Behavioral Addictions

Behavioral Addictions addresses non-substance compulsive behaviors—gambling, gaming, shopping, pornography, social media—that recruit reward circuits, impair control, and disrupt function. This page translates evidence into clinic-ready steps: differential diagnosis from OCD and impulse-control disorders; functional analysis of triggers; and skill-based care that blends CBT, MI, and exposure with response prevention. If you’re considering an addictions conference in this area, you’ll find practical protocols for craving management, digital hygiene, financial safeguards, and family involvement without punitive framing. Because comorbidity with mood, anxiety, ADHD, and SUD is common, we link to CBT for Substance Use to coordinate transdiagnostic skills and prevent substitution effects during recovery.

Implementation requires precise targets and safeguards. We outline harm-reduction for finances and time (spending limits, blocking tools, accountability partners), stimulus control, and graded exposure that rebuilds autonomy. When gambling risk is acute, debt counseling and legal protections may be necessary; when gaming dominates, school/work reintegration plans with structured leisure and sleep support are key. Medication roles remain adjunctive, guided by comorbidity and symptom clusters. Group formats, peer programs, and digital tools extend practice between visits, while dashboards track function, urges, and relapse patterns to guide iterative improvements.

Key Domains

Assessment and differential

  • Map triggers, reinforcement cycles, and impairment.
  • Differentiate from OCD/ICD with ABC functional analysis.

CBT and exposure

  • Target cue reactivity and decision traps; rehearse alternative behaviors.
  • Use ERP where rituals maintain the cycle.

Harm-reduction and safeguards

  • Set financial/time locks and blocks; add accountability supports.
  • Plan contingency steps for high-risk periods.

Comorbidity alignment

  • Treat mood/anxiety/ADHD to reduce relapse pressure.
  • Coordinate with SUD care to avoid behavior substitution.

Practice Models and Tools

Digital hygiene programs
Blocking software, delay tactics, and scheduled offline periods with check-ins.

Family and partner work
Boundaries, communication, and debt/time transparency agreements.

Group interventions
Skills groups and peer support to normalize setbacks and sustain effort.

Sleep and activation
Stabilize circadian rhythms to lower impulsivity and craving.

School/work reintegration
Graded return with structure and performance scaffolds.

Equity and access
Low-cost tools and culturally adapted materials to widen reach.

Measurement and dashboards
Track frequency, urges, spending/time, and QoL to tailor care.

Crisis plans
Relapse scripts and emergency contacts for high-risk windows.

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