586 Substance-Related and Addictive Disorders
Specify if:
Episodic:  Meeting diagnostic criteria at more than one time point, with symptoms sub-
siding between periods of gambling disorder for at least several months.
Persistent:  Experiencing continuous symptoms, to meet diagnostic criteria for multiple
years.
Specify if:
In early remission:  After full criteria for gambling disorder were previously met, none
of the criteria for gambling disorder have been met for at least 3 months but for less
than 12 months.
In sustained remission:  After full criteria for gambling disorder were previously met,
none of the criteria for gambling disorder have been met during a period of 12 months
or longer.
Specify current severity:
Mild:  4–5 criteria met.
Moderate: 6–7 criteria met.
Severe:  8–9 criteria met.
Note:  Although some behavioral conditions th at do not involve in gestion of substances
have similarities to substance-related disorders, only one disord er—gambling disorder—
has sufficient data to be included in this section.
Specifiers
Severity is based on the number of criteria endorsed. Individuals with mild gambling dis-
order may exhibit only 4–5 of the criteria, with  the most frequently endorsed criteria usu-
ally related to preoccupation with gamb ling and “chasing” losses. Individuals with
moderately severe gambli ng disorder exhibit more of the criteria (i.e., 6–7). Individuals
with the most severe form will exhibit all or mo st of the nine criteria  (i.e., 8–9). Jeopardiz-
ing relationships or career o pportunities due to gambling and relying on others to provide
money for gambling losses are typically the least  often endorsed criteria and most often oc-