behavioral addictions: are they really addictions?

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Behavioral Addictions: Are they Really Addictions?. Thomas E. Legere, Ph.D. How do we Decide?. Old School: DSM. We Need a NEW Model! From THREE Sources…. Source #1: The DSM. Source #2: What Those Who Suffer From the Disease Say. Source #3: Neurobiology. - PowerPoint PPT Presentation

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  • Behavioral Addictions:Are they Really Addictions?Thomas E. Legere, Ph.D.

  • How do we Decide?

  • Old School: DSM

  • We Need a NEW Model!From THREE Sources

  • Source #1: The DSM

  • Source #2: What Those Who Suffer From the Disease Say

  • Source #3:Neurobiology

  • Three TYPES of Addictions

  • I. HARD Addictions: Alcohol & Drugs

  • II. SOFT Addictions: Nicotine & Caffeine

  • III. BEHAVIORAL Addictions

  • Three Levels of Addiction: Mild Moderate Severe

  • Soft Addictions:Soft for a Reason

  • Proposed Behavioral Addictions: Sex Love Gambling Exercise Eating

  • What Makes them Real Addictions (or not)?

  • Need Common Criteria for Hard Addictions & Behavioral Addictions

  • Honestly: The DSM is Not Buying BehavioralAddictions

  • DSM: Compulsive Disorders Pathological Behavior Eating Disorders

  • Twelve Integrated Criteria(DSM, Experience,Neurobiology)

  • 1. Pleasure PathwayIn the Brain

  • 2. Same BrainChemicals Involved Dopamine Gaba Serotonin Glutamate Endorphins Cortisone Norepinephrine Corticotrophin Epinephrine Histamine Enkephalins Anandamide Acetylcholine

  • 3. Tolerance

  • 4. Use to Intoxication:I Cant Stop!

  • 5. Obsessive Dimension

  • 6. Denial

  • 7. Continued Use DespiteAdverse Consequences

  • 8. Progressive Escalation of Intake and Problems

  • 9. Repeated Attempts To Control Use

  • 10. Withdrawal

  • 11. Incurable(Only Remission)

  • 12. Effectiveness of12 Step Program