Video Game Addiction Healthy Gamer - Original
Video Game Addiction Healthy Gamer - Original
Video
Game
Addiction
A Comprehensive Guide to Overcoming
Problematic Gaming.
Table of Contents
Introduction 1
Introduction
Welcome to the Video Game Addiction: The Comprehensive Guide to
Overcoming Problematic Gaming.
Healthy Gamer creates resources on video game addiction and mental health,
based on the knowledge and experience of Dr. Alok Kanojia aka Dr. K, a
Harvard-trained Psychiatrist who practices in Boston, Massachusetts.
A few years ago, when Dr. K was training to become a psychiatrist, he realized
that the psychiatric community did not know much about video game
addiction. Most of the leaders in the field of psychiatry are quite old. 55% of
psychiatrists are over the age of 55. Therefore, they probably don’t have much
experience playing videogames, which is why they struggle to help people with
video game addiction.
The Healthy Gamer Coaching Program has seen over 5,000 clients across 65
countries, and clients report significant improvements in feelings of anxiety,
depression, life purpose and reduction in problematic gaming habits.
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Video Game Addiction: A Comprehensive Guide
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Video Game Addiction: A Comprehensive Guide
It really depends on which stage of life you are in, and how much time you can
afford to spend playing video games.
Some people might prefer to play video games for only an hour every day, while
others might not play the entire week and then play a lot over the weekend.
Every individual gamer has different preferences.
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Video Game Addiction: A Comprehensive Guide
Common Signs of
Video Game Addiction
Five Signs of Video Game Addiction
1. Excessive preoccupation with video games.
2. Being unable to stop when needed.
3. Being unable to cut back on time spent playing games.
4. Prioritizing gaming over everything else.
5. Problems with daily functioning.
Aside from these aspects, if there is something specific that you want to
achieve in life, and your gaming habit is preventing you from doing that, then it
is a problem.
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Video Game Addiction: A Comprehensive Guide
Am I Addicted to Video
Games?
Here are some questions to ask yourself if you want to look for some signs of
video game addiction:
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Video Game Addiction: A Comprehensive Guide
If your answer to any of these questions is yes, then your gaming habit is
probably a problem.
The most dangerous and insidious part of a video game addiction is that it
prevents you from becoming the person that you want to be.
Video games might be fun and enjoyable while you are playing them, but five
years down the road, will you be happy with where you are? Would you have
instead spent some of that time doing something else?
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Video Game Addiction: A Comprehensive Guide
1
The First Stage
The first phase of video game addiction is quite benign. It is the
phase in which video games are actively fun. You can play them for
long periods and have fun throughout the gaming session.
Video games are fun because when you play them, your game releases a
neurotransmitter called dopamine. Dopamine controls the amount of pleasure
we feel.
However, over months or years, as you continue to play games, your brain
starts to adapt to that steady degree of dopamine release. That is due to a
mechanism in our brain called homeostasis. This mechanism maintains a
balanced state in our brains.
The first cup of caffeine you ever have in your life will make you wired.
However, if you keep consuming caffeine every morning, your body will
eventually develop a tolerance to it.
As a result, if you skip it on a particular morning, you will feel tired and
exhausted. Consequently, when you do end up consuming caffeine, it won’t
have the same effect; it won’t hype you up, it will only make you feel normal.
Similarly, if a person drinks alcohol for the first time, they will get drunk very
quickly. But if they start to drink regularly, their body will develop a tolerance to
that amount of alcohol. It will take more and more alcohol to feel its effects, as
their body will be less sensitive to it.
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Video Game Addiction: A Comprehensive Guide
2
The Second Stage
In the second stage of video game addiction, video games don’t
feel as fun. That is because you have developed a tolerance to
that constant stream of dopamine.
You can often find gamers saying, “There are no fun video games out right now.
I have played hundreds of hours of this one game, and I keep coming back to it
because there is nothing else to play.”
Since gaming does not feel fun anymore, it does not give you a high. However,
it can still help you when you’re feeling low.
Video games suppress negative emotions. The amygdala is the part of our
brain that governs negative emotions. fMRI studies have shown that if we start
playing games when our amygdala shows activity, it calms down. However,
constant suppression can lead to the development of a condition called
Alexithymia.
Therefore, in the second phase of video game addiction, even though video
games aren’t fun, they can still remove negative emotions.
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Video Game Addiction: A Comprehensive Guide
3
The Third Stage
In the second stage of video game addiction, video games don’t
feel as fun. That is because you have developed a tolerance to
that constant stream of dopamine.
If people continue to game past the second phase, they enter the third stage of
video game addiction. This stage shares a characteristic with other biological
addictions — it stops taking away negative emotions.
If you used to use gaming to escape emotional pain, then you will find that it
will not work anymore. You will feel trapped in your gaming. It won’t feel fun,
but you will not be able to stop doing it either. That is because of the way our
learning circuitry is tied to our emotions.
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Video Game Addiction: A Comprehensive Guide
Their dopamine tolerance has become so high that it has reached the point of
dopamine exhaustion. Gamers attribute this to them losing interest in a
particular video game, but if they try other things, those don’t seem fun either.
Gamers need to realize that they don’t find anything fun because their
neurochemistry has changed. Every other activity will feel boring because of the
way video games have exhausted their dopamine circuitry.
You have to give yourself time away from gaming to allow your brain to reset. It
needs to achieve homeostasis at a low level of dopamine. That can take
somewhere between three weeks to two months. However, you will start to see
some changes in about a week. By three weeks, you will see noticeable
changes, and by two months, you should be fully back to normal.
You have to understand that before your brain resets, anything you do will be
less fun. That is due to how your neurocircuitry has changed as a result of
gaming.
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Video Game Addiction: A Comprehensive Guide
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Video Game Addiction: A Comprehensive Guide
In online gaming, nobody knows how you look, whether you are rich or poor,
what you wear, etc. You are judged on the basis of your skill at the game. Quite
often, these can lead to authentic relationships that are not superficial.
Moreover, on the internet, you get to pick friends that share your interests. You
can find these people in online groups much more easily than in real life. There
are many fifteen-year-olds who play games online and talk about philosophy.
They talk about their hopes and dreams. The connections that we form online
are authentic.
As a result, gaming is not just an activity that people engage in to have fun. It is
also about the communities that we participate in, online.
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Video Game Addiction: A Comprehensive Guide
1
Dopamine Exhaustion
Dopamine is the primary neurotransmitter that regulates pleasure
in the brain. When dopamine activity happens in the part of the
brain called the nucleus accumbens, we feel pleasure — it is the
pleasure center of our brain.
If you have never had caffeine before, the first cup of caffeine that you ever
have in your life is going to make you completely wired. However, over time
your body develops a tolerance to that caffeine. As a result, if you don’t have
caffeine, you feel really tired. Moreover, if you have caffeine, it will not actually
hype you up — it will just make you feel normal.
People who play video games a lot tend to not have fun when they’re playing
video games. However, if they stop playing games, they just don’t feel normal.
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Video Game Addiction: A Comprehensive Guide
This process also makes gamers have difficulty finding pleasure from other
activities. If a gamer is unable to enjoy books, it might be because their
dopamine circuits have been so down-regulated because of the consistency
and intensity of dopamine release from gaming. As a result, gamers find it
difficult to enjoy things that other people enjoy.
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Triumph Circuit
The Triumph Circuit is different from the dopamine circuit. It is not
as easily mappable since it does not localize to one part of the
brain.
The answer lies in evolutionary biology. There is a strong narrative of going out
into the unknown, overcoming an obstacle,and coming back with a reward. This
pattern is wired in our circuitry — that is why, as a society, we value people who
accomplish difficult things.
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Video Game Addiction: A Comprehensive Guide
Video games have done a great job of hacking into this circuit. In fact, they
strive to strike the balance between being challenging enough to feel like you
accomplished something and being easy enough to not create frustration. That
is the sweet spot where games are the most engaging, and it is because of the
Triumph circuit.
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Negative Emotion
Suppression
Video games suppress negative
emotions.
However, fMRI studies have shown that if we start to play video games when
our amygdala is active and we’re experiencing fear, anger, frustration, sadness,
or any other negative emotion, then our amygdala starts to calm down. Our
emotions get suppressed. That is why gaming is such a good coping
mechanism.
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Video Game Addiction: A Comprehensive Guide
Since video games suppress the amygdala, they also suppress the amygdala’s
capability to access the hippocampus. As a result, gamers have a hard time
learning from their mistakes.
That is one of the main reasons why they cannot stop playing video games.
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Video Game Addiction: A Comprehensive Guide
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Video Game Addiction: A Comprehensive Guide
Gamers have trouble operationalizing tasks because games tend to do that for
them. They are good at putting the pieces together, but they struggle with
figuring out what the pieces are. As a result, gamers often come to the
conclusion that they are lazy.
That is one of the biggest reasons that gamers get stuck in life. Even though
they logically realize that their gaming habit is preventing them from moving
forward, they feel powerless to create change. Their drive to stop gaming and
work on other parts of their life becomes diminished, and they get branded as
“lazy” by the people around them.
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Video Game Addiction: A Comprehensive Guide
Video games present us with intricate puzzles, and we have to solve them
efficiently. As a result, gamers’ minds become hyper-efficient — they will only
do the things that think is necessary. That is why gamers complain about
having a bad habit of procrastination.
Procrastination is the result of our brain being too efficient. It will only want to
complete a task when necessary. That gets mistaken for laziness since, in
practice, it looks like gamers are too lazy to complete their work until the last
minute.
Being labeled “lazy” is the worst thing that can happen to a gamer. It is a
personality trait, not an issue that has a solution. Therefore, when people tell
gamers to “just do it,” that leads to frustration on the gamers’ part.
Moreover, their self-esteem also takes a hit. They feel like a failure for not being
a functional member of society, which lowers their self-confidence. Their
gaming habit gets worse because gaming is the only way they know to
suppress feelings of insufficiency.
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Video Game Addiction: A Comprehensive Guide
The solution to this is to draw motivation from your values. Values are what
push us to do hard things in life. They are our guiding compass — they enable
us to move forward despite the difficulties involved. That is Dharma, the
Sanskrit word for duty or responsibility.
Check out this video in which Dr. K goes over the nature of motivation, and
how you can cultivate it.
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Video Game Addiction: A Comprehensive Guide
Emotional Suppression
One of the main reasons that video games can make you angry is that video
games suppress emotions. That may sound paradoxical, and you might ask, “if
video games suppress my emotions, then shouldn’t anger be suppressed as
well?” That is a valid question, so let’s try to answer that in this section.
Gamers often play video games to suppress emotions that they experience
going through daily life events. However, constant suppression prevents the
our emotional circuitry from making connections to our learning circuitry.
That prevents gamers from learning lessons, which makes their progress at the
game slower. That leads to more frustration, which gets vented out at the
game or their teammates.
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Video Game Addiction: A Comprehensive Guide
However, these emotions don’t dissipate. They stay suppressed and swimming
under the surface. When we experience an adverse event in a game that causes
frustration, those emotions find an outlet. Due to reasons that we will get into in
the next section, these suppressed emotions manifest as anger.
Video games can make this issue worse. As a result of emotional suppression,
people start to lose the ability to know their emotions.
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Video Game Addiction: A Comprehensive Guide
People raging at each other in games is a common sight. When a new player
enters these communities, they quickly learn that they have to be equally toxic
to survive. As a result, toxicity and rude behavior get normalized.
Many gamers think that their speech does not cause any real harm. They
believe that “its just words.” Everyone reinforces everyone else’s toxic
behaviors, which makes the environment worse, especially for new players.
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Video Game Addiction: A Comprehensive Guide
However, if you are stuck in life and are not moving towards your goals, then
you will most likely be unhappy. Sometimes, you can have both, and it becomes
hard to distinguish one from the other.
Anxiety
Our mind has the ability to predict potential problems in the future. If this ability
gets out of control, then that is what we call anxiety.
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Video Game Addiction: A Comprehensive Guide
Being addicted to video games causes us anxiety because when we are playing
games, we are not doing the things that we know we should do. However, we
are not anxious about neglecting them in the present or not having done them
in the past. We are actually anxious about the consequences of not addressing
those things. Those consequences lie in the future.
Every anxious thought has its root in the future. Video games do not
necessarily cause anxiety, but when they take over your life and you start to
neglect other important things, then that creates anxious thoughts.
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Video Game Addiction: A Comprehensive Guide
Strategies to Stop
Playing Video Games
One of the biggest mistakes we make when we realize we have an addiction is
to try to drop the vice entirely. However, that does not go very well.
Simply putting an end to your gaming habit will not necessarily fix your life.
However, you have a better chance of having a healthy relationship with video
games if you figure out why you play video games. If you understand what
needs video games fulfill, you will be able to find other ways to satisfy those
needs.
1
Quitting Cold Turkey
You can try to quit gaming without any steps leading up to it. This
is the least effective strategy to overcome video game addiction,
but it does work for some people.
Delete all social media applications from your phone, uninstall all your games,
and disconnect your computer and keep it somewhere that is not easily
accessible.
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Video Game Addiction: A Comprehensive Guide
Try to spend more time in nature – go for a hike or a run. You can even try to
start meditating and cultivating more internal awareness. If you can come to
terms with the reason you play video games in the first place, it will be easier to
find ways to avoid gaming.
Dopamine detoxes are the most effective when done with someone. Have a
friend do it with you. You can check in with each other for fifteen minutes a day
and hold each other accountable.
It typically takes the brain about two weeks to reset itself to normal dopamine
levels. If you successfully abstain for two weeks, congratulations! After this, not
only will video games feel more fun, but you might also have found other
activities to enjoy.
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Video Game Addiction: A Comprehensive Guide
2
Slowly Reduce the Time Spent Gaming
Nobody will blame you if you feel you cannot quit gaming in one
go. Many people rely on gaming as a coping mechanism for
negative emotions, a sense of community, and a way to de-stress.
It is easier to reduce the time spent gaming than to try to quit gaming in one go.
Here is an example plan that you can follow. However, feel free to modify this
to suit your pace and needs.
Important Note: Don’t try to add new activities and increase the time spent on
another hobby at the same time. Biting off more than you can chew will only
lead to another failed attempt. Change is not a sprint; it is a marathon, and it
requires patience.
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Video Game Addiction: A Comprehensive Guide
3
Find a Competing Interest
In addiction psychiatry, it is not sufficient to simply stop using the
substance in question. The urges will be too strong, and the
likelihood of relapse is too high.
Moreover, they don’t even know which direction to move in. That can be
paralyzing.
Video games give you a false sense of direction and growth. Due to our
evolutionary history, progress is attractive to our brains. Video games fulfill that
need, and as a result, it is difficult for gamers to engage that internal drive to
achieve outside video games.
However, sometimes you try to set your heart on something and accomplish it.
You give it your all, and then you encounter a roadblock. The initial motivation
that drove you to achieve your goal disappears suddenly. You try to push
through, but eventually, you give up and stop.
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Video Game Addiction: A Comprehensive Guide
Often, we pick arbitrary goals for ourselves. For example, a lot of gamers
choose financial independence as a goal. However, that goal comes out of a
desire, not a value. Desires don’t motivate you to make long-term changes in
your life; values do. Desires are things that would be nice to have, but you
wouldn’t have that drive to achieve them.
On the other hand, values motivate you to get out of your chair and achieve
something, despite its difficulty and the suffering it may bring. That is
essentially what a competing interest is — it arises out of your values, not your
desires. Values make you feel fulfilled when you move in their prescribed
direction.
The problem is that many gamers don’t know what their values are, which
leaves them directionless. Luckily, there are some exercises that you can do to
figure out what you value.
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Video Game Addiction: A Comprehensive Guide
Grab a piece of paper and write 500 words about a time when you felt
fulfilled. Write about it in as much detail as you can. It is vital to sit down
and do this exercise with a pen and a piece of paper. While gamers are
good at analytical thinking, they don’t have much practice reflecting on their
thought process. Putting your thoughts down on paper will help you look at
them critically. It will also prevent you from falling into the trap of editing
them as you write.
Again, grab a piece of paper and write about ten things that are wrong with
the world. Write about them in as much detail as you can — this will help
you clarify your values, and figure out what you care about. It is essential to
do this exercise on a piece of paper because the first five things you write
down will probably be things that you already know. However, the last five
might be new, and you will be surprised at what you learn about yourself.
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Video Game Addiction: A Comprehensive Guide
Making Meaningful
Changes in Your Life
When people spend years of their life mostly on the internet, it can start to take
a toll. What was once been a fun, engaging and exploratory experience now
feels like something you can’t separate from and develop outside of.
Healthy Gamer Coaching helps people move from being passive observers to
active participants in their own lives. It helps people build a purposeful life while
balancing being on the internet.
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