(p. 107) Diagnostic Interview on Pathological Gambling
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Section 1: Motive of Consultation
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Section 2: Games That Lead to a Partial or Complete Loss of Control
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Section 3: Information on the Development of Gambling Habits
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Section 4: Information on Current Gambling Problem
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Section 5: DSM-IV Diagnostic Criteria
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Section 6: Consequences of the Gambling Problem
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Section 7: Suicidal Ideation
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Section 8: Current Living Conditions
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Section 9: Other Dependencies (Present or Past)
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Section 10: Mental Health—Prior Experiences
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Section 11: Strengths and Available Resources
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Section 12: Comments
Date _____/_____/_____
Month Day Year
Participant _______________
Therapist _______________
© Centre québécois d’excellence pour la prévention et le traitement du jeu
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Section 1: Motive of Consultation
Section 2: Games That Lead to a Partial or Complete Loss of Control
Section 3: Information on the Development of Gambling Habits
Section 4: Information on Current Gambling Problem
Section 5: DSM-IV Diagnostic Criteria
Section 6: Consequences of the Gambling Problem
Section 7: Presence of Suicidal Ideation
Section 8: Current Living Conditions
Section 9: Other Dependencies (Current and Past)
Section 10: Presence of Prior Mental Health Problems