Taking into account the growing interest of the world scientific community in the problem of pathological gambling addiction, the novelty of the problems of online gambling that have appeared in recent years, the issues of comorbidity and other mental and addictive pathology, we consider it important to pay attention to this kind of clinical case in this article. It should be noted that in the ICD-11 planned for release, online gambling is supposed to be included as a separate category, different from traditional gambling and Internet gaming addiction, which makes us think about the need for an in – depth study of the clinic, differential diagnosis and therapy of this disorder.

1. Fauth-Bühler, M., Mann, K., & Potenza, M. N. (2016). Pathological gambling: A review of the neurobiological evidence relevant for its classification as an addictive disorder.Addiction Biology,22(4), 885–897. doi: 10.1111/adb.12378

2. Håkansson, A., Mårdhed, E., & Zaar, M. (2017). Who Seeks Treatment When Medicine Opens the Door to Pathological Gambling Patients–Psychiatric Comorbidity and Heavy Predominance of Online Gambling. Frontiers in Psychiatry,8. doi: 10.3389/fpsyt.2017.00255

3. Cooper, Marc. «Sit and spin. How slot machines give gamblers the business». Atlantic Monthly 296.5 (2005): 121 https://www.theatlantic.com/magazine/archive/2005/12/sit-and-spin/304392/

4. Petry, N. M. (2006). Internet gambling: An emerging concern in family practice medicine? Family Practice, 23(4), 421–426. doi: 10.1093/fampra/cml005

5. Mcbride, J., & Derevensky, J. (2008). Internet Gambling Behavior in a Sample of Online Gamblers. International Journal of Mental Health and Addiction, 7(1), 149–167. doi: 10.1007/s11469–008–9169-x

6. Griffiths, M. (2003). Internet Gambling: Issues, Concerns and Recommendations. CyberPsychology & Behavior,6(6), 557–568. doi: 10.1089/109493103322725333

7. Chóliz, M. (2015). The Challenge of Online Gam_ bling: The Effect of Legalization on the Increase in Online Gambling Addiction. Journal of Gambling Studies, 32(2), 749–756. doi: 10.1007/s10899–015–9558–6

8. Chóliz M., Marcos M., & Lázaro-Mateo, J. (2019). The Risk of Online Gambling: A Study of Gambling Disorder Prevalence Rates in Spain. International Journal of Mental Health and Addiction. doi: 10.1007/s11469–019–00067–4

9. Durdle, H., Gorey, K. M., & Stewart, S. H. (2008). A Meta-Analysis Examining the Relations among Pathological Gambling, Obsessive-Compulsive Disorder, and Obsessive-Compulsive Traits. Psychological Reports, 103(2), 485–498. doi: 10.2466/pr0.103.2.485–498

10. Medeiros, G. C., & Grant, J. E. (2018). Gambling disorder and obsessive–compulsive personality disorder: A frequent but understudied comorbidity. Journal of Behavioral Addictions, 7(2), 366–374. doi: 10.1556/2006.7.2018.50

11. Grant, J. E., & Odlaug, B. L. (2010). Impulse control disorders. Cognitive-behavioral Therapy for Refractory Cases: Turning Failure into Success., 231–254. doi: 10.1037/12070–011

12. Reed, G. M., et al. (2019). Innovations and changes in the ICD-11 classification of mental, behavioural and neurodevelopmental disorders. World Psychiatry, 18(1), 3–19. doi: 10.1002/wps.20611