Behaviour Addiction

3 important questions on Behaviour Addiction

Characteristics of internet addiction

  • Addiction Mechanism: It shares the same core symptomatology and neurobiological mechanisms as substance-related disorders—including craving, intoxication ("high"), and withdrawal—but without the use of a physical substance.
  • Compulsive Engagement
  • Persistence Despite Harm

Management of Problematic Sexual Behaviour

  • Psychotherapy (First-line for mild cases): CBT is highly recommended and can be used as monotherapy for mild cases.
    behavioural changes based on the "3As" (Accessibility, Availability, and Anonymity).

  • Pharmacotherapy:
    • SSRIs (such as Fluoxetine or Sertraline) have shown up to 70% efficacy.
    • Naltrexone is used to reduce the high (euphorigenic properties) associated with the behaviour.
    • Antiandrogens or GnRH agonists (e.g., Cyproterone acetate) are reserved for severe cases or those at high risk for sexual offences, following consultation with an endocrinologis

Risk Factor for gaming disorder

1. Low Academic performance
2. Co morbid ADHD
3. Spent 3-6 Hours daily
4. Game preference : Multiplayer option

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