This presentation will review the criteria for Gambling Disorder, focusing on the diagnostic criteria outlined in the DSM-5. It will also examine the 1922 prevalence study of gambling in Oklahoma, providing historical context for the issue in the state. The discussion will highlight the leading co-occurring disorders commonly seen with Gambling Disorder, such as substance use disorders and mental health conditions like depression and anxiety. Additionally, we will explore the effects of medications on Gambling Disorder, including current research on pharmacological treatments and their effectiveness in managing symptoms. Finally, the presentation will address future needs in the field of Gambling Disorder, including the development of more effective treatments, prevention strategies, and improved understanding of its impact on individuals and communities.