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The other approach is to work with the individual, trying to understand how he benefits from his computer use. By understanding what is being avoided and/or sought, the patient may make better decisions about his computer use. This method is, however, time consuming and may lead to no change at all. Until research informs us better, perhaps the best approach might be a combination of the two approaches.

Checking out from reality and living in the virtual world is a global problem. Computer programs are ever more engaging and entertaining. As a therapist, I try to encourage my patients to reduce their use of technology. But it is difficult work and even I am often conflicted about what I am asking of my patients. If they comply, I know they will initially feel miserable. Even with time, they may never regain the same degree of power or significance that the computer offers them. Many relapse. The uncomfortable truth is that our treatment strategies for this malady are inadequate and often fail. Until we learn more or have better clinical tools, our best approach may be to work on prevention.

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JoDoe
September 1st, 2008
3:09 PM
This is an excellent, interesting and informative article. It makes many interesting points, with there being one point that I want to comment further on. As far as becoming immersed in a virtual world by allowing our perception of the real world to start coming from what we see on the screen, that can potentially happen to some extent with any video game. Although games like MMORPGs (e.g., WoW) are much more immersive than regular video games, I have found that I can focus so intently on certain simple video games (e.g., 3-D Pinball and Minesweeper) that I can almost completely ignore the real world with this very limited "virtual world" that I see in front of me. I believe that is what largely made video games, rather than other things like alcohol and drugs, be addictive to me as a way to temporarily escape reality. Part of my recovery was to really, truly admit to myself that this did not solve any of my real world troubles since they usually just got worse. Instead, as difficult and unpleasant as it was at times, I had to spend time and energy in the real world to deal with these problems.

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