To diagnose a gambling disorder in a primary care setting, consider assessing the person's gambling history, including when it started, how it has progressed, and the frequency or intensity of gambling activities NICE NG248.
Evaluate the types and locations of gambling activities, as well as the current frequency of gambling (e.g., days per week or hours per day) NICE NG248.
Assess the impact of gambling on mental health, physical health, social functioning, relationships, employment, and involvement in crime NICE NG248.
Use direct questions such as: 'Do you gamble?' or 'Are you worried about your own or another person's gambling?' and consider the person's motivation to change and their reasons for seeking support NICE NG248.
Compare the individual's symptoms with the ICD-11 or DSM-5 criteria for gambling disorder to inform diagnosis NICE NG248.
Additionally, evaluate for comorbidities, safeguarding issues, and immediate needs, which may influence the diagnosis and management plan NICE NG248.