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Gaming disorder
How to identify your mental disease
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What is gaming disorder?
Gaming disorder is defined in the draft 11th Revision of the International Classification of Diseases (ICD-11) as a pattern of gaming behavior (“digital-gaming” or “video-gaming”) characterized by impaired control over gaming, increasing priority given to gaming over other activities to the extent that gaming takes precedence over other interests and daily activities, and continuation or escalation of gaming despite the occurrence of negative consequences.
For gaming disorder to be diagnosed, the behaviour pattern must be of sufficient severity to result in significant impairment in personal, family, social, educational, occupational or other important areas of functioning and would normally have been evident for at least 12 months.
Poznyak said the expectation is that the classification of gaming disorder means health professionals and systems will be more "alerted to the existence of this condition" while boosting the possibility that "people who suffer from these conditions can get appropriate help."
How to identify your mental disease
"One is that the gaming behavior takes precedence over other activities to the extent that other activities are taken to the periphery," he said.
The second feature is "impaired control of these behaviors," Poznyak said. "Even when the negative consequences occur, this behavior continues or escalates." A diagnosis of gaming disorder, then, means that a "persistent or recurrent" behavior pattern of "sufficient severity" has emerged, according to the ICD.
A third feature is that the condition leads to significant distress and impairment in personal, family, social, educational or occupational functioning, Poznyak said. The impact is real, he said, and may include "disturbed sleep patterns, like diet problems, like a deficiency in the physical activity."
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Poznyak noted that the ICD does not make "prescriptions" in terms of insurance coverage or the development of health services -- these decisions are made by national authorities -- but "prevention and treatment interventions can help people to alleviate their suffering."
Most interventions or treatments for gaming disorder are "based on the principles and methods of cognitive behavioral therapy," he said. He added that different types of support may also be provided, including "psychosocial interventions: social support, understanding of the conditions, family support."
It's something Hilarie Cash is well aware of as co-founder of reSTART, one of the first inpatient treatment programs in the United States for video game addiction. She said it's time to recognize gaming disorder as a legitimate mental health condition.
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