequent access to casinos or online gambling pools.We sought to examine the familiality of pathological gambling and determine patterns of familial aggregation of disorders. We assessed probands with DSM - IV pathological gambling, controls, and their first-degree relatives. Diagnosis. Pathological gambling disorder is more likely to be diagnosed when the affected person's spouse or family becomes concerned than to be self-reported. The professional handbook, the Diagnostic and Statistical Manual of Mental Disorders , fourth edition, text revision, or DSM - IV -TR. Pathological gambling is a common disorder that is associated with both social and family costs. One frequently used screening measure based upon the DSM - IV criteria is the National Opinion Research Center DSM Screen for Gambling Problems (NODS).