
Drug, Alcohol, and Gambling Addictions: Similarities and Differences
In this article, Dr. Rory Reid explores the nuanced relationship between substance use and gambling disorders, highlighting that while the DSM-5 officially groups them together, it
uniquely omits “craving” as a formal diagnostic criterion for gambling. This omission stems from conceptual differences—where gambling cravings are viewed as more psychological than biological—as well as concerns regarding diagnostic redundancy and measurement challenges. Despite this technical distinction in the manual, Reid argues that cravings are a clinical reality for gamblers, driven by the same neurobiological reward pathways and withdrawal processes found in drug or alcohol addiction. Ultimately, he emphasizes that successful treatment must explicitly address these urges through strategies like CBT and mindfulness, as cravings remain one of the most significant predictors of relapse in recovery.

