Indian Journal of Private Psychiatry

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VOLUME 12 , ISSUE 1 ( January-June, 2018 ) > List of Articles


Internet Gaming Addiction Presenting as Withdrawal Psychosis: An Unusual Case Report

Prosenjit Ghosh

Keywords : Behavioral addiction, Internet use disorder, Multiplayer online battle arena, Online gaming

Citation Information : Ghosh P. Internet Gaming Addiction Presenting as Withdrawal Psychosis: An Unusual Case Report. Ind J Priv Psychiatry 2018; 12 (1):34-37.

DOI: 10.5005/jp-journals-10067-0017

License: CC BY-ND 3.0

Published Online: 01-03-2019

Copyright Statement:  Copyright © 2018; The Author(s).


Introduction: In the new generation, the Internet has become an important tool for education, entertainment, communication, and information-sharing. Easy access and anonymity are two of the several aspects of the Internet fostering addictive behavior. Case History: We report a case of young adult addicted to online mobile gaming (IAD/IUD) for 2 years and presenting with features of withdrawal psychosis following two weeks of cutting down gaming behavior. Discussion: There are basically five types of internet addiction– Online gaming, online gambling, online auction, online chatting and cybersex. Gaming addiction is probably the most talked about internet addiction. Probably because we are seeing so many children and adolescence losing control on this type of internet addiction. Conclusion: Further studies are necessary to investigate the nature and course of withdrawal symptoms associated with IAD/ IUD and to compare with those of substance use disorders and other forms of behavior addiction.

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  1. Kuss DJ, Griffiths MD. Online social networking and addiction– A review of the psychological literature. Int J Environ Res Public Health 2011;8:3528-3552.
  2. Christakis DA. Internet addiction: A 21st century epidemic? BMC Med 2010;8:61.
  3. Internet and Mobile Association of India. Internet Users in India Crosses 200 Million Mark. New Delhi: Internet and Mobile Association of India (IMAI); 2013.
  4. Pfaff DW. Neuroscience in the 21st Century: From Basic to Clinical. New York: Springer; 2013.
  5. Kandell JJ. Internet addiction on campus: The vulnerability of college student. Cyberpsychol Behav 1998;1:11-17.
  6. American Psychiatric Association. Diagnostic and Statistical Manual of Mental Disorders. 5th ed. Arlington, VA: American Psychiatric Publishing; 2013. pp. 796.
  7. American Society of Addiction Medicine. Public Policy Statement: Definition of Addiction. resources/definition-of-addiction.
  8. Deepak Goel, Alka Subramanyam, Ravindra Kamath. A study on the prevalence of internet addiction and its association with psychopathology in Indian adolescents. Indian Journal of Psychiatry. 2013;55(2):140-143.
  9. Sharmitha Krishnamurthy, Satish Kumar Chetlapalli. Internet addiction: Prevalence and risk factors: A cross-sectional study among college students in Bengaluru, the Silicon Valley of India. Indian Journal of Public Health.2015;59(2):115-121.
  10. Christakis DA. Internet addiction: a 21st century epidemic? BMC Med. 2010;8:61.
  11. Flisher C. Getting plugged in: an overview of internet addiction. J Paediatr Child Health. 2010;46:557-559.
  12. Murali V, George S. Lost online: an overview of Internet addiction. Adv Psychiatr Treat. 2007;13:24-30.
  13. Yuan K, Qin W, Wang G, Zeng F, Zhao L, Yang X, et al. Microstructure abnormalities in adolescents with Internet addiction disorder. PLoS One. 2011;6:e20708.
  14. Tao R, Huang X, Wang J, Zhang H, Zhang Y, Li M. Proposed diagnostic criteria for Internet addiction. Addiction. 2010;105:556-564.
  15. Ahyoung Paik, Daeyoung Oh,* and Daeho Kim. A Case of Withdrawal Psychosis from Internet Addiction Disorder. Psychiatry Investig. 2014 Apr;11(2):207-209.
  16. Young KS. Psychology of computer use: XL. Addictive use of the Internet: A case that breaks the stereotype. Psychol Rep. 1996;79(3 Pt 1):899-902.
  17. Leahy, Brian. “Dota Explained and How You Can Play it Now”. [Internet]. 2010 October 13 [Cited 2018 August 20]Available from: https://www.shacknews. com/article/66007/dota-explained-and-how-you.
  18. “Basic Survival – Learn Dota”. [Internet]. 2012 August 25. [Cited 2018 August 22]. Available from:
  19. Biessener, Adam. “Valve's New Game Announced, Detailed: Dota 2”. Game Informer[Internet]. 2010 October 16[Cited 2018 August 21]. Available from: web/20101016155010/
  20. Smith MJ, Thirthalli J, Abdallah AB, Murray RM, Cottler LB. Prevalence of psychotic symptoms in substance users: a comparison across substances. Compr Psychiatry. 2009;50: 245-250.
  21. Blaszczhnski A, Walker M, Sharpe L, Nower L. Withdrawal and tolerance phenomenon in problem gambling. Int Gambl Stud. 2008;8:179-192.
  22. Dalal PK, Basu D. Twenty years of Internet addiction Quo Vadis? Indian Journal of Psychiatry. 2016 Jan-Mar; 58(1):6-11.
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