WebMD/ July 3, 2006, 6:35 AM

Detox For Video Game Addiction?

At an addiction treatment center in Amsterdam, in the Netherlands, teenagers and young adults begin detox by admitting they are powerless over their addiction. But these addicts aren't hooked on drugs or alcohol. They are going cold turkey to break their dependence on video games.

Keith Bakker, director of Smith & Jones Addiction Consultants, tells WebMD he created the new program in response to a growing problem among young men and boys. "The more we looked at it, the more we saw [gaming] was taking over the lives of kids."

Detox for video game addiction may sound like a stretch, but addiction experts say the concept makes sense. "I was surprised we didn't think of it here in America," says Kimberly Young, PsyD, clinical director of the Center for On-Line Addiction and author of Caught in the Net: How to Recognize the Signs of Internet Addiction -- and a Winning Strategy for Recovery. "I've had so many parents call me over the last year or two, particularly about the role-playing games online. I see it getting worse as the opportunity to game grows – for example, cell phone gaming."

But can a game truly become an addiction? Absolutely, Young tells WebMD. "It's a clinical impulse control disorder," an addiction in the same sense as compulsive gambling.

Defining Addiction

While most people associate addiction with substances, such as drugs or alcohol, doctors recognize addictive behaviors as well. In a WebMD feature on the definition of addiction, psychiatrist Michael Brody, MD, set forth the following criteria:

1. The person needs more and more of a substance or behavior to keep him going.
2. If the person does not get more of the substance or behavior, he becomes irritable and miserable.

Young says compulsive gaming meets these criteria, and she has seen severe withdrawal symptoms in game addicts. "They become angry, violent, or depressed. If [parents] take away the computer, their child sits in the corner and cries, refuses to eat, sleep, or do anything."

The Psychological Factor

Unlike with substance abuse, the biological aspect of video game addiction is uncertain. "Research suggests gambling elevates dopamine," Young says, and gaming is in the same category. But there's more to addiction than brain chemistry. "Even with alcohol, it's not just physical. There's a psychological component to the addiction, knowing 'I can escape or feel good about my life.'"

Bakker agrees. "The person is trying to change the way they feel by taking something outside of themselves. The [cocaine] addict learns, 'I don't like the way I feel, I take a line of cocaine.' For gamers, it's the fantasy world that makes them feel better."

The lure of a fantasy world is especially pertinent to online role-playing games. These are games in which a player assumes the role of a fictional character and interacts with other players in a virtual world. As Young puts it, an intelligent child who is unpopular at school can "become dominant in the game." The virtual life becomes more appealing than real life.

Where's the Harm?

Too much gaming may seem relatively harmless compared with the dangers of a drug overdose, but Bakker says video game addiction can ruin lives. Children who play four to five hours per day have no time for socializing, doing homework, or playing sports, he says. "That takes away from normal social development. You can get a 21-year-old with the emotional intelligence of a 12-year-old. He's never learned to talk to girls. He's never learned to play a sport."

In older addicts, compulsive gaming can jeopardize jobs or relationships. Howard, a 33-year-old project manager who asked to be identified only by his first name, started playing an online role-playing game about six months ago. He plays for three to four hours almost every day — more on weekends — occasionally putting off meals or sleep. His fianc?e says he's addicted.

Addiction Warning Signs

Spending a lot of time gaming doesn't necessarily qualify as an addiction. "Eighty percent of the world can play games safely," Bakker says. "The question is: Can you always control your gaming activity?"

According to the Center for On-Line Addiction, warning signs for video game addiction include:

  • Playing for increasing amounts of time
  • Thinking about gaming during other activities
  • Gaming to escape from real-life problems, anxiety, or depression
  • Lying to friends and family to conceal gaming
  • Feeling irritable when trying to cut down on gaming

    In addition, video game addicts tend to become isolated, dropping out of their social networks and giving up other hobbies. "It's about somebody who has completely withdrawn from other activities," Young says. "One mother called me when her son dropped out of baseball. He used to love baseball, so that's when she knew there was a problem."

    Howard, the project manager, says he still goes out with friends and family, so he doubts he is addicted. "I am not limiting myself to gaming as my only pastime or hobby," he tells WebMD. "If I needed to stop playing, I'm convinced that I could."

    Parents, Take Note

    Young and Bakker say the overwhelming majority of video game addicts are males under 30. "It's usually children with poor self-esteem and social problems," Young tells WebMD. "They're intelligent and imaginative but don't have many friends at school." She says a family history of addiction may also be a factor.

    If you're concerned your child may be addicted to video games don't dismiss it as a phase, Young says. Keep good documents of the child's gaming behavior, including:

  • Logs of when the child plays and for how long
  • Problems resulting from gaming
  • How the child reacts to time limits

    "You need to document the severity of the problem," Young says. "Don't delay seeking professional help; if there is a problem, it will probably only get worse."

    Video Game Detox

    Treatment for video game addiction is similar to detox for other addictions, with one important difference. Computers have become an important part of everyday life, as well as many jobs, so compulsive gamers can't just look the other way when they see a PC.
    "It's like a food addiction," Young explains. "You have to learn to live with food."

    Because video game addicts can't avoid computers, they have to learn to use them responsibly. Bakker says that means no gaming. As for limiting game time to an hour a day, he compares that to "an alcoholic saying he's only going to drink beer."

    Bakker says the toughest part of treating video game addicts is that "it's a little bit more difficult to show somebody they're in trouble. Nobody's ever been put in jail for being under the influence of [a game]."
    The key, he says, is to show gamers they are powerless over their addiction, and then teach them "real-life excitement as opposed to online excitement."

    SOURCES: Keith Bakker, certified interventionist; and director, Smith & Jones Addiction Consultants. Kimberly Young, PsyD, clinical director, Center for On-Line Addiction; professor of psychology, St. Bonaventure University; and author, Caught in the Net: How to Recognize the Signs of Internet Addiction -- and a Winning Strategy for Recovery. WebMD Feature: Internet to Sex: Defining Addiction. Howard, project manager, Ft. Lauderdale, Fla., Center for On-Line Addiction: "Are You an Obsessive Online Gamer?" and "Frequently Asked Questions About Internet Addiction."
    By Sherry Rauh. Reviewed by Louise Chang, M.D. ? 2006, WebMD Inc. All rights reserved
  • © 2006 WebMD, LLC.. All Rights Reserved.
    4 Comments Add a Comment
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    SamSouffle says:
    This topic is becoming an issue for EVERYONE.

    Internet Addiction is covered in this movie LOVE CHILD. here the trailer:
    http://youtu.be/jnuKpjTFpPM

    xoxo S.S.
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    SamanthaMG says:
    The link from Angela above seems to be only for alcohol and drug addiction.

    For video game addiction I was able to download a great intervention guide that is just for parents like me unfortunately :( who need to help their kids. It's here if anyone else is interested

    www.techaddiction.ca/help_child_addicted_to_video_games.html

    Fingers crossed that we can beat this but three weeks in so far so good!

    Sam
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    StumpyMcNubbs says:
    Hi, I'm 19 years old and have been playing videogames sense I was about 8 or so, and when I say been playing I mean been playing a lot. ps2, ps3, xbox 360, psp, pc, mac, and I couldn't even begin to name the amount of games I've played. Now a days I play a lot, 7-8 hours a day on the computer sometimes everyday, and sometimes more each day. I've known for a while that it's been a problem, and often times I feel like I justify the time spent in the game so I can play more. But now that im 19, luckily, videogames are becoming less and less fun, but I continue to play them. Particularly because the only people who play now a days are 30 year olds who wont let you play with them because they categorize you in the "noob"category, or the over powering 13-14 year olds, who can't seem to stop talking in the chat bars and who, you can tell, actually gain some kind of social feed back from the game, where as older, more experienced players play for the rank, title and the best gear to increase your rate of winning or killing in the game. That's just some background on gamer mentality, and I will tell you now, no gamer is alike, and I know many gamers who have been playing as long as I have who play an hour aday and are fine. Here's where I think gaming really interferes: Prioritizing. When you play a videogame as much as some of us, you get really good at it, and you want to play more, with the incentive being better gear and more of whatever it is you want. This is the same with a job. You work a lot, you get better at it, and the incentive to get better is cash. The problem is with video games is better gear does not equal cash. A bigger problem is that once you've played a certain videogame a lot, you're priorities such as getting a job and being successful in life are mixed in with the priorities you have in videogames, because just like in life, if you play videogames enough, you start to develop priorities within the videogame. An example of this is in World of Warcraft. This game is the definition of an addictive videogame, and anyone who doesn't get out within the first week is hooked. Here's why: My parents walk past my room, and they see me playing World of Warcraft, and to them it's nothing but a videogame. Deeper than that, it's merely a playing field that you can leave at anytime, and to them it's not important, so it's just a hobby to us in their eyes. Wrong. World of Warcraft is a 24/day online role-playing game. This means you cannot pause it. Within the game, in order to get anywhere, you have to spend at least 5 hours a day with 25 other people in a dungeon killing monsters to get the right stuff, and if 1 person leaves then everyone else leaves, and the dungeon locks until next week. The company Blizzard who made World of Warcraft did this intentionally so that in order to play the game, you must play about 8 hours a day to get anywhere, because the game itself is extremely difficult, you're character has about as many defining characteristics as you do, and worst of all, the game doesn't end. Sure, there is end-game content, but World of Warcraft as been going for over ten years and they still haven't put a section of the game in to where you can beat it, so people keep logging on because they are still trying to beat that monster from 6 months ago that they havent been able to beat because every week, a person out of the 25 people leave and then everyone leaves. and they feel obligated to log on because they pay for it. This is what I have observed after many years of research in the field, and my problem now is all my friends who used to play with me are getting on with their lives with ease, my town is not hiring anyone for work, and for a while I had dreams about crashing in a car because my parents used to tell me I would be a terrible driver. But I'm going to community college, I'm going to get a license and I'm going to get a job, it's just a matter of time. The cure for an addictive gamer is to show them the incentives of life outside, for instance woman, a family, and a career, but it can't come directly from the parent, it has to be subtle, otherwise everyone know how teenagers listen to parents. My parents started to slip me newspaper clippings about the prolonged effects of being on the computer a lot, and the addictive nature of videogames. What do you know, I'm on the computer googling "addictive, videogames, bad for your brain". Nothing hits harder than knowing your health is at risk. Give your kid something to think about, and it doesn't hurt to give them a reality check on the importance of real-life priorities and what they think our priorities in videogames. Also I agree with the article above.
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    AngelaWeber says:
    The number of these video game addiction cases is increasing. And it is more difficult to show the addict there is a problem. Those are great tips to document usage and reactions to limits. Here is a guide that may help parents that feel like they need to intervene:
    <a href="http://www.recoveryconnection.org/intervention-guide/">The Intervention Guide - knowing when it's time to get help</a>
    reply