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"Gaming Disorder" Is A Disease, World Health Organization Decides; Industry Responds

The WHO adds "gaming disorder" to its database of diseases.

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The World Health Organization, the public health division of the United Nations, has officially added "gaming disorder" to its registry of officially recognized diseases. This happened over the weekend when the WHO officially adopted the 11th revision of its International Statistical Classification of Diseases and Related Health Problems (ICD-11). All 194 members of the WHO voted unanimously to adopt the revision.

According to the WHO, "gaming disorder" is characterized by a "pattern of persistent or recurrent gaming behaviour" online or offline. The official description goes on to say that gaming disorders can include the following: "1) impaired control over gaming (e.g., onset, frequency, intensity, duration, termination, context); 2) increasing priority given to gaming to the extent that gaming takes precedence over other life interests and daily activities; and 3) continuation or escalation of gaming despite the occurrence of negative consequences."

People who are deemed to have the "gaming disorder" run the risk of "significant impairment" to their personal, family, social, education, and occupational lives, according to the WHO. The description goes on to say that "gaming disorder" can be a continuous condition or it can be episodic in nature. For it to be suggested that a person has "gaming disorder," they would display these behaviour patterns for a year or longer.

The "gaming disorder" disease will become officially recognized by the WHO on January 1, 2022. According to GI.biz, the WHO came to its conclusion based on consultations with experts from a variety of backgrounds.

In January, when the WHO first announced it would consider recognizing "gaming disorder," the US video game industry group, ESA, said the designation "recklessly trivializes real mental health issues.”

"Just like avid sports fans and consumers of all forms of engaging entertainment, gamers are passionate and dedicated with their time," the ESA--which lobbies on behalf of the video game industry to protect its interests--said in a statement. "Having captivated gamers for more than four decades, more than 2 billion people around the world enjoy video games."

"The World Health Organization knows that common sense and objective research prove video games are not addictive. And, putting that official label on them recklessly trivializes real mental health issues like depression and social anxiety disorder, which deserve treatment and the full attention of the medical community," the statement continued.

At the time, the ESA said it strongly encouraged the WHO to reverse the action, but now that it has been officially adopted, it remains to be seen if there are any appeal possibilities.

It's not just the ESA that's hitting back at the WHO over this decision. A statement attributed to the global video game industry associations--including the ESA (USA), ESA Canada (Canada), IGEA (Australia and New Zealand), ISFE (Europe), K Games (South Korea), and UKIE (United Kingdom)--says the WHO reached its decision "without the consensus of the academic community." The consequences could be far reaching and might achieve the opposite of what the WHO is setting out to do, according to the statement.

"There is significant debate among medical and professionals about today's WHO action. We are concerned they reached their conclusion without the consensus of the academic community," reads a line from the statement. "The consequences of today's action could be far-reaching, unintended, and to the detriment of those in need of genuine help."

It continues: "We encourage and support healthy game play by providing information and tools, such as parental controls, that empower billions of people around the world to manage their play to ensure it remains enjoyable and enriching. As with all good things in life, moderation is key and that finding the right balance is an essential part of safe and sensible play."

Last week, before the WHO decision came down, Sony's CEO talked about how the video game industry needs to do more to promote healthy gaming. "We need to take it seriously and adopt countermeasures," he told reports (via Kyodo News).

Some games are already implementing features to promote healthy gaming behaviors. Recently, PUBG Mobile introduced a new feature that sends pop-ups to young players to remind them to put the game down and take a break.

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shulet

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What a bunch of bull. Addiction is addiction, there's nothing unique about gaming that requires it to be singled out, it's just one way addiction manifests. Some people drink, do drugs, work out, eat, game, read, do social media, watch TV, kill/hunt animals, shop, hoard, do physically dangerous activities, etc, etc, etc but they're nothing special by themselves, they're all addiction.

What bull are they going to come out with next? Movies and games cause violence? ?

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izual989

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People should look at this in context. The WHO also has gambling disorder, shopping disorder and many other disorders related to things which most people do in moderation. This listing is for therapists to help them identify if a patient has an issue with something. It also allows therapists to classify possible treatments amongst themselves or to insurance companies. If you are playing games because you like them, this isn't you; if you are playing games to escape your collapsing life or another mental illness which the gaming is worsening, then this is something to talk about with a professional.

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Conlan

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So just like the South Park episode. Addictive Gaming, addictive alcohol, addictive gambling, etc... There will always be people who cannot control their desires. It may be an old saying, but it is still true "All things in moderation". Enjoy life (even virtual life), but don't let what you enjoy control you.

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jsprunk

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The WHO is just another control mechanism for the new globalist government. Don’t worry, your hobby will eventually be affected as well.

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GoBoSox20

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Edited By GoBoSox20

Hi, I have lack of self control disorder. I also have idontgiveadamnaboutbeinganadultitis. It's very contagious.

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twztid13

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Edited By twztid13

That's globalism for you. UN human rights council has been lead by Iran, Syria & Libya in recent past. Anything UN touches should be ignored. Imagine if non thinking people are able to pass single payer health care in the US, & force these financially influenced diagnosis on everyone... Great days ahead. Just have everyone read from a script that says, "manufactured crisis" anytime it comes up. It worked for politicians. Oh, wait...

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Just1MoHr

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Edited By Just1MoHr

There is a rampant disorder of fabricating disorders (DDD, Disorder Dissemination Disturbia) by the WHO for the purposes of monetary gain by those involved. Eating, sex, & watching too much tv are disorders. Why can't they make working & studying too much disorders too.

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Conlan

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@just1mohr: Working and studying too much ARE disorders, but mainly exist in Japan. Countless people are driven to suicide because they refuse to relax and spend too much time working and studying.

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PunkerFrank

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Reading the comments a lot of people seem unaware that some people get absolutely addicted to video games to the point where they never want to do anything else. It can have devastating effects on someone's life. Just because you can control yourself doesn't mean everybody can.

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collegekid440

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Yeah this is dumb. It can be obsessive compulsive but I wouldn't go so far to call it addictive. I've never heard of anyone going through withdrawal from video games. I go to the gym pretty often, and I kinda get in a bad mood whenever I can't make go for some reason or another. Does that mean I'm addicted to exercise?

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Izraal

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Edited By Izraal

@collegekid440: Yes, it does. As I elaborated on in a separate post, all addictions are chemical addictions. All behavior is essentially nothing more than feeding addictions, seeking replication of events and situations that produce brain chemistry we find rewarding. Exercise is an excellent example of that, very good observation.

All of these addictions, or behavior patterns if you prefer, essentially come down to the same thing. We're all chemical addicts. That's how our brains are wired. Whether the addiction actually involves an outside chemical, or a behavior pattern that produces brain chemistry we find pleasing, humans develop patterns for continuance and replication of what we consider positive experiences and avoidance of negative experiences. Taking away something that produces a positive chemical reaction will lead to withdrawal.

Whether these patterns are "bad" is a different a more nuanced question altogether and best left up to mental health professionals. It's an outside judgment to label a pattern positive or negative. One likely has to consider its effects on the individual as well as society as a whole in the cases of patterns that effect others.

In short, you're likely chemically addicted to exercise, and yes, you would have a withdrawal if cut off from it. I am addicted to the love and comfort of family and friends and I feel withdrawal when isolated from them. Video games are a source of pleasure for many, myself included. That means they produce pleasurable brain chemistry.

People are having inappropriately strong reactions to the idea of video games being labeled an addiction, and equally illogical responses to the announcement. In an of itself, the label itself is not a bad thing, nor is it inaccurate. Apologies, but, for simplicity I'll quote my earlier post:

"There are bigger systemic issues present regarding the lack of mental healthcare available where it's often needed most. Mental healthcare professionals, when in a position to do so, will hopefully be able to review each case with utmost concern for the individual's well being as a whole. Labeling, or recognizing, video game addiction as an addiction is essentially akin to updating the DSM to the fact that video games exist, and they can be a source of pleasure. It's no different from acknowledging the existence of cell phones, prayer, literature, or anything else that could trigger positive brain chemistry reactions.

If labeling a thing as a disease has the proper effect - added sympathy for the sufferer and allowances made for their condition while they receive help - then there's no harm in it. If it results instead in knee jerk reactions by the industry, politicians, parents, and so on, then we've gained nothing from it but another empty and loud controversy to distract us from the systemic issues that largely have not changed and will not change."

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Creepshow2

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In other words they mean lack of self control:P

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Izraal

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Edited By Izraal

Every addiction is a chemical addiction. Even addictions that aren't directly related to imbibing a chemical - in the end we're addicted to chemicals produced by the brain. We want to feel those chemicals again and we seek to replicate the circumstances where we felt them.

Whether it's substance abuse, a runner's high, or the love of family, when we have a positive chemical feeling in our brains we want to replicate it. They're all the same on a very basic level. Video games can be associated with those chemical reactions in our brains that we find pleasing, so we seek to replicate the pleasure. So can sex, illicit drugs, or scoring high on exams. Anything, therefore, can be an addiction, and all addictions are ultimately chemical addictions.

The real issue, then, is what we do with this information. Nearly every response is knee jerk and designed to protect something dear to us or enforce presupposed value systems. A more prudent approach is a detached and impersonal standpoint to care, with only the individual patient's best interest in mind. It only makes sense to simply weigh, on a case by case basis, the positives and negatives any activity may be having on an individual's life. If someone needs help and has a legitimate problem, whatever the source, then mental healthcare professionals should aid them.

There are bigger systemic issues present regarding the lack of mental healthcare available where it's often needed most. Mental healthcare professionals, when in a position to do so, will hopefully be able to review each case with utmost concern for the individual's well being as a whole. Labeling, or recognizing, video game addiction as an addiction is essentially akin to updating the DSM to the fact that video games exist, and they can be a source of pleasure. It's no different from acknowledging the existence of cell phones, prayer, literature, or anything else that could trigger positive brain chemistry reactions.

If labeling a thing as a disease has the proper effect - added sympathy for the sufferer and allowances made for their condition while they receive help - then there's no harm in it. If it results instead in knee jerk reactions by the industry, politicians, parents, and so on, then we've gained nothing from it but another empty and loud controversy to distract us from the systemic issues that largely have not changed and will not change.

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aross2004

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@izraal: Bravo! Someone with a shred of common sense!

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Utnayan

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Meanwhile you can read 5 books a week for entertainment and spend 20 hours or more doing it, might as well make that a disease as well correct?

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Conlan

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@Utnayan: It depends, do you ignore eating, sleeping, and bathing for reading books? Do you sell your possessions for more books. Do you ignore your job to read? Do you avoid EVERYONE to read? Do you read non-stop?

This is just about Addiction. What you are Addicted changes, but Addiction is always the same. Tobacco, books, alcohol, games, work, etc.

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Royas

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This doesn't need a new classification. Yes, it's possible to become obsessed with gaming and participate in it to an unhealthy degree. The same could be said for any other activity you enjoy. It's a form of OCD, for which there is already a classification and treatments. It's really no different than hoarding, counting and gambling. Creating a new classification merely dilutes the field more, too many conditions that are basically the same diverts research and study.

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tinoush

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Edited By tinoush

When I was a kid, there was a Sega and Sonic on it. I played time to time and was playing outside equally. Now we have a disquieting industry that brain wash kids and make them keep paying for transactions. Fortnight is a good example. Parents are the biggest reason though.

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deactivated-6793e8ba0e8bf

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Outside of the perils of drugs, of course....you can develop an unhealthy addiction to almost anything as long as that reward feeling triggers in your mind. I wouldn't single out gaming, but you reference it to habit forming addiction in certain cases.

Addiction is the behavior, gaming is just one of the many ways it manifests.

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AnnetteBomb

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I hope people don't start using this as a way to further promote their opinion that gaming is a waste of time for those on the autism spectrum. Personally it's a coping mechanism. But if taken as WHO seem to intend a year of not looking after yourself, skipping work or school and not being sociable may encourage a person to get help if given a diagnosis of this though I'm in agreement that it is more likely a symptom of another mental illness and is not actually an illness by itself.

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pyro1245

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Yet binge-watching Netflix shows has become an accepted pop culture thingy....

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RaveNRolla

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holy shit, there's a lot of denial here. OBVIOUSLY it's not healthy to game all night and all day, but that doesn't mean gaming in itself is a disease and of course there a ways to game more responsibly and still run a normal worklife. c'mon guys, you making us gamers look bad.

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kanekan-slaugh

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The only problem with this is that while anyone who does fit the criteria does have a problem, it's got nothing to do with gaming. Ignore all those multi-decade spanning studies proving there's nothing wrong with gaming all you'd like. Gaming itself isn't an issue but fitting this criteria is a symptom of something else.

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Richardthe3rd

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@kanekan-slaugh: inclined to agree.

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ChrisChronos

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Yeah I don't think I'll be taking anything WHO says seriously any time soon.

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Decoy77

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Game is bad you have a mental issue. Thinking you are the opposite gender, perfectly fine, no issue there...

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ButDuuude

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Edited By ButDuuude

It’s called addiction. According to their logic, then watching movies, listening to music and following sports are diseases too.

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ministersin420

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@ButDuuude: I disagree, I have known many people who have lost their jobs and their families to play more WOW or BDO. Many who have no social life outside of video games and suffer from depression because of it. If watching netflix and music takes priority over important responsibilities then yes that is a serious problem, but i haven't heard of it, but in gaming its all too common.

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Sorrow_316

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Edited By Sorrow_316

It’s not anything new. This “disorder” is called addiction, and addiction can manifest with anything; coffee, alcohol, drugs, pornography, gambling, etc/etc, and yes, gaming. It all has to do with the reward feeling in the mind and if you start loving being a “winner” or gaining points or any other form of reward and can’t control your intake of medium, it’s addiction. I definitely wouldn’t give it its own “gaming disorder” title, just call it what it is: addiction

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musalala

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Wait what??? this is pretty silly because at this rate anything can be a disease, I mean I'm a health nut ..like read food labels obsessively avoid takeaway and run 2 hours a day health nut" do I now have a disorder?

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silkylove

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@musalala:

If you were to continue to do it despite negative consequences, then yes.

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Litchie

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That's ridiculous.

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DEVILTAZ35

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This is totally laughable in this clown world we now are forced to live in.

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Spaced92

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No matter the symptoms I've known people that ruin their lives over shitty pay 2 win games, EA saying games aren't addictive are talking out of their ass when games even punish you for not signing in now a days.

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vega2505

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Will they add cooties next?

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naruto945

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I won’t lie it’s times I literally cannot put the controller down. It’s definitely not something I think you need treatment/medication for as much as self control though.

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Krystal69

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Where do I sign up? Been gaming for years.

I'm owed some backpay by the US of A.

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ChipOreo

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The characteristics they name make it seem more of an addiction rather than a disease.

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DecadentDescent

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@chiporeo: Addiction is classified as a disease.

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ministersin420

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@decadentdescent: Image result for get me another beer i have a disease south park meme

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bigcrusha

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Edited By bigcrusha

I can understand WHO'S reasoning somewhat, however its fundametally flawed. I'm no medical student, but If human health was really the priority here, the real name for this "disease" would be an all encompassing one with a name like "Acute Dopamine Stimulus Dissorder ADSD" or something. A dissorder that examines the brain's hyperactivity and inability to regulate itself when suffering dopamine dependance in some individuals. They could then effectively classify "triggers" in individuals who suffer from ADSD. Triggers like smoking, drinking, drugs, sex, sugar, foods, gambling, and activities that grant bursts of gratification like social media. Gaming is a trigger, and like all the triggers listed above, it's not something that affects everyone.

Calling gaming the disease and not calling addiction for what it truly is, they are arming politicians and pharmaceutical corporations with a platform to weaponize a harmless consumer hobby. ",Gaming disorder disease" implies that addiction is something that affects all gamers, ignorant would be putting it mildly.

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arithonuk

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@bigcrusha: Yes, but scientific study (not WHO's media hysteria-based decision) found that gaming raised dopamine levels about the same as eating a slice of pizza. So by WHO's reasoning, Domino's & Pizza Hut are an addictive disease. Which is a load of crap. Their "conclusions" are based on debate of media headlines, not any scientific evidence. Medical practice based on popular ideas instead of science is a very dark road to go down.

See the article here: https://www.psychologytoday.com/gb/blog/freedom-learn/201803/sense-and-nonsense-about-video-game-addiction

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bigcrusha

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@arithonuk: Note that in my above comment, I mentioned that gaming is a trigger, meaning it can lead into symptoms of addiction in some individuals. There's an obesity epidemic worldwide which has been in most cases caused by an unhealthy psychological relationship with food, so essentially it is possible to become overly attached with that slice of pizza. You could argue that it's not so much the game as it is the inner workings that trigger the reward and pleasure centers in our brains, explaining why "beating a campaign" or "reaching an achievement or objective" usually often gets followed up with an instant removal. Publishers have even been actively trying at exploiting that to keep playing longer than they normally would, expansions, randomized looting mechanisms etc..

I think the thing to realize in this debate is that triggers and episodes are fickle by nature, I'm sure many of us on this site have had a "1 more game" moment, even during periods becoming increasingly withdrawn from others during those trigger days or weeks.

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charlieholmes

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Edited By charlieholmes

@bigcrusha: I kind of understand a little of where they’re coming from since I once did have a gaming addiction in my younger years. But, your comment has a lot of excellent points. I now am addicted to riding my motorcycle over video games but much for the same reasons you pint out.

So, does that mean I am negatively affected by either when they really are the same? Nope. Huge positives in my lifetime with both. Everybody has a hobby, a thing, a something that they can’t put down, love so much, that they want it as much as possible.

Triggers=key to any and everything in life bad and good.

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Defiler

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gaming is now considered a disorder, but not gender dysphoria? God help this planet, because this is so messed up.

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BarcaAzul

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Such as parental controls!!

Errr, it's not just children that play games WHO

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waltdawg443

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Sorry WHO, but I regret to inform you that you may have Diagnosing Disorder; something I have just decided is a disease. Diagnosing Disorder is characterized by a "pattern of persistent or recurrent diagnosing behaviour". The official description goes on to say that Diagnosing Disorder can include the following: "1) impaired control over diagnosing (e.g., onset, frequency, intensity, duration, termination, context); 2) increasing priority given to diagnosing to the extent that the invention of new disorders takes precedence over logic and reason; and 3) continuation of inventing new disorders despite the lack of physical evidence. For it to be suggested that an organization has Diagnosing Disorder, they would display these behaviour patterns for a year or longer, thus the WHO should be very concerned that they do in fact have this dangerous and debilitating disorder.

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