Addiction Addictive Behaviors An Overview of Behavioral Addiction By Elizabeth Hartney, BSc, MSc, MA, PhD Elizabeth Hartney, BSc, MSc, MA, PhD Elizabeth Hartney, BSc, MSc, MA, PhD is a psychologist, professor, and Director of the Centre for Health Leadership and Research at Royal Roads University, Canada. Learn about our editorial process Updated on September 17, 2020 Medically reviewed Verywell Mind articles are reviewed by board-certified physicians and mental healthcare professionals. Medical Reviewers confirm the content is thorough and accurate, reflecting the latest evidence-based research. Content is reviewed before publication and upon substantial updates. Learn more. by David Susman, PhD Medically reviewed by David Susman, PhD David Susman, PhD is a licensed clinical psychologist with experience providing treatment to individuals with mental illness and substance use concerns. Learn about our Medical Review Board Print GoodLifeStudio / Getty Images Table of Contents View All Table of Contents What Is a Behavioral Addiction? Signs Types Consequences Treatment Coping Most people understand addiction when it comes to a dependence on substances, such as alcohol, nicotine, illicit drugs, or even prescription medications, but they have a hard time with the concept of addictive behaviors. Yet, it's also possible to develop a behavioral addiction. In fact, people can get hooked on everything from gambling to sex to the internet. Some activities are so normal that it's hard to believe people can become addicted to them. Yet the cycle of addiction can still take over, making everyday life a constant struggle. People may seek out more and more opportunities to engage in the behavior. The desire to experience a "high" from the behavior becomes so strong that the individual continues to engage in the activity despite negative consequences. In some cases, people can also experience withdrawal, including negative emotions and other symptoms, when they aren't able to engage in the activity. What Is a Behavioral Addiction? Although even experts disagree about whether behavioral addictions are "real" addictions, the Diagnostic and Statistical Manual of Mental Disorders, Fifth Edition (DSM-5) explicitly included behaviors in the addictions category. But gambling disorder is the only officially recognized behavioral addiction. Outside the world of professional psychiatry and psychology, the media has embraced the concepts of behavioral addictions, such as sex addiction and shopping addiction, and has also categorized other behaviors such as self-injury and self-harm and excessive plastic surgery as "addiction." Behavioral addictions (also called process addictions) follow the same pattern as substance-based addictions, and they result in problems in many areas of a person's life. Behavioral addictions have similar effects to substance addictions on relationships, which are often neglected in favor of the addictive behavior, undermining trust and putting pressure on partners and other family members to cover up and make up for difficulties arising from the addiction. Even if you can't find a service specializing in behavioral addiction, a psychiatrist or psychologist will still be able to help you change your problematic behaviors, improve your relationships, and cope without the addiction. Can People Really Become Addicted to Everyday Activities? Signs You Have a Behavioral Addiction Understanding the addictive process and the danger signs can help you to tell the difference between addictive behavior, problematic behavior that's not an addiction, and normal behavior that's non-problematic. Red flags include: Spending the majority of your time engaging in the behavior, thinking about or arranging to engage in the behavior, or recovering from the effectsBecoming dependent on the behavior as a way to cope with emotions and to "feel normal"Continuing despite physical and/or mental harmHaving trouble cutting back despite wanting to stopNeglecting work, school, or family to engage in the behavior more oftenExperiencing symptoms of withdrawal (for example, depression or irritability) when trying to stopMinimizing or hiding the extent of the problem How to Know the Symptoms of an Addiction Types Although most of these addictions are not recognized by the DSM-5, the leading diagnostic guide for mental health professionals, many healthcare providers believe these are disorders that can be treated. Some common behavioral addictions include: Exercise addiction Food addiction Gambling addiction Internet addiction Love addiction Porn addiction Sex addiction Shopping addiction Tattoo addiction Video game addiction Work addiction Consequences Even when not specifically labeled as addictions, compulsive behaviors can lead to real problems in a person's life, functioning, and relationships. These behaviors can also create considerable distress and be difficult to change, even when the person wants to stop. Often people with behavioral addictions eventually tire of the toll their behavior takes on their lives and the lives of those around them. They may also suffer losses that seem too great to bear, such as money problems or relationship problems. What had at one time seemed exciting and fulfilling becomes an embarrassing burden. If the behavior is causing distress and disrupting your life, talk to your doctor or mental health care professional. Treatment Fortunately for those living with behavioral addictions, treatments that have been developed to treat substance dependencies have also been successfully used to treat behavioral addictions. Addiction professionals are developing competencies to treat a range of addictions, and clinics exist that specialize in treating behavioral addictions. You can also benefit from seeing a psychiatrist or psychologist, who is skilled in helping people to overcome emotional difficulties and making changes in their lives. Treatment may include: Cognitive behavioral therapy Group therapy Medications One-on-one or couples counseling Self-help groups The Best Online Therapy Programs We've tried, tested and written unbiased reviews of the best online therapy programs including Talkspace, Betterhelp, and Regain. Coping It can be difficult to admit to yourself, let alone someone else, that you have a problem, and it can be even harder when the problem is poorly understood and may not be taken seriously by friends and family. Understanding the stages of change will help you to be gentler on yourself if you aren't ready to seek help. If you feel you don't want to seek help in overcoming your behavioral addiction at this time, focus on ensuring that your behavior doesn't harm you or those around you. Even if you don't want to tell other people about your problem, try not to lie to those closest to you. Self-help can be an important first step. Consider finding out more about the behavior and some of the ways you can manage it. A Word From Verywell Many people live with behavioral addictions, and although they can wreak havoc on your life, it is possible to recover. Talk to your doctor when you are ready to take the next step. If you or a loved one are struggling with a behavioral addiction, contact the Substance Abuse and Mental Health Services Administration (SAMHSA) National Helpline at 1-800-662-4357 for information on support and treatment facilities in your area. For more mental health resources, see our National Helpline Database. 4 Sources Verywell Mind uses only high-quality sources, including peer-reviewed studies, to support the facts within our articles. Read our editorial process to learn more about how we fact-check and keep our content accurate, reliable, and trustworthy. Robbins TW, Clark L. Behavioral addictions. Curr Opin Neurobiol. 2015;30:66-72. doi:10.1016/j.conb.2014.09.005 Petry NM, Zajac K, Ginley MK. Behavioral addictions as mental disorders: To be or not to be?. Annu Rev Clin Psychol. 2018;14:399–423. doi:10.1146/annurev-clinpsy-032816-045120 Alavi SS, Ferdosi M, Jannatifard F, Eslami M, Alaghemandan H, Setare M. Behavioral addiction versus substance addiction: Correspondence of psychiatric and psychological views. Int J Prev Med. 2012;3(4):290–294. Yau YH, Potenza MN. Gambling disorder and other behavioral addictions: Recognition and treatment. Harv Rev Psychiatry. 2015;23(2):134–146. doi:10.1097/HRP.0000000000000051 Editorial Process Our Review Board Share Feedback Was this page helpful? Thanks for your feedback! What is your feedback? Other Helpful Report an Error Submit Get Treatment for Addiction Advertiser Disclosure × The offers that appear in this table are from partnerships from which Verywell Mind receives compensation.