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Right away, there are going to be some people reading this who (like me) love to spend more than a few hours staring at a screen, smashing buttons on a controller. Before you assume we are saying video games and opioids are the same- we are not. But what we are doing is looking at what they do have in common.
Recently, the World Health Organization (WHO) announced it would be classifying gaming disorder as an official mental health diagnosis. For years, mental health professionals have recognized behaviors they thought proved video game addiction as a serious problem. With this new stance on video game addiction, there comes plenty of controversy and contention. Some people argue that this is an unfair characterization of avid gamers, while others are truly convinced there is enough evidence to support the need for gaming disorder intervention.
So, without taking a side, let us look at the new concept of video game addiction and gaming disorder while comparing it to another well-known addiction- opioids.
WHO Decides When Gaming Is Too Much?
As of 2016, WHO has 191 member states and other countries that have been granted observance status. Despite the various differences in language, culture and medical traditions they all seem to agree on common definitions of diseases. These outlines are included in the International Classification of Diseases (ICD). WHO is an agency of the United Nations, and specializes in international public health.
According to the most recent edition of the ICD, the criteria for people who may suffer from a video game addiction include those who allow gaming to negatively impact:
- Social lives
The WHO definition of gaming disorder is pretty broad. This kind of ambiguity could lead to anyone who just spends a little too much time playing Xbox on the weekend to being labeled with a video game addiction. Thankfully, the American Psychiatric Association has proposed a set of slightly more detailed diagnostic criteria. These criteria will probably be akin to those put forth in the Diagnostic and Statistical Manual (DSM) for Internet gambling disorder. For one to qualify for that diagnosis, their gambling/gaming would create “significant issues with functioning.” Also, it would call for five of the following signs:
- Preoccupation or obsession with Internet games
- Withdrawal symptoms when not playing games
- Tolerance for gaming; need to spend more time playing to be satisfied
- At least one failed attempt to stop or cut back on playing games
- A loss of interest in other activities
- Overuse of digital games despite realizing the impairment they have caused
- Lying to others about game usage
- Using gaming to escape or relieve anxiety or guilt
- Impaired or lost relationships due to excessive gaming
According to the general consensus, video game addiction can develop at any age. However, many national studies primarily focus on kids under the age of 18.
Video Game Addiction VS Opioid Addiction
If we start by just looking at those signs of video game addiction, we can already see some parallels starting to shape up. For people who struggle with opioid abuse, signs of addiction can also include negative impacts on family, occupation, social life and education. Looking more at the break down of video game addiction symptoms, we can draw even more similarities.
One reason people use drugs is very closely connected to why they play video games- how the brain rewards them. For those with video game addiction, there are functional and structural alterations in the neural reward system. This is a group of structures in the brain commonly associated with feeling pleasure, learning, and motivation.
The same characterization can be made of opioid use. When someone addicted to opioids uses these drugs, they also experience activity in the brain’s reward system. While it may not stimulate learning and motivation in the same way, those pleasure sensors will light up with activity.
Image studies have shown that the urge to play video games activates the same brain regions that light up when illicit drug users even think about using.
Surely, we aren’t going to say that people who struggle with a gaming disorder experience the same intense and harmful withdrawal symptoms as those who abuse opioids, but we can see that withdrawal is still a common thread. According to Computer Gaming Addicts Anonymous, some of the common video game withdrawal symptoms that we often see with opioid addiction include:
- Feeling of emptiness
- Irritability or restlessness
- Sleep problems
- Obsessive thoughts
Of course, those who struggle with opioid abuse deal with a very different level of severity when it comes to withdrawal. The symptoms associated with opioid addiction are more likely to create a serious health risk than those currently attributed to video games.
For a lot of people who struggle with an addiction of any kind, there are often co-occurring issues or disorders. When you look at some of the research we find video game addiction is no different. Professor Douglas Gentile from Iowa State University has researched game addiction for several years. In one three year study of over 3,000 kids, he found that people who do develop compulsive gaming habits see an increase in:
- Social phobia symptoms
Also, rates of ADHD are very high among the population of people who struggle with what might qualify as a gaming disorder. When it comes to opioids, co-occurring issues are also very common, including depression and anxiety disorders.
Tolerance and Obsession
It is true that just like with drug use, you can develop a tolerance to video games. When once you would be content with an hour or two of playing a game to take you out of yourself for a while, over time you will be drawn more and more into spending time playing the game.
Have you ever decided to go on an all-nighter with a RPG or FPS? Some people are looking at those letters and wondering what language of nerd I’m speaking. That is ok. But for my fellow gamers, many of you probably know the feeling that there is never enough time to rack up those upgrades or find the perfect save point. Every time you say “I’ll stop after this boss fight,” only to find yourself an hour later customizing your avatar- that is the obsession.
Now while we can’t say that this obsession is always the same for everyone, it is still something to consider. Surely we should not label everyone who dedicates time to beating their high score with video game addiction. Still, when someone needs to play more and more to feel satisfied, that is the tolerance building. With opioids, this is the body needing more of the drug to get the same euphoric effect over time; or just needing it to feel “normal”.
And when you spend all day at the office thinking about what you’re going to spend all that XP on when you finally get home, the obsession might be starting to impair the rest of your life. With opioids and other drugs, this looks like spending all day planning to use or thinking about how to get more.
Innovative Addiction Treatment
At this point, gaming disorder is still a new diagnosis, so most facilities are still working on effective treatment plans. As more research becomes available, there will probably be a variety of approaches to video game addiction treatment. Still, the need for innovative addiction treatment is pretty obvious when considering an addiction that is based on technology.
For most addiction recovery programs, the idea of abstinence is a common cornerstone. Not using drugs is kind of the whole point of getting clean and sober. However, when it comes to things like internet gaming disorder, it is hard to be completely abstinent from the internet in 2018. Taking into account that fact that most people use the internet for their work, or for staying connected socially, you find it is pretty much impossible to remain offline for long. Therefore, any new ideas around cognitive behavioral therapy and psychiatry can make a big difference.
While most people know that video game addiction is nowhere near as severe as opioid addiction, we still think making these kinds of connections may help people better understand the idea of gaming disorder. Many healthcare professionals believe that one problem facing effective video game addiction treatment is the idea that it is not harmful.
When it comes to opioids and other drugs, innovative addiction treatment can be the difference between life and death. Safe medical detox is a vital part of building a stable foundation for long-term sobriety. People who struggle with addiction also need more than just a reliance on abstinence. This is why holistic addiction treatment is so important with addressing the opioid crisis in America today.
Palm Partners Recovery Center believes that personalized and holistic addiction treatment is essential to helping people struggling with drugs or alcohol to not only overcome their addictions, but to transform their lives. No matter what your addiction, you should have access to compassionate care and options for effective care. If you or someone you love is struggling with substance abuse or addiction, please call toll-free now.
CALL NOW 1-800-951-6135
Once upon a time, cosmetic surgery was a little more taboo. With exception to correcting physical deformities, surgery of fashion instead of function was a little less mainstream. Today, it is widely accepted and the doctors highly trained and respected in their field. Over time, as more people have sought cosmetic surgery, another trend has come to the surface- cosmetic surgery addiction.
Often when we talk about addiction, most people instinctively think of the opioid crisis in America. It has become just a prominent issue that it has dominated the conversation when it comes to substance use disorder, treatment programs, and mental health. Yet, there are still other forms of addiction that are affecting a lot of people. Smartphones and tablets have ushered in a discussion on social media addiction, and a handful of scandals have highlighted sex addiction.
So what do we know about cosmetic surgery addiction?
Body dysmorphic disorder
While you may not be likely to become physically addicted to plastic surgery, it is still possible to develop a cosmetic surgery addiction. According to Canice E. Crerand, PhD, psychologist in the division of plastic surgery at the Children’s Hospital of Philadelphia,
“It is more of a psychological issue than a physical addiction.”
The underlying psychological issue is attributed to body dysmorphic disorder or BDD. According to the Anxiety and Depression Association of America (ADAA):
- BDD affects 1.7% to 2.4% of the general population
- That comes out to about 1 in every 50 people
ADAA also states that people with body dysmorphic disorder think about their real or perceived physical flaws for hours each day. Their obsessive thoughts may lead to severe emotional distress and can even interfere with everyday life.
An individual suffering from BDD can dislike any part of their body, but most often they find fault with:
One study actually suggests that 1/3 of patients who receive nose-jobs show symptoms of BDD. Other reports show:
- BDD most often develops in adolescents and teens
- Research shows that it affects men and women almost equally
- BDD occurs in about 2.5%of males in America
- It occurs in about 2.2 % of females in America
- According to the American Psychiatric Association, BDD often begins to occur in adolescents 12-13 years of age
Someone with body dysmorphic disorder can see their flaws as significant and prominent, even if they are barely minor imperfections. Still, body dysmorphic disorder is a condition that can drive people to go under the knife again and again. The desire to fix the perceived ‘defect’ can ultimately create a cosmetic surgery addiction.
Plastic Surgeons and Cosmetic Surgery Addiction
Experts suggest that while plastic surgeons are trained to perform these cosmetic procedures, they should also have the ability to identify cosmetic surgery patients who may develop a cosmetic surgery addiction. So what are some warning signs doctors could be watching for? Crerand said a few examples may be:
- Patients are often unhappy with the results of their cosmetic surgeries and take their frustrations out on surgeons in extreme cases.
- The individual may have very unrealistic expectations about surgery, thinking it will gain them a better job or a better relationship.
- May be satisfied with the requested surgery, but then “suddenly realize” another feature is unacceptable and desire even more procedures.
Crerand also says there are many challenges in trying to determine if someone is suffering from BDD. But many also believe that a cosmetic surgeon has an ethical responsibility to weigh the risks and potential benefits of a surgery. If a plastic surgeon suspects that a patient may have a cosmetic surgery addiction or body dysmorphic disorder, they should refer the patient to a consulting psychologist or psychiatrist.
Another important aspect is that people who have body dysmorphic disorder are likely to have another psychiatric disorder such as:
So someone showing signs of cosmetic surgery addiction may also be suffering from another issue that is causing them to abuse drugs and alcohol as well as put themselves through repeated surgery.
Combination of Addictions
Cosmetic surgery is not the only way that people suffering from body dysmorphic disorder try to ‘fix’ their flaws. Some will turn to very dangerous drugs in hopes of improving their bodies. This self-medicating can also lead to substance use disorder.
According to the Harvard Medical School, men who develop BDD often focus on weight and muscle size. Unfortunately, the disorder prevents them from feeling as though they’ve developed an adequate amount of muscle so they may turn to steroids. Sadly, anabolic steroids are commonly associated with intense addictions that form in an incredibly short amount of time.
Women can also develop body dysmorphic disorder symptoms relating to their muscles. They may also develop preoccupations with their weight and with the size of specific parts of their bodies. This obsession can lead to the use and abuse of stimulant drugs. These substances are known as side effects that reduce the appetite and allow people to skip meals without feeling either hungry or deprived. Stimulants can also leave chemical damage behind, even when the person feels sober. All this chemical damage can cause compulsive use and abuse of drugs.
These are just a few examples of how the same issues that lead to cosmetic surgery addiction can also create serious substance use disorder. This is why dual diagnosis treatment is so important. For people who struggle with co-occurring disorders, the recovery process can be extremely difficult if both issues are not addressed. Having a comprehensive and holistic recovery program with dual diagnosis resources can make all the difference.
For people who may be dealing with cosmetic surgery addiction, there may be a much more serious disorder just beneath the surface. The best option for healthy recovery is a treatment for both. If you or someone you love is struggling with substance abuse or addiction, please call toll-free now.
CALL NOW 1-800-951-6135
Author: Justin Mckibben
Being the month of THANKSgiving, not to mention the month of Veterans Day to show appreciation for the armed forces, it should come as no surprise that November is recognized by many as National Gratitude Month.
But we know that true gratitude is more than saying “thank you” for what others may do or the things we are fortunate enough to have. Gratitude gives us the ability to look past the negative parts of our situation, our lives or the world we live in and focus on appreciating all the good that we do have. Practicing daily gratitude allows us to create a more profound understanding and connection with ourselves, our loved ones and the world around us. Gratitude creates compassion and empathy; it helps us to be more involved and more self-aware.
But this writer believes that true gratitude takes action. So this month, in observance of National Gratitude Month, I encourage people to take action to share that gratitude with others.
The Practice of Being Grateful
Back in 2015, November was officially proclaimed National Gratitude Month throughout the US and Canada by National Day Calendar. The initial announcement for the observance comes from Stacey Grewal, an author, spiritual mentor and coach who advocated for the proclamation. Grewal stated,
“Gratitude is an essential ingredient of a happy, fulfilling life,”
Grewal herself has been proclaimed a “gratitude guru” who wrote the book Gratitude and Goals.
10 years ago in 2007, Robert Emmons began researching gratitude and found that expressing gratitude improves mental, physical and relational well-being. Practicing gratitude also impacts the overall experience of happiness. All this is typically not a momentary improvement. Many of these benefits turn out to be long-lasting.
Benefits of Gratitude
- Improved physical, emotional, and social well-being
- Greater optimism and happiness
- Improved feelings of connection in times of loss or crisis
- Increased self-esteem
- Amplified energy levels
- Strengthened heart
- Improved immune system
- Decreased blood pressure
- Improved emotional and academic intelligence
- Extended aptitude for forgiveness
- Decreased stress, anxiety, depression
- Reduced headaches
- Improved self-care and greater likelihood to exercise
- Heightened sense of spirituality
There are even a number of events and activities to get involved with this month, including the 30 Day Gratitude Challenge where one can sign up for a daily email that suggests opportunities to practice gratitude in new and interesting ways.
But you don’t have to commit to any event or challenge to help promote gratitude.
Giving with Gratitude
Looking at the definition of gratitude on the all-knowing Google, we find it as:
“The quality of being thankful; readiness to show appreciation for and to return kindness.”
Right there we see the inclusion of the concept that gratitude means to at least be willing to take some kind of action, i.e. showing appreciation and returning the kindness.
The way I express my understanding of gratitude is like this:
- If I am grateful for my job, I show up and work hard
- If I am grateful for my home, I respect it and honor it, along with anyone who may live there
- Being grateful for those who have helped me, I help whoever I can when I can
My expression of gratitude means making every attempt possible to ensure I do not take the gifts I have for granted. We should not neglect the things or the people we have in our lives as if we know they will always be there. When we become complacent, our gratitude might slip away.
Recovery from addiction gives us so much more to do with that gratitude.
Grateful for Recovery
In recovery from drugs or alcohol, it can be especially important for many of us to stay grateful. In the recovery community, we hear people all the time talking about how grateful they are to be alive, or how grateful they are to have another chance at life or a fellowship of support in recovery. All of this is so important, but again it takes action.
If we are grateful for the opportunity to get better, we should not squander it with defiance and neglect.
If we are grateful to be alive, we should focus on living better lives and doing something meaning with our lives; even if to you that simply means being a better parent/spouse/child/sibling in your family.
Being grateful reminds us of the kindness of others and the strength that they gave us to get ourselves out of addiction. So we should live by example and help those who still need help, recovering or not. With all the benefits of gratitude we’ve mentioned, it only makes sense that someone in recovery from addiction would want to take advantage of National Gratitude Month as an excuse to exercise that part of themselves. Treating others as if you are already grateful for the opportunity is training for the mind, body, and spirit. For those working to overcome addiction, gratitude can be a
Share the Love for National Gratitude Month
If you want to get involved, it is pretty easy. Just be grateful every chance you get.
In the world, as it is right now we could use more love and gratitude. With so much going on in such divisive times, like the opioid crisis and overdose outbreak tearing apart so many lives, we should take every chance to bring our communities together.
Or if you want to help share the love and raise awareness, share this article with your friends and use #NationalGratitudeMonth on social media posts.
Have an amazing November! Remember to be grateful and to show that appreciation and kindness with action and goodwill toward others!
It’s been said that healing can come from the places you least expect it. Make sure to appreciate the opportunity. For those who are looking for something to be grateful for, it starts with the fact you are still here. If you are suffering or lost, maybe its time for a new foundation. If you or someone you love is struggling with substance abuse or addiction, please call toll-free now.
CALL NOW 1-800-951-6135
Author: Justin Mckibben
Studying Compassionate Goals
A recent study published in the Journal of Clinical Psychology actually states that compassionate goals we set are about
“- striving to help others and avoiding selfish behavior” for example, “making a positive difference in someone else’s life.”
Researchers here measured how participating in self-image goals and compassionate goals had an impact on symptoms of depression and anxiety, along with their conflict with others.
This study concluded that its results suggest there is a very real relevance of self-image and compassionate goals for the interpersonal maintenance of issues like depression and anxiety.
Principally, the results held some pros and cons for people with anxiety. The downfall is that trying to boost self-image by avoiding vulnerability backfires, leaving people more depressed and anxious. This can create a difficult cycle to escape from emotionally.
The good news is that by focusing on helping others, we make everyone involved, including ourselves, feel better. This is because showing compassion through action doesn’t just relieve our anxiety or depression in the moment, but it helps us build our relationships, which can reduce anxiety and depression as they grow stronger and healthier. It is a win-win. In recovery from drugs or alcohol, we should take all the wins we can get.
4 Ways to Help Others that Help Us
If you want to utilize acts of kindness to help you grow in your recovery, there are plenty of ways to do it. Here are just 4 examples of things you can do to help others that will help you.
Making constructive comments to others
”Words are singularly the most powerful force available to humanity.”
That statement is no exaggeration. If the pen is mightier than the sword, the spoken word is truly the undisputed champion.
In recovery use your words to help others. Make constructive comments that serve to build others up, while pointing out their strengths and celebrating their successes. This helps us develop a habit of focusing on the good in one another and ultimately in our communities and our lives. It can also build up our relationships to give us strong support.
Having compassion for others’ mistakes
“Experience is simply the name we give our mistakes”
For a lot of people, it is already hard enough to accept their mistakes. Most of us are our worst critics. No one likes people pointing out their shortcomings. We all make mistakes. Try to be compassionate about it when others slip up.
Why is it important to show companion when someone else makes a mistake? Because not only does giving someone an empathetic response make them feel better, it also reinforces our relationship with them. It shows those around you that you are understanding and humble enough to support someone through their mistake without shaming them or holding it over their head.
In recovery, this means a lot because it is important to remember that we are also a work in progress. We have our own faults, and if we want to build a new life we have to move on from the old. Compassion can even help others show you the same support when it’s your turn to mess up.
Don’t be self-centered
“A selfish man is a thief”
In most recovery fellowships there is an emphasis on avoiding the self-centered behavior. Being self-centered is never really beneficial in the long-term, even if it helps you with some level of instant gratification. In addiction recovery, being so self-involved can be counter-productive to healthy growth.
Surely it is ok to take care of yourself and honor yourself. But being self-centered makes it less about self-care and more about self-seeking and being inconsiderate.
In fact, high levels of depression and anxiety tend to make us turn inward and focus on ourselves even more. The worse we feel the more isolated we become. Being considerate of others and finding a way to help them can actually relieve anxiety and depression by turning that energy outward.
In recovery, we should think of others as we improve ourselves. When we realize we must make choices and take action to benefit people other than ourselves, our compassion gives us perspective.
Avoiding harming others
“If you can, help others; if you cannot do that, at least do not harm them.”
Last but certainly not least, we can easily help ourselves and others by not causing harm. If you can’t make someone’s life better, at least don’t make it worse. You don’t have to necessarily go out of your way and do random acts of kindness, but at least don’t do random harm to others.
And this kind of compassion is pretty much just common courtesy. It can be active on a small scale and still impact you in recovery. You can throw your trash in a garbage can so someone else doesn’t have to sweep it up later. You could put away your shopping cart at the grocery store, or even use that crazy ‘turn-signal’ thing everyone keeps talking about when you’re driving.
While these seem like silly examples, for some people it goes a long way to just be considerate with the little things. It helps build character slowly but surely, while also giving us a sense of our impact on other people. If we can learn to so how our small kindnesses add up, maybe we will be more aware of the power in our bigger decisions.
Compassion in Addiction Recovery
It might not always be easy, but the important choices often aren’t easy. In addiction recovery, we should try to work on ourselves as often as we can, especially for the benefit of others. If our actions can make a positive effect and help someone else, while helping us stay clean and sober, we are on the right track.
But how do we start on that path?
If you want to begin a new journey that will help you build the life you deserve, while helping those you love most, there is help. If you or someone you love is struggling, please call toll-free now.
CALL NOW 1-800-951-6135
Author: Shernide Delva
If there’s anyone who understands the shock of losing a bandmate to suicide, it’s Dave Grohl. Back in 1994, Nirvana’s lead singer Kurt Cobain took his own life in his Seattle home. At the time Grohl was the drummer in the band.
Now, Grohl, lead singer and founder of the band Foo Fighters, is opening up about the untimely death of his musical peers Chester Bennington (Linkin Park) and Chris Cornell (Soundgarden). Grohl says there is a real need for mental health awareness.
Grohl is not the first to speak out. After the tragic death of Bennington and Cornell, fellow musicians from bands like Slipknot, Creed and Limp Bizkit expressed the importance of addressing mental health and the need to reduce the stigma.
Grohl’s explained in a recent interview the difficulty of losing a friend through mental illness.
“When it comes to someone like Chris Cornell or Chester, depression is a disease, and everybody kind of goes through it their own way,” Grohl stated in an interview with New Zealand’s RockFM. “I can’t speak for anybody else’s condition, but the hardest part is when you lose a friend. And I just always immediately think of their families, their bandmates, ’cause going through something like suicide, it’s a long road. And Chris was such a beautiful guy, man—he was the sweetest person, he was so talented, he had so much to offer—that it was a real shock to hear that he had gone.”
“I think that mental health and depression is something that people should really take seriously,” Grohl continued. “And there’s a stigma attached to it, which is unfortunate, because just as you take care of yourselves in every other way, I think it’s important that people really try to take care of themselves in that way too. And it ain’t easy. You know, life’s hard.”
Foo Fighters drummer Taylor Hawkins weighed in on the discussion:
“Like [Dave] said, people [think], ‘You’ve got it so together.’ It just goes to show you, it doesn’t matter what’s in your bank account, or how many hits are on your YouTube page, or all that kind of crap—it all goes out the window if, like Dave said, you’re not feeling right.”
“[Soundgarden] were a big inspiration for us as musicians, and Chris Cornell was just the master. So the loss, it’s a bummer, but, like Dave said, that’s a real thing. Look after yourselves, and if it looks like someone’s down, way down, check on ’em.”
Mental Health and Suicide Awareness:
Despite the recent deaths of Bennington and Cornell, there still remains a stigma behind mental illness. The reasons behind suicides remain misunderstood. The stigma of mental illness was evident after these recent deaths. Many people used words like “selfish” to describe these acts.
The reality is depression is a complex disease. Depression is a mental illness that requires treatment. Without treatment, the condition only worsens.
Signs of Depression Include:
- Loss of interest or pleasure in previously enjoyed activities
- Decreased energy
- Difficulty concentrating
- Changes in Eating Patterns
- Weight changes
- Thoughts of death
September is National Recovery Month. Recovery includes both substance use disorder and mental illness. It is important that public figures like Dave Grohl are speaking out about this. Recovery IS possible. If you or someone you love is struggling, please call toll-free now.
CALL NOW 1-800-951-6135