Behavioral addictions, Donald Black, MD
Psychcast
English - April 17, 2019 08:00 - 19 minutes - 27.1 MB - ★★★★★ - 40 ratingsMedicine Health & Fitness Mental Health addiction doctors medicine pharmacology psychology therapy activitydisorders alcoholabuse clinicalpearl clinicians Homepage Download Apple Podcasts Google Podcasts Overcast Castro Pocket Casts RSS feed
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Episode 54
Donald Black, MD, gives a masterclass lecture on behavioral addictions and Renee Kohanski talks about what normal is.
Show Notes
By Jacquiline Posada, MD.
Behavioral addictions: Behavior that is out of control and has qualities and consequences similar to drug and alcohol addiction
Examples include gambling disorder, compulsive buying, compulsive sexual behaviors (hypersexuality), and Internet addiction Gambling disorder is similar enough to substance addictions that it is included in the DSM-5 in the “substance-related and addictive disorder” Addiction neurocircuitry active in these behavioral addictions: Dopamine driven in the nucleus accumbens Compulsive shopping: primarily a female disorder, onset in late 20s, with shopping and spending that are chronic and problematic CBT programs developed to target compulsive shopping, studies about medications for this disorder are mixed Compulsive sexual behavior: Primarily a male disorder affecting 5% of the population; onset late teens, early 20s. The addiction will combine conventional sexual behaviors taken to extremes often combined with an addiction to pornography This disorder will often overlap with an Internet addiction No evidence-based treatments exist, though CBT-driven models and 12-step programs exist SSRI or TCA antidepressants may be helpful in dampening sex drive Internet addiction has developed in our technologically enabled world; most psychiatrists have encountered this addiction. Most data come from Asia, where children are exposed to technology at an even earlier age than in the U.S. China has developed residential treatment programs involving individual and group therapies.References
Black DW. Can J Psychiatry. 2013 May;58(5):249-51. “Behavioral addictions as a way to classify behaviors”Dell’Osso B et al. Eur Arch Psychiatry Clin Neurosci. 2006 Dec;256(8):464-75. “Epidemiologic and clinical updates on impulse control disorders: a critical review”
National Council on Problem Gambling. State by state help for problem gambling
Zajac K et al. Psychol Addict Behav. 2017 Dec;31(8):979-94. “Treatments for Internet gaming disorder and Internet addiction: A systematic review”