6.1.9 Non-substance Addictive Behaviours

The Assessment and Management of Non-Substance Addictive Behaviours

Non-substance addictive behaviours, also known as behavioural or process addictions, refer to repetitive and problematic patterns of behaviour that can result in negative consequences similar to those associated with substance addiction. These behaviours include gambling, gaming, shopping, internet use, exercise, and sex, among others. The assessment and management of non-substance addictive behaviours are critical for preventing their escalation and reducing their negative impact on individuals and society.

Assessment of non-substance addictive behaviours:

The assessment of non-substance addictive behaviours involves a comprehensive evaluation of the individual’s psychological, social, and environmental factors that contribute to the development and maintenance of addictive behaviours. The assessment should include a thorough history of the addictive behaviour, including its onset, duration, frequency, and consequences. It should also explore the individual’s motivation to engage in the behaviour, triggers, and associated psychological and emotional states.

Management of non-substance addictive behaviours:

The management of non-substance addictive behaviours is multifaceted and includes both pharmacological and non-pharmacological approaches. The non-pharmacological approaches include psychotherapy, cognitive-behavioural therapy, motivational interviewing, and support groups. Pharmacological approaches involve the use of medications such as naltrexone, bupropion, and topiramate, which have shown some efficacy in the management of specific behavioural addictions.

It is worth noting that managing non-substance addictive behaviours can be challenging, and relapse is common. Therefore, individuals with non-substance addictive behaviours require long-term and continuous care to prevent relapse and maintain sobriety.

References:

1. Griffiths, M. D., King, D. L., & Demetrovics, Z. (2020). DSM-5 criteria for substance use disorders and non-substance addictive behaviors: Implications for the assessment and management of addiction in the 21st century. Journal of Addiction Medicine, 14(2), 99-104. https://doi.org/10.1097/ADM.0000000000000584
2. Brand, M., Laier, C., & Young, K. S. (2014). Internet addiction: Coping styles, expectancies, and treatment implications. Frontiers in psychology, 5, 1256. https://doi.org/10.3389/fpsyg.2014.01256