2024-11-06 16:00:00
They are also called behavioral addictions because addictions without substances correspond to a dependence on behaviors and not on drugs or medication. Some people actually develop a compulsive desire for sex, games or even food. They devote a significant amount of time to these activities to the point of abandoning all other activities.
The harmful repercussions are multiple: some lose their jobs, their family life can suffer as well as their social life or even their sleep. And psychological suffering is often attached to this problematic behavior. But despite these consequences, “ they are losing control over these behaviors », explains Dr Bruno Rocher, addictologist at Nantes University Hospital. Which is characteristic of any addiction.
Finally, if it is impossible to reproduce the behavior, they experience a real withdrawal syndrome, manifested by physical symptoms (tremors, sweating, palpitations, etc.) and emotional symptoms (anxiety, agitation, depression, etc.).
Who is affected?
It depends on the addictions. Eating disorders, such as anorexia or bulimia, mainly affect young women. While addiction to gambling and video games affects 95% of young men.
The causes are multifactorial and not always easy to identify individually. Genetic, social and environmental data come into play as well as the presence or absence of psychiatric disorders. And we can distinguish two categories of patients: “ those who escape reality through these behaviors, and those who find such pleasure, such interest in it that they become dependent on it », explains Bruno Rocher.
How to deal with these addictions?
For these specific addictions, “lRecognition is often late because the limit between normal and pathological behavior is not easy to discern. », continues Dr Rocher. But treatment is always possible and is based on the same mechanism as that intended for substance addictions. “ A biological, psychological and social assessment is necessary », he describes. Objective: determine how the body and mind react to compulsive behavior and assess the extent to which social life is affected.
Once the assessment has been established, the treatment must be adapted to the patient and the addiction and can be based on taking medication, psychological care and support for those around them in particular.
Source: Association Addictions France – Ameli – interview with Dr Bruno Rocher, addiction psychiatrist at Nantes University Hospital
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**Interview with Dr. Bruno Rocher on Behavioral Addictions**
*Date: November 6, 2024*
**Editor**: Dr. Rocher, thank you for joining us today. To begin, could you explain what behavioral addictions are and how they differ from substance addictions?
**Dr. Rocher**: Thank you for having me. Behavioral addictions involve a compulsive engagement in activities—like gambling, gaming, sex, or even eating—that trigger the brain’s reward system, similar to how drugs do. The key difference is that these addictions don’t involve substances; they are strictly tied to behaviors.
**Editor**: That’s fascinating. What are some of the negative impacts that individuals with behavioral addictions might face?
**Dr. Rocher**: The repercussions can be quite severe. People may lose their jobs, suffer relationship breakdowns, and experience social isolation. Many also have disrupted sleep patterns and overall psychological distress. Despite recognizing these harmful effects, they often feel they are losing control over their compulsions, which is a hallmark of addiction.
**Editor**: It sounds quite challenging for those affected. Can you elaborate on the psychological aspect of these addictions?
**Dr. Rocher**: Certainly. Individuals struggling with behavioral addictions typically experience a range of negative emotions such as anxiety, depression, and shame. This suffering can perpetuate the cycle of addiction, as they may turn to the addictive behavior as a coping mechanism to deal with these feelings.
**Editor**: If someone is struggling with a behavioral addiction, what steps can they take toward recovery?
**Dr. Rocher**: The first step is often recognizing and admitting the problem. Seeking professional help, such as therapy and support groups, can be a crucial part of recovery. Cognitive Behavioral Therapy, for instance, has shown promise in helping individuals develop healthier coping strategies and regain control over their lives.
**Editor**: Thank you, Dr. Rocher, for your insights on this important topic. It underscores the need for increased awareness and support for those affected by behavioral addictions.
**Dr. Rocher**: Thank you for shedding light on this issue. It’s vital to have these conversations to help those in need.
**Editor**: Absolutely. We appreciate your time today.
