Problem of Online Gaming Addictions

What is Video-game addiction?

Video game addiction is described as an impulse control disorder, which does not involve use of an intoxicating drug and is very similar to pathological gambling.  Video game addiction has also been referred to as video game overuse, pathological or compulsive/excessive use of computer games and/or video games. 

Those suffering from video game addiction may use the Internet to access massively multi-player online role-playing games (MMORPGs) and multi-user domain games (MUDs).  MMORPGs are networks of people, all interacting with one another to play a game to achieve goals, accomplish missions, and reach high scores in a fantasy world.  MUDs combine elements of role-playing games, fighting, and killing in a social chat channel with limited graphics.  Some of the most popular on-line games include EverQuest, Asheron Call, Ultima Online, World of Warcraft, Final Fantasy, Vanguard, and City of Heroes.  Most MMORPGs charge monthly subscription fee. 

Similar to other addictions, individuals suffering from video game addiction use the virtual fantasy world to connect with real people through the Internet, as a substitution for real-life human connection, which they are unable to achieve normally.  Some suffering from video game addiction may develop an emotional attachment to on-line friends and activities they create on their computer screens. Those suffering from video game addiction may enjoy aspects of the on-line games that allow them to meet, socialize, and exchange ideas through games.  Because some games requires a large number of players to log on simultaneously, for long durations of time, to accomplish a game’s task, players may feel an obligation and loyalty to other players. This may further the individual’s justification of his/her use and sense of relationship with other players, that are otherwise strangers.

Statistics show that men and boys are more likely to become addicted to video games versus women and girls.  Recent research has found that nearly one in 10 youth gamers (ages 8-18) can be classified as pathological gamers or addicted to video-gaming.

What are the warning signs of video game addiction?

• Preoccupation with the Game.  (Thoughts about previous on-line activity or anticipation of the next on-line session.)
• Use of the Game in increasing amounts of time in order to achieve satisfaction.
• Repeated, unsuccessful efforts to control, cut back or stop Game use.
• Feelings of restlessness, moodiness, depression, or irritability when attempting to cut down use of the Game.
• Gaming longer than originally intended.
• Jeopardized or risked loss of significant relationships, job, educational or career opportunities because of Game use.
• Lies to family members, friends, therapists, or others to conceal the extent of involvement with the Game.
• Use of the Game is a way to escape from problems or to relieve a dysphoric mood.  (e.g. feelings of hopelessness, guilt, anxiety, depression.)

Additional warning signs for children include:

• Fatigue, tendency to fall asleep during school
• Not completing homework or assignments on time
• Declining grades, or failing classes
• Dropping out of school activities, clubs, sports, etc.
• Isolating from family and friends to play video games.

What are the effects?

Gaming addictions result in personal, family, academic, financial, and occupational problems that are characteristic of other addictions.  Impairments of real life relationships are disrupted as a result of excessive use of the Game.  Those suffering from video game addiction spend more time in solitary seclusion, spend less time with real people in their lives, and are often viewed as socially awkward. Arguments may result due to the volume of time spent playing.  They may attempt to conceal the amount of time spent playing, which results in distrust and the disturbance of quality in once stable relationships.  Additionally, gaming can become very costly, resorting in financial consequences.  Much of the equipment needed to play video games designed for prolonged use can be quite costly and many MMORPGs charge monthly subscription fees.

Some individuals may create on-line personas or "Avatars" where he/she are able to alter his/her identities and pretend to be someone other than himself or herself.  Those at highest risk for creation of a secret life are those who suffer from low-self esteem feelings of inadequacy, and fear of disapproval.  Such negative self-concepts lead to clinical problems of depression and anxiety.

Many persons who attempt to quit their Game use experience withdrawal including: anger, depression, relief, fantasies about the game, mood swings, anxiety, fear, irritability, sadness, loneliness, boredom, restlessness, procrastination, and upset stomach.  Being addicted to video-gaming can also cause physical discomfort or medical problems such as: Carpal Tunnel Syndrome, dry eyes, backaches, severe headaches, eating irregularities, such as skipping meals, failure to attend to personal hygiene, and sleep disturbance.

VIDEO GAME ADDICTION SYMPTOMS, CAUSE AND EFFECTS

Although it is not yet recognized by the American Medical Association as a diagnosable disorder, video game addiction is a very real problem for many people. According to the University of New Mexico, recent studies suggest that 6 to 15 percent of all gamers exhibit signs that could be characterized as addiction. Though this disorder can have significant consequences to those suffering from it, its signs and symptoms can sometimes be very difficult to recognize.

THERE ARE DIFFERENT TYPES OF VIDEO GAME ADDICTIONS?

There are two major types of video games and therefore two major types of video game addictions. Standard video games are generally designed to be played by a single player and involve a clear goal or mission, such as rescuing a princess. The addiction in these games is often related to completing that mission or beating a high score or preset standard.

The other type of video game addiction is associated with online multiplayer games. These games are played online with other people and are especially addictive because they generally have no ending. Gamers with this type of addiction enjoy creating and temporarily becoming an online character. They often build relationships with other online players as an escape from reality. For some, this community may be the place where they feel they’re the most accepted.

What cause an addiction to video games?

Many different causes factor into video game addiction. One of the main reasons that video games can become so addictive, however, is they are designed to be that way. Video game designers, like anyone else trying to make a profit, are always looking for ways to get more people playing their games. They accomplish this by making a game just challenging enough to keep you coming back for more but not so hard that the player eventually gives up. In other words, success for a gamer often feels just out of reach. In this respect, video game addiction is very similar to another more widely recognized disorder: gambling addictions

What are the signs of Video Game Addiction problem?

As with any other addiction, video game addiction has warning signs. It is important to know how to recognize these signs if you or someone you care about is an avid gamer. According to the Illinois Institute for Addiction Recovery, these symptoms can be both emotional and physical.

Emotional Symptoms of Video Game Addiction

Some of the emotional signs or symptoms of video game addiction include:

1. Feelings of restlessness and/or irritability when unable to play
2. Preoccupation with thoughts of previous online activity or anticipation of the next online session
3. Lying to friends or family members regarding the amount of time spent playing
4. Isolation from others in order to spend more time gaming

Physical Symptoms of Video Game Addiction

Some of the physical signs or symptoms of video game addiction include:

Fatigue
Migraines due to intense concentration or eye strain
Carpal tunnel syndrome caused by the overuse of a controller or computer mouse
Poor personal hygiene

Short-Term and Long-Term Effects of Video Game Addiction

Like any other compulsive disorder, video game addiction can have severe negative consequences. Though most of the symptoms listed above have short-term effects, they can lead to more severe long-term repercussions if not addressed properly. For example, someone addicted to video games will often avoid sleeping or eating proper meals in order to continue gaming. While the short-term effects of this may include hunger and fatigue, it could eventually lead to a sleep disorder or diet-related health issues. Similarly, those who isolate themselves from others in order to play video games may miss out on family events, outings with friends, or other events in the short-term. If this continues to be a pattern for a long period of time, however, addicts might find themselves without any friends at all.

Other long-term effects of video game addiction to consider are the financial, academic and occupational consequences involved. Video games and video game equipment can be very expensive, especially when factoring in recurring costs such as the high-speed Internet connection required for online multiplayer games. These games can also be very time-consuming, leaving addicted gamers with less time to focus on their education or career.

Is There a Test or Self-Assessment I Can Do?

The most effective self-assessment that can be done is to examine the above list of symptoms associated with video game addiction. If you find that you or someone you care about exhibits any of these warnings signs, it may be a good time to cut back on the amount of time spent gaming. If you are unsure whether these symptoms apply to you, we can help. Call our toll-free number at to discuss your possible symptoms or to learn about treatment options.

Medication: Are There Drug Options for Video Game Addictions?

Treatment of video game addiction can come in many forms, including different types of therapy or 12-step programs. Certain medications may even be able to inhibit addictive behaviors.

Drugs: Possible Options

According to addictionblog.org, bupropion is one medication that has been used recently to treat this type of disorder. The drug works in a way that changes the brain’s chemistry and helps to decrease cravings for video game play. Though it has proven to be fairly effective, this option may not be for everyone. Others may choose to medicate only when absolutely necessary, treating the symptoms as they occur. For example, a gamer suffering from migraines may take medication for headaches. Likewise, an addict suffering from sleeplessness may turn to sleeping pills.

Medication Side Effects

When you take any form of medication, especially when self-medicating, it is very important to read all directions and follow dosage instructions carefully. Even over-the-counter medications can result in dependency and therefore should not be taken for long periods of time unless it is recommended by a medical professional.

Bupropion, though often helpful, is not for everyone. Some possible side effects include:

Drowsiness
Dry mouth
Excessive sweating
Itching
Fever

Antidepressant Drug Addiction, Dependence and Withdrawal in Online Addicts

Due to the evident link between video game or Internet addiction and depression, it is not surprising that many addicted gamers take antidepressant medication to help with the symptoms. Though most healthcare professionals consider this type of medication to be safe and effective, it also comes with its own set of risks and side effects. One factor to consider before beginning antidepressant medication is that it may be difficult to stop taking it. It is common to experience withdrawal symptoms, including anxiety, irritability, nausea and dizziness. In more serious cases, it is possible to experience depression as a symptom of withdrawal from the medication. This depression can be even more severe than the original depression, leading the patient to believe that the illness has returned.

Medication Overdose

According to the National Safely Council, unintentional overdose is responsible for more deaths among Americans between the ages of 35 and 54 years old than motor vehicle crashes. When taking any medication for addiction or any other problem, it is important to take only the amount prescribed. If you suspect possible overdose, it is important to act quickly. Options for immediate response include dialing 911 or contacting the National Poison Control Center.

Depression and Video Game Addiction

Two recent studies concerning the ties between video game addiction and depression showed an alarming correlation between the two. If you suffer from both conditions, it’s important to seek help at a treatment facility that can address both issues. If you attempt to treat the video game addiction without treating the underlying depression, the addiction is more likely to recur.

Dual Diagnosis: Video Game Addiction and Substance Abuse

Because video game addiction has been linked to depression, sleeplessness and an overall lack of concern for one’s own health, it is not surprising that substance abuse is also a problem for many gamers suffering from this compulsive disorder. For those suffering from video game addiction as well as substance abuse, proper treatment is imperative to recovery. If you or someone you know is currently suffering from one or both of these disorders, seek professional guidance immediately by calling us at .

Getting Help for Video Game Addiction

Recovery is not always easy, but it is achievable. Video game addiction can be just as dangerous as any other addiction and should be treated as such. The first step in overcoming dependency is being able to recognize that it exists. If you or someone you know exhibits any of the signs or symptoms described above, please don’t hesitate to find help treating video gaming addiction. Call our hotline today at to begin the road to recovery.