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From the category archives:

Process Addictions

Back in 1991 there was a Microsoft video game called “Gorillas” that featured two angry apes tossing explosive bananas at each other while standing above a city skyline.

Today, the 800-pound gorilla in the room is addiction to video games. As a parent, you already know if gaming is causing problems for your child and your family. And the gorilla that nobody wants to acknowledge is far more menacing than the pair of pixilated primates in that 18-year-old strategy game.

Technological advances in computer gaming have grown by leaps and bounds in the nearly two decades since “Gorillas” arrived on the scene, and so have the number of players addicted to computer gaming.

The video games of today are so much more complex – and captivating – than those of decades past, and they range from massive multiplayer online role-playing games (MMORPGs) to simple games like the Mario Bros. series that have stood the test of time. One of the most popular of these multiplayer megagames is “World of Warcraft,” an extremely addictive game that is sometimes called “World of Warcrack” because it draws gamers to it like a street corner drug dealer. Blizzard, the creator of “WoW” claims there are 8 million Warcraft players worldwide – and 3.5 million of those gamers are in China.

Research by Iowa State University and the National Institute on Media and the Family shows that one out of every 12 gamers between the ages of 8 and 18 show signs of being addicted to video games. That adds up to about 3 million youngsters in the United States alone.

And this computer game compulsion isn’t limited to our shores. Video game addiction treatment centers are springing up around the world, including China, South Korea, The Netherlands and Canada.

In China, the government has set up several video game addiction clinics, and attendance isn’t always voluntary. Most of the gamers are forced to attend by their parents or the government, and the treatment is often less than subtle. Along with the traditional psychiatric counseling, the government-run program also includes potent antidepressant drugs that are more common in mental institutions and even the tried-and-true electrical shock treatment. Some of the clinics are situated on military bases with metal bars on the doors and windows. They take their addictions seriously in China.

Here in America, there are a handful of rehab centers that specialize in inpatient treatment for compulsive video gaming, which falls into the category of process addiction. One of those is Morningside Recovery in Newport Beach, California, which operates under the belief that process addictions such as video gaming can be as debilitating as drug or alcohol addiction. In fact, excessive use of video games may have some or all of the symptoms of drug addiction or other psychological addictions.

Some of the psychological symptoms of video game addiction include:

— A sense of well-being or a dopamine “rush” while playing video games.

— An inability or reluctance to stop the activity.

— Carving out more hours of the day to devote to gaming.

— Dropping out of activities such as clubs and sports.

— Worsening grades at school and not keeping up with homework assignments.

— Ignoring or neglecting family, friends and employers in order to sit at the computer.

— Feeling irritated, impatient or depressed when forced away from the computer game.

— Lying to your family, teachers or employers about your video game activities.

— Escalating problems at school or work.

At Morningside, video game addiction is confronted in an inpatient environment with activities that include counseling, individual and group meetings, cognitive therapy or psychotherapy, and medications when indicated for those with co-occurring disorders.

The best addiction treatment programs provide a combination of therapies, and for many youngsters, it can be a long-term process, perhaps with many attempts at abstinence. That’s because nearly all of those addicted to gaming believe they can stop on their own. In addition, long-term video gaming results in changes in the brain function that persist long after the gamer stops playing.

Through cognitive behavioral therapy, video game addicts learn to accept, identify and correct their behaviors. These therapies offer strategies for coping with the craving to go online and play games. They teach them how to avoid video gaming and prevent relapse. Because video gamers can’t completely avoid computers, they have to learn how to use them responsibly. And that means no video games.

It’s like treating alcoholism. You can’t just switch to beer only. Or drinking just on the weekend. Like other addictions, abstinence is the best relapse prevention plan. In the case of video addicts, that means staying away from online gaming. For goodness sakes, go outside and play.

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You wake up in the morning, turn off the alarm and fire up your computer. Just checking for new messages. A cup of coffee later, you’re looking at online news. You shower, get dressed and head out the door to work. No big deal. You’re using the Internet as the Good Lord intended – as a news source, a way to communicate with friends, and maybe as an easy way to order a book or a new pair of shoes.

So when does Internet use become an addiction? It’s an easy question to answer. It becomes compulsive and harmful when the hours online get in the way of the rest of your life.

Online addiction isn’t considered an official disorder, but compulsive Internet use can become every bit as destructive as full-blown alcoholism or drug addiction when it comes to the harm it can bring down on your family, friends and your own self-esteem.

There are mental health professionals who say Internet addiction mirrors other disorders. According to Stanford University’s Impulse Control Disorders Clinic, Internet addiction has a lot in common with impulse control disorder, obsessive-compulsive behavior (OCD) and substance abuse.

It falls into the impulse control disorder category due to its similarity to impulsive gambling and compulsive shopping. And it is like OCD when it becomes a ritual or a repetitive behavior.

Internet addiction also takes on the appearance of substance abuse in that, like alcohol or drugs, it results in a release of dopamine in the brain. Internet use produces a feeling of pleasure when you view sexual material, for example, or get better at a game online. Spending more time behind the keyboard is necessary to maintain that dopamine rush, and when withheld, the Internet user might suffer withdrawals.

And now, with the advent of MySpace, Facebook and Twitter, the applications that can become an addiction are greatly multiplied. Consider the poor soul who thinks she has to update her Facebook every single hour. Or the twitterer who feels compelled to tell all his friends about a twisted knee he received while surfing. Who really cares? Who has time for all this?

What are the symptoms of Internet addiction? Research from several sources, including Dr. Kimberly S. Young, director of the Center for Internet Addiction Recovery, cite more than a half dozen signs of potential Net addiction.

- You have a preoccupation with the Internet. Even when not online, you’re thinking about your previous Internet activity or planning for your next online encounter.

- You need to spend more time online to get the same satisfaction.

- You have unsuccessfully attempted to control the time spent online, or you’ve tried to cut back on using the Internet – even vowed to shut down the computer for good.

- You discover that any attempt to cut back or stop Internet use results in restlessness, moodiness, depression or irritability.

- You find yourself repeatedly staying online longer than you intended to.

- You have placed a loved one, your school or career in jeopardy because of Internet use.

- You have lied to family members, a therapist, employer or others to conceal the extent of your Internet involvement.

- You use the Internet as a means of escape from everyday problems or responsibilities, or to relieve feelings of depression, sexual frustration or anxiety.

Research by Stanford’s Impulse Control Disorders Clinic shows that the typical Internet addict is a single, college-educated, white male in his 30s who spends about 30 hours a week on the computer – outside of work. And while your first thought might be Internet pornography, the Stanford researchers say porn sites are just one part of the problem. Pornography and online gambling get all the press, but Net addiction takes on many forms.

If you jump up during dinner to run upstairs and check your e-mail, you might be a Net addict. Or if you take your laptop to the bathroom with you, there might be a problem. If you’re buying more “great deals” than you can afford on eBay, it’s time to take a second look at your favorite pastime. And if you’re spending more intimate hours with online pornography than with your own spouse, you should know that your priorities are way off base.

Morningside Recovery in Newport Beach, California, is one of the few treatment centers in the country that provide inpatient treatment for process disorders such as Internet addiction. And while an online obsession is a problem of compulsion stimulation much like alcoholism, the prescribed solution differs considerably.

Abstinence is a key goal of therapy for alcoholics and drug addicts, but the Internet is such a big part of the workplace that any effort to remove all access could prove to be a significant financial burden to the sufferer.

Morningside Recovery employs a psychotherapeutic approach called cognitive behavioral therapy, a process that helps Internet addicts “unlearn” their unhealthy thinking process, replacing those thoughts with healthier goals and ideas. To accomplish this, a therapist helps the addict develop an empathy for those who are most hurt by their online addiction, including family, friends and bosses. By helping the Internet addict recognize how his or her actions affect others, they can be motivated to change those actions.

Morningside’s clinicians also help addicts identify the triggers that prompt uncontrolled use of the Internet. Those triggers could be boredom, depression, sexual stimulation – any “person, place or thing” that sparks a negative reaction.

Through this cognitive behavioral therapy, a client can be taught alternative actions in which they can become engaged, like calling a friend or taking a walk.

Anything but signing onto the Internet.

If you or a loved one is spending too much time in front of the computer and you think there might be a problem, call Morningside Recovery’s inpatient representatives for more information about Internet addiction.

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Pornography Addiction

June 25, 2009

Treatment for Pornography Addiction in Newport Beach, California.
Pornography Treatment at Morningside Recovery.
Addiction to pornography, much like addiction to alcohol or drugs, is a progressive illness that doesn’t get better without a concerted effort on the part of the addict. What starts off as a Playboy magazine hidden under the mattress, can lead to boxes crammed [...]

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