Evolving Definitions of Addiction: Gaming Disorder and its Implications for Treatment

Key Points - The World Health Organization (WHO) has recognized gaming disorder as a mental health condition in the 11th Revision of the International Classification of Diseases (ICD-11). - The criteria for gaming disorder include loss of control over gaming, negative impact on daily functioning, and symptoms lasting for at least 12 months. - The American Psychiatric Association has not yet included gaming disorder in the Diagnostic and Statistical Manual of Mental Disorders (DSM-5), but the WHO's classification may influence treatment approaches.

Evolving Definitions of Addiction - The understanding of addictive behaviors is constantly evolving in the field of addiction research. - The WHO's recognition of gaming disorder in ICD-11 is a significant step forward in recognizing the potential harms associated with excessive gaming. - While the DSM-5 does not currently include gaming disorder, the WHO's definition may still influence how clinicians approach the treatment of problematic gaming behavior.

Costs and Benefits of Defining "Addiction" - Defining extreme behaviors as "addiction" has both positive and negative consequences. - On the one hand, it can draw attention to the issue and promote research on effective treatments. - On the other hand, it can stigmatize individuals who engage in these behaviors and potentially lead to oversimplification or misdiagnosis.

The Importance of Time Accountability - Psychiatrist Howard Pratt, DO, emphasizes the significance of time accountability in managing gaming disorder. - He recommends that individuals be mindful of the time they spend gaming and establish limits to prevent adverse consequences.

Understanding the Purpose of Gaming - Psychologist Rachel Altvater, PsyD, RPT-S, highlights the importance of comprehending why individuals engage in excessive gaming. - She emphasizes exploring the purpose that gaming serves in a person's life and addressing any underlying issues that may contribute to the problematic behavior.

Conclusion - The field of addiction research is dynamic, and the understanding of gaming disorder is still evolving. - There are both advantages and risks associated with classifying extreme behaviors as "addiction," and it is crucial to consider the specific circumstances of each case. - Time accountability can be beneficial in managing gaming disorder, and it is important to understand the role gaming plays in an individual's life to create an effective treatment plan.