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ConditionsIGD

Internet & Gaming Disorder

Gaming or internet use that has taken over time, sleep, school, work, or relationships. The WHO's ICD-11 recognizes Gaming Disorder; the DSM-5 lists it as a condition for further study.

What to know. Not a substance, but the loss-of-control pattern is real — and it often appears alongside anxiety, depression, or ADHD.

First-line care
Behavioral treatment, plus addressing co-occurring anxiety, depression, or ADHD

What major medical bodies recommend first when this condition is the focus of care.

Off-label medications can be used in addition to behavioral therapy.


Symptoms

How clinicians think about it.

Clinicians look for a sustained pattern — over roughly a year — where gaming or internet use is no longer in your control and is crowding out the rest of life. A hobby isn't a disorder; harm and loss of control are what matter.

PREOCCUPATION & CONTROL
  • ·Thinking about it much of the day
  • ·Trying to cut back without success
  • ·Needing more time to feel satisfied
COST TO LIFE
  • ·Losing sleep, school, or work to it
  • ·Pulling away from friends and family
  • ·Continuing despite clear problems
MOOD & ESCAPE
  • ·Restless or irritable when unable to play
  • ·Using it to escape low mood or stress
  • ·Hiding how much time is spent

Risks worth knowing

Plainly: what makes this condition dangerous.

Moderate concern

Disrupted sleep and falling school or work performance

Moderate concern

Social withdrawal and strained relationships

Moderate concern

Often occurs alongside depression, anxiety, or ADHD


Treatment options

What's offered, and what we usually start with.

FIRST-LINE — RECOMMENDED FIRST
01
Cognitive behavioral therapyFirst-line

The best-studied approach — building structure, limits, and alternative routines.

02
Treating co-occurring conditionsFirst-line

Addressing underlying depression, anxiety, or ADHD often changes the whole picture.

03
Family and routine support

Especially helpful for teens and young adults still building independence.


Common questions

Asked often, answered briefly.

The World Health Organization's ICD-11 recognizes Gaming Disorder, and the DSM-5 includes Internet Gaming Disorder as a condition for further study. The point isn't labeling a hobby — it's when use becomes compulsive and is clearly causing harm.

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This is not a diagnosis. These tools are for reflection and conversation. A clinician's evaluation is the only way to confirm a substance use disorder. If you are in crisis, call or text 988.
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