Unraveling the Difference Between DSM-Level Internet Gaming Disorder and Excessive Screen Time Habits

In a world saturated with screens, it's crucial for parents to be able to discern between excessive debilitating screen time habits, that might be hard to manage and the harmful effects of gaming addiction, that require a more serious mental health approach.

Where it might be very difficult for children and teens to sometimes balance screen time especially in regard to online games, the more severe realm of clinical gaming addiction as outlined in the American Psychiatric Associations DSM5 Manual may require more than a family tech agreement and perhaps some support for family dispute resolution.

The American Psychiatric Association uses a manual known as DSM, or Diagnostic and Statistical Manual of Mental Disorders, to help medical professionals diagnose specific mental disorders. This manual contains descriptions and symptoms, as well as criteria for diagnosing a wide range of mental health conditions. The DSM 5th edition, is the most recent version and the one used today by medical professionals around the world. Mental health disorders for various types of addiction have been added to the DSM as research has shown that they are in fact a disorder and not just a habit needing some non psychiatric help. Behavioural addictions such as gambling and now Internet Gaming Disorder have taken some time to be included.

Screens: A Double-Edged Sword

From smartphones to laptops, screens have seamlessly woven themselves into the fabric of our daily lives. While these devices offer unparalleled convenience and connectivity, it's essential to recognize the nuances between casual screen use and behaviors that may signal deeper issues.

Moderation Matters

Casual screen time habits, such as scrolling through social media or watching videos, are part of our contemporary existence. However, it's essential to assess whether these habits remain within healthy boundaries or start encroaching on our overall well-being. Setting up time limits or screentime barriers such as blocking apps during certain times can help with habitual use, but what if your family member has a violent reaction every time they have to transition off an online game?

Distinguishing Between Habit and Addiction

The line between bad habits and gaming addiction is not always clear-cut, but understanding the distinction is crucial. Bad habits may manifest as excessive screen time without significant impairment in daily life. On the other hand, gaming addiction, recognized by the DSM-5, involves a compulsive and detrimental relationship with gaming that can adversely affect various aspects of one's existence.

Recognizing Gaming Addiction

Gaming addiction involves a loss of control over gaming habits, leading to negative consequences in personal, academic, or professional realms. Recognizing warning signs, such as withdrawal symptoms and neglect of responsibilities, is vital. Early intervention and open communication are crucial in addressing gaming addiction and fostering a healthier digital lifestyle.

In Section III of the DSM-5, conditions are included that warrant additional research before being considered for formal recognition as mental disorders. The criteria proposed for Internet Gaming Disorder in the DSM-5 include:

  • Preoccupation with gaming.

  • Withdrawal symptoms when gaming is taken away or not possible.

  • Tolerance, resulting in the need to spend increasing amounts of time gaming.

  • Unsuccessful attempts to control participation in gaming activities.

  • Loss of interest in previous hobbies and entertainment as a result of, and with the exception of, gaming.

  • Continued excessive use of games despite knowledge of psychosocial problems.

  • Deceptive use of gaming, including the extent of involvement.

  • Use of gaming to escape or relieve negative moods.

  • Jeopardized or lost a significant relationship, job, or education or career opportunity because of participation in gaming.

As it currently stands, individuals diagnosed with Internet Gaming Disorder would need to exhibit five or more of these symptoms within a year to qualify for a diagnosis. Although the classification is titled Internet Gaming Disorder, the condition also applies to gaming on other electronic devices including smartphones, tablets, and consoles. Studies indicate that individuals with significant gaming problems primarily play online games.

Parental Guidance in the Digital Age

Parents and educators play pivotal roles in shaping responsible digital citizens. An informed and empathetic approach to guide young individuals through the complexities of digital engagement is vital to help families balance online gaming. Establishing clear boundaries, encouraging open dialogue, and fostering a positive digital environment are essential strategies for promoting a balanced relationship with screens.

When To Seek Diagnosis and Help.

If parents are concerned about Internet Gaming Disorder (IGD) in their child or teenager, there are several steps they can take to seek help and support. Here's a guide on how parents can address this issue:

  1. Start with Open Communication: Begin by having an open and non-confrontational conversation with your child. Discuss your concerns about their gaming habits and how it might be impacting their life, relationships, and responsibilities.

  2. Educate Yourself: Learn more about Internet Gaming Disorder, its symptoms, and potential consequences. Being well-informed will help you understand the nature of the issue and communicate effectively with professionals.

  3. Consult with a General Practitioner (GP): Schedule an appointment with your family doctor or a general practitioner. They can assess the situation, provide initial guidance, and refer you to specialists if necessary.

  4. Seek a Mental Health Professional: If the gaming behavior is causing significant distress or impairment, consider consulting with a mental health professional, such as a psychologist or psychiatrist. They can conduct a thorough assessment and provide appropriate interventions or treatments.

  5. Contact Local Mental Health Services: Reach out to local mental health services or organizations in Sydney that specialize in youth mental health. Organizations like Headspace or local community mental health clinics may offer support and resources for both parents and children.

  6. Connect with School Counselors: If the child is attending school, get in touch with the school counselors or psychologists. They can provide insights into the child's behavior at school and collaborate with parents to address the issue.

  7. Consider Online Resources: Explore online resources and support groups for parents dealing with similar concerns. Websites such as ReachOut or Parentline may offer advice and forums for sharing experiences.

  8. Attend Workshops or Support Groups: Look for workshops or support groups that focus on digital well-being and parenting in the digital age. These can provide valuable insights and strategies for managing screen time.

  9. Set Healthy Boundaries: Work with your child to establish healthy screen time boundaries and habits. Collaborative efforts can be more effective than imposing strict rules.

  10. Monitor Progress and Adjust: Regularly monitor your child's progress and be willing to adjust strategies as needed. It's essential to maintain open communication and adapt interventions based on the child's response.

  11. Contact me at Digital Families Counselling to work together on a digital tech plan and strategies to help your child balance their online gaming use.

Get Help Sooner Rather Than Later:

Remember that seeking help early is crucial, professionals are available to assist families dealing with Internet Gaming Disorder. It's also important to approach the issue with empathy and understanding, fostering a supportive environment for both the child and the family.

In conclusion, understanding the difference between bad screen time habits and gaming addiction is a critical step in navigating the digital landscape. Let us embrace a mindful and balanced approach to technology as we strive to cultivate a healthy relationship with screens in our ever-evolving digital world.

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