Telephone:  845-956-NAMI (6264)                                                                               Toll-free:   1-866-906-NAMI (6264)
                                        InstagramInstagram:  NAMI Orange NY
                                     facebook icon FaceBook:  NAMI Orange County, NY 
                                     facebook icon FaceBook:  NAMI Orange Discussion Group
                                                                                                                                                   PLEASE NOTE: This is a Closed
Discussion Group

      *Contact us if you wish to be added to our email database to receive meeting announcements

 3 digit Crisis Hotline for Suicide Prevention

Would you be interested in becoming a NAMI Orange board member?
If so, contact Dhanu at 845-294-2749
or email
to learn about the application process

Upcoming Events/Outreaches

See details
of upcoming NAMI
meetings and courses by clicking links below:


Starting Wed Oct. 9, 6:30-9 p.m.
for six  Wednesdays through Nov. 20
(no class Nov 13)
Call Dhanu now to pre-register
Click link for details.


in Newburgh on Saturdays for 6 weeks, starting
Sat., Jan. 4,
9:30 a.m.-3:30 p.m.
St. Francis of Assisi Church
(O'Connor Hall)
145 Benkard Ave.,
Newburgh, NY 12550

Pre-register now
Call Dhanu
845-294-2749, or
office 845-956-6264


On-going  Meetings:

NAMI Connection
a peer-led support group for adults living with a
mental illness.
No fee, no registeration
PLEASE NOTE: these Orange County meetings are on a temporary hold. We will post here when the weekly meetings will resume.

Check out NAMI Connection in Sullivan County

Mon., Oct. 21
7 p.m. p.m.
NAMI Family Support Group
ORMC, Middletown

no fee
no registration

Educational Conference

October 25-27
at the
Albany Marriott

Tues., Nov. 5,
6:30-8:30 p.m.
Family Support Group
First Presbyterian Church in Goshen

Mon., Nov. 25

6:30-8:30 p.m.
NAMI Orange
Annual Meeting

including vote for Board of Directors by the membership

RSVP Requested

Mon., Dec. 2

Holiday Party for members and their families; and
invited guests

 NAMI Presentations:

  -Ending the Silence

-In Our Own Voice

arranged by request

*Click on above
 links for details

                             Gambling Disorder

*Be aware that some articles and some websites below may not have updated their information to reflect that DMS-5 has reclassified "Pathological Gambling" as a "Gambling Disorder" and now places it in the Substance Related and Addiction Disorder section of DMS-5 rather than the Impulse Control Disorders Not Elsewhere Classified section where it had been previously placed in DMS-4. Refer to last article.

Gamblers Anonymous (GA)

GAMBLERS ANONYMOUS is a fellowship of men and women who share their experience, strength and hope with each other that they may solve their common problem and help others to recover from a gambling problem.

You can locate a meeting near you by clicking this link and then entering your zip code and radius in miles that you are willing to go.



Gambling Disorder myths and facts, warning signs and symptoms, treatment, maintaining recovery, dealing with cravings and how to help a family member



Middletown In-patient Treatment Center
to Help Problem Gamblers

Richard C. Ward at 117 Seward Avenue in Middletown is one of six state-run addiction treatment centers at which problem gamblers in New York can now receive in-patient care. 

Gov. Cuomo said that the treatment centers have been granted waivers allowing them to admit people with problem gambling as their primary diagnosis.  The centers traditionally accept people with chemical dependencies.  The centers now have problem gambling clinicians on staff to provide inpatient services to people for up to 30 days. The facilities accept all patients regardless of their ability to pay.

"As part of New York's smart gaming policy we are committed to making sure that individuals who need help with gambling addiction have access to services in their own communities," said state Gaming Commission Executive Director Robert Williams.


National Council on Problem Gambling 1-800-522-4700 Helpline

Twitter: @NCPGambling

New York Council on Problem Gambling (NYCPG) 1-518-867-4084

Twitter: @NYProbGambling
a not-for-profit independent corporation dedicated to increasing public awareness about problem and compulsive gambling, has many resources and publications.


Know the Odds campaign is designed to create further dialogue between those New Yorkers adversely affected by gambling and those advocating for support and treatment. By expanding on the current channels available for problematic gamblers, KnowTheOdds is designed to introduce a new audience to the warning signs that would depict problem gambling.

New resources available for problem and compulsive gambling includes:

  • – a website that incorporates statistics, links to resources, and videos that can be shared via social networks.
  • Twitter (@KnowTheOdds) and Facebook profiles.
  • Online videos and e-books – sharable items that look to create new conversations among all ages.
  • Ongoing radio and television public service announcements.

“Each one of these new resources helps move the dialogue forward for those seeking support and in understanding that they are not alone,” said James Maney, executive director of the New York Council on Problem Gambling. “KnowTheOdds reaches those individuals that we have always sought to offer a supporting hand. This is yet another strong step for creating an environment that decreases the stigma regarding problem gambling and encourages an honest and open discussion regarding problem gambling related issues.”

Call NYS HOPEline 1-877-846-7369
if you think you might have a gambling problem



Exploring the latest news, issues and research
relating to gambling disorders and responsible gaming

The Evolving Definition of
Pathological Gambling in the DSM-5

by: NCRG Staff | May 19, 2013

To clarify the various revisions in the American Psychiatric Association’s fifth edition of the Diagnostic and Statistical Manual (DSM-5) relating to gambling disorders, the National Center for Responsible Gaming (NCRG) authored a white paper, titled “The Evolving Definition of Pathological Gambling in the DSM-5.” Below is an excerpt of that white paper that outlines the specific changes. For a free download of the white paper, visit


Reclassification: From Impulse Control Disorder to Addiction 

 In the DSM-IV, pathological gambling (PG) was classified under the section titled, “Impulse Control Disorders Not Elsewhere Classified,” along with Compulsive Hair Pulling (Trichotillomania); Intermittent Explosive Disorder; Kleptomania; and Pyromania. The DSM-5 work group proposed that PG be moved to the category Substance-Related and Addictive Disorders.

The rationale for this change is that the growing scientific literature on PG reveals common elements with substance use disorders. Many scientists and clinicians have long believed that problem gamblers closely resemble alcoholics and drug addicts, not only from the external consequences of problem finances and destruction of relationships, but, increasingly, on the inside as well.According to Dr. Charles O’Brien, chair of the Substance-Related Disorders Work Group for DSM-5, brain imaging studies and neurochemical tests have made a “strong case that [gambling] activates the reward system in much the same way that a drug does.” Pathological gamblers report cravings and highs in response to their stimulus of choice; it also runs in families, often alongside other addictions. Neuroscience and genetics research has played a key role in these determinations.

Internet addiction was considered for this category, but work group members decided there was insufficient research data for it to be included. Another so-called behavioral addiction, “sex addiction,” also was not included because the work group found no scientific evidence that “reward circuitry is operative in the same way as in addictive areas.”


Renaming: From PG to Gambling Disorder
Officially changing the name to “Gambling Disorder” is a welcome revision for many researchers 
and clinicians who have expressed concern that the label “pathological” is a pejorative term that 
only reinforces the social stigma of being a problem gambler.5

Renaming: From PG to Gambling Disorder

Officially changing the name to “Gambling Disorder” is a welcome revision for many researchers and clinicians who have expressed concern that the label “pathological” is a pejorative term that only reinforces the social stigma of being a problem gambler.

Changes in Diagnostic Criteria and Lowering of Threshold for a Diagnosis 

One major change in the DSM-5’s clinical description of gambling disorders is the elimination of the criterion “has committed illegal acts such as forgery, fraud theft or embezzlement to finance gambling.” The rationale for this change is the low prevalence of this behavior among individuals with gambling disorder. In other words, no studies have found that assessing criminal behavior helps distinguish between people with a gambling disorder and those without one. Studies suggest that its elimination will have little or no effect on prevalence rates and little effect on diagnosis. However, although committing illegal acts will no longer be a stand-alone criterion for diagnosis, the text will state that illegal acts are associated with the disorder. In particular, the criterion related to lying to others to cover up the extent of gambling will be described to include specific mention of illegal activities as one potential form of lying.

Other changes in the criteria are as follows:

• “Is preoccupied with gambling” will be “Is often preoccupied with gambling” to clarify that one need not be obsessed with gambling all of the time to meet this diagnostic criteria.

• “Gambles as a way to escape from problems” will be “Gambles when feeling distressed.”

• In the text accompanying the criteria, “chasing one’s losses” is clarified as the frequent, and often long-term, “chase” that is characteristic of gambling disorder, not short-term chasing. 

The DSM-5 work group observed that several empirical studies have supported lowering the threshold for a more accurate diagnosis of a gambling disorder from five to four criterion. For example, Stinchfield found that a cutoff score of four made modest improvements in classification accuracy and, most importantly, reduced the rate of false negatives. Another recent study conducted in France found that the DSM-5 criteria (the DSM-IV criteria without the illegal acts criterion and with a cutoff of four symptoms) performed better than the DSM-IV criteria alone, the DSM-IV criteria without the illegal acts criterion and a new instrument based on the DSM criteria for substance abuse.

Finally, to diagnose a gambling disorder, the critiera that are displayed among the individual must occur within a 12-month period, unlike the DSM-IV which did not provide a time period for symptoms. In other words, if the person had two symptoms years ago and two symptoms in the past year, he or she would not qualify for a diagnosis.