For which of the following psychiatric disorders should those with a gambling disorder be assessed? (select all that apply)

• A. SUD
• B. ADHD
• C. SUD, ADHD, Manic episodes, and PTSD
• D. PTSD

Answer: (C)

Gambling disorder often occurs alongside other psychiatric conditions, so a thorough assessment should screen for co-occurring SUD, ADHD, manic episodes, and PTSD. Substance use disorders are commonly seen with gambling problems because of shared features like impulsivity and a heightened reward-seeking drive; identifying SUD is essential since it jointly influences treatment planning, safety, and relapse risk. ADHD contributes to impulsivity and difficulties with self-control and planning, which can fuel gambling behavior and complicate adherence to treatment. Manic episodes bring heightened energy, risk-taking, and impaired judgment, which can escalate gambling activity and affect decisions about medications and safety. PTSD can underlie gambling as a coping mechanism for trauma symptoms and can impact engagement with treatment and overall prognosis. Because these conditions frequently co-occur and each can alter how gambling disorder presents and is treated, the comprehensive approach is to assess for all of them.