Treatment of computer addicts with complex co-morbid psychiatric disorders.
Computer technology is expanding at an exponential rate, and its effect on society and individuals is being observed in many locations and by many professionals. Computer-addictive behavior is characterized by excessive and inappropriate use of the computer that has repercussions on an individual's real life obligations and relationships. Currently, these unanticipated consequences have been variously classified as computer addiction, Internet addiction disorder, problematic internet use, pathological internet use, and as a new symptom to be added to other psychiatric conditions. Mounting evidence indicates that those who are vulnerable to these problems suffer from multiple co-morbid psychiatric disorders. The problem is further complicated because computer usage is so pervasive in our society that the aim of treatment cannot be abstinence. It must be treated as an eating disorder where the goal is to normalize computer activities in order to survive. Assessment of each patient consists of the measurement of problematic computer behavior and definition of the expectations they have for the effects of these activities. Because of the complexity of these patients' problems, treatment needs to be multidisciplinary and include cognitive behavior therapy, psychotropic medication, family therapy, and case managers. Teamwork is emphasized. Also, regular assessments at 3-month intervals are important both for the patient and the team. The aim of the treatment is to help the patient manage the inappropriate behavior and still be able to use the technology.
Orzack
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McLean Hospital, The Computer Addiction Service, Belmont, MA 02478, USA. orzack@computeraddiction.com
Orzack
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