[jrochkind1]

Yup that absolutely resonates. (And many of us are probably guessing the same thing about the setting you're implying as well and I have some things to say about that too, but HN doesn't have a DM function).

How do you relate to the claims in the OP about: "For a lot of people, you can realize that the gaming is actually a coping that is displayed to face with social anxiety or trauma or depression."

While I guess he's trying to say that's what makes it different than "real addiction", in my experience and that of many people I know, this is hitting the nail on the head for many experiences of "conventional" addiction too.

Your experiences/thoughts?

Perhaps this is related to your statement about "maybe, something behind that will reveal itself and I'll face that, too" Although OP author seems to suggest that as a result you should only focus on the "thing behind" and ignore the "addiction" that is just a manifestation of the deeper thing, but what I think I'm picking up and agree with from you is, sometimes you need to "deal with" the addiction to get to the thing behind it. Both/and/simultaneous.

[travisjungroth]

Implying it's not a real addiction because it's a coping mechanism is so off. Like you're not really an alcoholic if you just drink to escape the trauma from when you went to war.

My understanding is that addiction is avoidance at its core. You're either avoiding the cravings, the withdrawals, or something else all together.

There doesn't have to be some other underlying issue. People get hooked on opiates in hospitals. Then they keep doing them to avoid the withdrawals. Doesn't mean they're avoiding something in their life. But it still counts as addiction if they are!

[jrochkind1]

Aside from the obvious that they are using opioids to avoid the "underlying issue" of physical pain, I wonder if those whose prescribed hospital opioid use becomes addiction (vs those whom it doesn't) are more likely to be those with underlying "somethings in their life" they are trying to avoid. But then, who doesn't have underlying "somethings", so.

At any rate, I will agree it's not a useful diagnostic to determine if something is "really" addiction or not. It may be useful self-reflection for "treating" the addiction though. (Or may not, at any rate if the person isn't recognizing it there is no value to forcing them to try to fit to your narrative).

[travisjungroth]

Oh yeah, I would bet heavily that likelihood of addiction to prescribed medications is correlated with the context of your life.