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Thamarai Healing Center — Pollachi

Video Game Addiction

Also known as Gaming Disorder, Internet Gaming Disorder, or problematic online gaming — a recognised disorder involving persistent, difficult-to-control gaming behaviour that can be diagnosed, treated, and recovered from, with the right clinical support.

Evidence-based diagnosis (ICD-11 & DSM-5)

Confidential admissions

Residential care in Pollachi

Understanding the Entity

What Is Video Game Addiction?

Video game addiction is a pattern of gaming behaviour, online or offline, that a person struggles to control — to the point that it displaces sleep, relationships, work, school, and wellbeing, and continues despite the person’s own awareness of the harm it’s causing.

It sits within the broader field of behavioural addictions — conditions involving persistent, difficult-to-control behaviours that can cause significant impairment or distress. It is studied and diagnosed under several overlapping names, reflecting how the field itself has evolved:

Video Game Addiction

Gaming Disorder

Internet Gaming Disorder (IGD)

Problematic Online Gaming

These aren’t competing conditions — they’re different names used by different diagnostic manuals and research traditions for a closely related pattern of behaviour, which is why getting the terminology (and the diagnostic distinctions below) right matters clinically.

Clinical Recognition

Diagnosis: ICD-11 & DSM-5

The two major diagnostic manuals treat this condition differently — an important distinction, not a technicality, since it shapes how it’s screened for and discussed clinically.

Formal Diagnosis

ICD-11 — Gaming Disorder (6C51)

The World Health Organization's ICD-11 includes Gaming Disorder as a formal, diagnosable condition, covering both online and offline gaming. Diagnosis rests on three core features, all present over an extended period — usually at least 12 months, though this can be shortened if all criteria are met and symptoms are severe:

This pattern must result in marked distress or significant impairment in personal, family, social, educational, or occupational functioning.

Proposed for Further Study

DSM-5 — Internet Gaming Disorder

The American Psychiatric Association's DSM-5 lists Internet Gaming Disorder in Section III, as a condition warranting further empirical study — not yet a formal DSM-5 diagnosis. It proposes nine criteria, drawn in part from substance use and gambling disorder criteria, with a diagnosis typically considered when five or more are present within a 12-month period.

Despite its provisional status, the DSM-5’s nine-criteria framework is the most widely used research and clinical screening reference in the field, and underlies most of the screening tools described below.

01

Pre-occupation

Gaming dominates thinking even when not playing.

02

Withdrawal

Irritability, anxiety, or sadness when gaming is taken away.

03

Tolerance

Needing more time gaming to get the same satisfaction.

04

Reduce / Stop

Repeated, unsuccessful attempts to cut down or control gaming.

05

Give Up Other Activities

Losing interest in, or reducing participation in, other recreational activities because of gaming.

06

Continue Despite Problems

Gaming continues despite known psychosocial problems.

07

Deceive / Cover Up

Hiding the true amount of time spent gaming from others.

08

Escape Adverse Moods

Using gaming to escape guilt, helplessness, or anxiety.

09

Risk / Lose Relationships

Jeopardising a relationship, job, or education because of gaming.

Recognise several of these patterns in yourself or someone you love?

Assessment

Screening Tools

A short quiz can’t diagnose gaming disorder on its own — but validated screening tools help a clinician structure that first conversation and track severity over time.

IGD-20

Internet Gaming Disorder Test

A 20-item self-report test assessing all nine DSM-5 IGD criteria across six factors — salience, mood modification, tolerance, withdrawal, conflict, and relapse.

Pontes, Király, Demetrovics & Griffiths, 2014

AICA-S

Assessment of Internet & Computer Game Addiction

A self-report scale assessing severity based on substance-dependence-style criteria: craving, tolerance, withdrawal, and loss of control.

Wölfling, Müller & Beutel

IGDS9-SF

Internet Gaming Disorder Scale — Short Form

A nine-item scale, one item per DSM-5 criterion, widely used internationally for its brevity and psychometric consistency.

Pontes & Griffiths, 2015

What It Looks Like

Symptoms

These are the everyday patterns behind the clinical criteria above — what family members or the person themselves are more likely to actually notice.

Losing control over how long or how often you play.

Neglecting responsibilities such as work, school, or relationships.

Feeling irritable, anxious, or restless when unable to play.

Using gaming as a way to escape stress or emotional difficulties.

The Fuller Picture

Comorbid Psychiatric Conditions

Video game addiction rarely shows up alone. Research consistently links it to other conditions — which is exactly why assessment at Thamarai looks at the whole clinical picture, not gaming behaviour in isolation.

Anxiety

Frequently co-occurring

Depression

Frequently co-occurring

ADHD

Commonly linked

Social Phobia

Commonly linked

OCD

Documented association

Treatment Approaches

Management

There’s no single protocol for gaming addiction. Effective care typically draws on several of the following, matched to the individual’s assessment.

Cognitive Behavioural Therapy

Identifying and restructuring the thought and behaviour patterns that sustain compulsive gaming.

Psychotherapy

Individual work addressing the underlying emotional drivers — stress, avoidance, low self-esteem — behind the behaviour.

Group Therapy

Structured peer sessions that reduce isolation and build shared accountability.

Family Counselling

Rebuilding communication and household boundaries affected by compulsive gaming.

Twelve-Step Programs

Peer-led, structured mutual-support models adapted from substance use to behavioural addiction.

Gaming Addicts Anonymous

A dedicated peer-support fellowship modelled on twelve-step principles, specific to gaming.

Psychopharmacology

Physician-prescribed medication to manage co-occurring anxiety, depression, or ADHD — not a treatment for gaming behaviour itself, and always monitored by a psychiatrist.

The right combination depends entirely on assessment — not a fixed formula.

Recognising the Moment

When Should You Seek Help?

You don’t need to wait for a crisis. It’s worth reaching out when:

A confidential conversation can help clarify whether this is what's happening.

The Recovery Journey

Recovery Timeline

An example treatment pathway — actual timing varies according to clinical assessment, response, and individual needs.

First Session

Assessment

Screening tools and clinical interview establish severity, comorbid conditions, and starting point.

Week 1–2

Stabilisation

Structuring daily routine and addressing early irritability or restlessness.

Month 1

Active Treatment

CBT, individual and group therapy, family sessions where appropriate.

Review Stage

Reassessment

Progress reviewed formally; plan adjusted based on response.

Aftercare

Sustained Support

Continued structured, peer, and family support beyond residential care.

Why Families Choose Us

The Thamarai Difference

Careful Diagnostic Work-Up

We assess for medical, substance-related, and psychiatric causes before finalizing a treatment plan, ensuring an accurate diagnosis rather than assumptions.

Psychiatrist-Led Care

Medication management is overseen throughout treatment by qualified psychiatrists and integrated closely with therapy.

Complete Confidentiality

Every enquiry and admission is handled with the utmost discretion, ensuring complete privacy for both the individual and their family.

Structured Therapeutic Environment

Our residential setting is designed to provide the stability, routine, and support that long-term recovery depends on.

Family Psychoeducation

Families are guided and involved in the treatment process where appropriate, helping them understand the condition and support their loved one's recovery.

Structured Aftercare

Ongoing psychiatric follow-up, relapse prevention planning, and continued support help ensure lasting recovery beyond residential treatment.

Who's Involved

Meet the Experts

Diagnosis and treatment planning for behavioural addictions like gaming disorder are led by our psychiatric and psychological team.

Our Clinical Team

Assessment and diagnosis are overseen by our Senior Consultant Psychiatrist, working alongside our Consultant Psychologist, who draws on CBT, motivational enhancement, and insight-oriented therapy for relapse prevention and long-term psychological stability. Every case is reviewed against a full psychiatric picture, not gaming behaviour in isolation.

Common Questions

Frequently Asked Questions

Is video game addiction an officially recognised diagnosis?

Gaming Disorder is a formal diagnosis in the WHO's ICD-11 (code 6C51). Internet Gaming Disorder appears in the DSM-5 as a condition proposed for further study, not yet a formal DSM-5 diagnosis, though its nine criteria are widely used in research and clinical screening.

No. Neither ICD-11 nor DSM-5 diagnose based on hours played. What matters clinically is loss of control over gaming, the priority it takes over other areas of life, and continuation despite real negative consequences.

Yes. It commonly co-occurs with anxiety, depression, ADHD, social phobia, and OCD, which is why a full psychiatric assessment is part of diagnosis, not just a gaming-specific screening tool.

Treatment typically combines psychotherapy (particularly CBT), individual and group therapy, family counselling, structured peer-support programs, and, where a co-occurring condition is present, physician-monitored medication.

There is no medication approved specifically to treat gaming addiction itself. Medication is generally used to manage co-occurring conditions such as anxiety, depression, or ADHD, prescribed and monitored by a psychiatrist.

Dedicated or even professional gamers can play many hours without meeting diagnostic criteria. The distinction is functional impairment: whether gaming is displacing responsibilities, relationships, and wellbeing despite the person's awareness of the harm.

Grounded in Evidence

References

1.

World Health Organization. 6C51 Gaming Disorder. International Classification of Diseases, Eleventh Revision (ICD-11). Geneva: WHO, 2019/2022.

2.

American Psychiatric Association. Diagnostic and Statistical Manual of Mental Disorders, Fifth Edition (DSM-5), Section III: Internet Gaming Disorder. Arlington, VA: APA, 2013.

3.

Pontes, H.M., & Griffiths, M.D. (2015). Measuring DSM-5 Internet Gaming Disorder: Development and validation of a short psychometric scale. Computers in Human Behavior — foundational work on the IGDS9-SF.

4.

Pontes, H.M., Király, O., Demetrovics, Z., & Griffiths, M.D. (2014). The Conceptualisation and Measurement of DSM-5 Internet Gaming Disorder: The Development of the IGD-20 Test. PLOS ONE.

5.

Wölfling, K., Müller, K.W., & Beutel, M. Scale for the Assessment of Internet and Computer Game Addiction (AICA-S) — foundational work on the AICA-S screening scale.

6.

King, D.L., et al. (2020). Screening and assessment tools for gaming disorder: A comprehensive systematic review. Clinical Psychology Review.

This page summarises general, publicly available clinical understanding of video game addiction for educational purposes. It does not replace an individual clinical assessment. Speak with our clinical team for guidance specific to your circumstances.