Cognitive behavioral therapy for ludomania
1. What is cognitive behavioral therapy (CBT)
CBT is a psychotherapeutic approach based on the idea that it is our thoughts (cognitions) and reactions (behaviors) that shape emotional states and habits. In case of malaise, CBT helps:- Develop impulse control skills and behavioral strategies for not playing.
- Reinforce new behaviours through planning, self-monitoring and positive reinforcement.
2. CBT Goals and Stages in Gaming Addiction
1. Setting therapy goals
Short-term: suspend rates, reduce the frequency of online sessions.
Long-term: complete abstinence, restoration of financial and social stability.
2. Psychodiagnostics and collecting "base"
Assessment of dependence severity (DSM-5, Gambling Severity Index).
Keeping a diary of "game episodes" - when, how many, what thoughts and feelings.
3. Working with cognitions
Identification and deconstruction of false beliefs about the game.
Application of the "fact-checking" technique: search for real evidence or refutation of automatic thought.
4. Alternative behavior training
Step-by-step plans for "stopping the rush" (short exercises, replacing the action).
Development of stress management skills (breathing practices, mindfulnes).
5. Fixing and preventing relapses
Generating a list of "triggers" and "strategies per trigger."
Regular "revisions" of the plan - analysis of disruptions and successes.
3. Key CBT techniques for ludomania
3. 1. Cognitive restructuring
Step 1 - fixing the thought. Write down an automatic thought when there is a desire to play.
Step 2 - analysis of pros and cons.
Step 3 - formulation of a balanced alternative. ("Although I want to win back, statistics show that I will lose 90% of the time").
3. 2. Exposure with prevention of reaction
The bottom line: a systematic collision with game "triggers" without betting.
Example: going to the casino site with the subsequent activation of the blocker, staying for 5-10 minutes, observing reactions without action.
3. 3. Behavioral activation
Drawing up a daily schedule: a clear distribution of time slots for work, rest, hobbies, communication.
Replacement of game sessions: in slots where they usually played - physical exercises, creative activity, social meetings.
3. 4. Coping skills
'Thought-stopping 'technique: Mental' stop'signal or palm clap to interrupt intrusive flow.
The practice of progressive muscle relaxation: alternate tension and relaxation of muscle groups.
4. Self-Paced Exercises
1. Diary of thoughts and behavior
Capturing situation, automatic thought, emotion (0-10), behavior, and alternative response.
2. Trigger-Response-Strategy Table
Saying out loud phrases: "No, thank you. I have a no-stakes holiday plan.'
4. Self-observation on impulse control scale
Every 2-3 hours, note the level of desire to play (0-10) and the techniques used.
5. Interaction with the therapist
Regularity of sessions: 1-2 times a week for 12-20 weeks.
Homework: each session, the therapist gives exercises and checks their implementation.
Feedback: discussion of difficulties, adjustment of the plan.
Support between sessions: messenger or voice notes for critical reports (by agreement).
6. Evaluation of therapy efficacy
Control through diaries and questionnaires.
Interim reviews: every 4-6 weeks.
7. Possible difficulties and their overcoming
Resistance to cognitive exercise. The solution: do one thought a day, gradually increasing the pace.
Repeated breakdowns. Analysis of the situation without accusations, adjustment of the exposure plan and alternative strategies.
Burnout. Include short rest breaks and contact support groups.
CBT in ludomania is a structured and evidence-based way to change thoughts and behavior, allowing you not only to stop playing, but also to build a new life without addiction. It is important to observe regularity, clearly perform tasks and work closely with the therapist.
