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Unit 43: Substance Use Disorders – (e.g., drug, tranquilizer) Dependence (Lessons 1561–1600)

第四十三单元:物质使用障碍课程(1541-1560课)题头图片

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Unit 43: Gambling Disorder and Internet Addiction (Lessons 1561-1600) · Course Catalog

Symptom characteristics:
Gambling disorder and internet/gaming addiction often manifest as loss of control over betting or use, intense cravings, recurring failed attempts at control, and impaired functioning in learning, work, finances, family relationships, sleep, and mood. These are not simply lazy or moral failures, but addiction problems that require understanding, assessment, support, and ongoing management.
Course Objectives:
Under the premise of safety, a comprehensive approach is adopted, which includes "risk identification, motivation enhancement, cognitive behavioral training, funding or digital boundaries, family support, relapse prevention, and long-term follow-up," to help learners reduce losses, restore function, and gradually rebuild a more stable lifestyle.
  1. Gambling disorder is not simply a matter of being playful or having weak willpower, but rather an addictive cycle formed by reward, impulse, pressure, and escape.
  2. Identify key signals such as increasing gambling activity, difficulty in stopping, concealment of behavior, attempts to recover losses through loans, and damage to relationships.
  3. Seeing how expectations, wishful thinking, excitement, and temporary escape drive repeated gambling reduces simple self-blame.
  4. Understanding the sources of risk through family environment, stressful events, impulsive traits, emotional distress, and social triggers.
  5. Assess the severity of the problem moderately by considering the frequency of the behavior, monetary losses, functional impact, and difficulty in control.
  6. Understand how chasing losses can lead to a deeper cycle, and learn to pause, seek help, and cut off funding channels after a loss.
  7. When you see a peak in people wanting to gamble, protect yourself by delaying, shifting your position, contacting supporters, and leaving the scene.
  8. Identify the risk of relapse caused by stress, loneliness, boredom, payday, mobile advertising, and old gambling venues.
  9. Practice distinguishing between thoughts like "I almost won" and "I can turn the tables" to help your brain return to realistic judgment.
  10. Allow yourself to waver, honestly compare the short-term satisfaction of gambling with its long-term costs, and find your reasons for change.
  11. Record your emotions, thoughts, and actions before and after gambling to find a safe place to intervene in advance.
  12. Reduce losses from impulsive actions by setting limits, using escrow services, eliminating lending channels, and minimizing cash handling.
  13. Learn to explain problems to your family, take responsibility, and gradually repair damaged trust through sustained actions.
  14. Break down debt problems into manageable steps while also addressing the psychological burdens of shame, fear, and avoidance.
  15. It is understood that low mood, anxiety, and impulsivity can increase the risk of relapse into gambling, and professional help should be sought simultaneously.
  16. Use exercise, work schedules, interpersonal connections, and hobby activities to gradually fill the time void left by gambling.
  17. Listing warning signs, support contacts, and emergency procedures in advance ensures recovery doesn't rely solely on temporary endurance.
  18. Treat pullbacks as reminders to review past performance, promptly stop losses from escalating, and return to the support system.
  19. Recognize the role of group support, psychological counseling, financial counseling, and family collaboration in long-term recovery.
  20. By continuously reviewing past experiences, protecting funds, providing emotional support, and connecting with supportive individuals, we can gradually build a safer lifestyle.
  21. It is understood that behind excessive internet use or gaming, there are often incentives for reward, escapism from stress, feelings of loneliness, and difficulties in emotional regulation.
  22. Identify signs such as uncontrolled use, staying up late, procrastination, social withdrawal, decreased academic or work performance, and offline anxiety.
  23. Understand how instant feedback, random rewards, leaderboards, and short video pushes continuously stimulate the brain's reward system.
  24. We see how a sense of accomplishment, role identity, team belonging, and escapism make games hard to put down.
  25. Recognize the emptiness, anxiety, and instant comfort behind scrolling, and learn to pause gently before automatically scrolling.
  26. Understanding risk through stress, loneliness, family communication difficulties, learning difficulties, sense of self-worth, and environmental triggers.
  27. Assess the severity of the problem by considering factors such as time spent using the device, difficulty controlling it, physical strain, and the impact of work-study relationships.
  28. Seeing how staying up late online disrupts sleep, mood, and concentration, I learned to gradually restore my sleep-wake cycle.
  29. I understand that many addictions are not due to laziness, but rather to using the internet to temporarily escape stress, disappointment, and loneliness.
  30. Identify the impact of fragmented information on focus and start afresh with small tasks, short periods of time, and a refreshed environment.
  31. Help families move from arguing to negotiation by establishing clear, enforceable, and non-humiliating rules of use.
  32. Pay attention to the stress, relationships, and self-worth behind your child, and support them with companionship, rules, and alternative activities.
  33. This study explores how work stress, difficulties in intimate relationships, and a sense of emptiness in life drive adults to repeatedly escape into the online world.
  34. Record the emotions and triggers before use, and gradually establish offline alternative activities and a more stable source of rewards.
  35. Reduce automation usage by turning off push notifications, limiting time periods, moving devices away, and setting up screenless spaces.
  36. Learn to use breathing, walking, drinking water, and contacting others to transition when you feel like scrolling, playing, or escaping.
  37. Start with low-pressure interpersonal interactions and gradually restore a sense of connection, participation, and warmth in real life.
  38. Establish a sustainable online plan to address the risk of relapse caused by staying up late, stress, loneliness, and boredom in advance.
  39. Use regular routines, stable relationships, digital boundaries, and family communication to help bring usage behavior back under control.
  40. Review your personal triggers, risk scenarios, and support resources to turn recovery into a life path that you can continue to practice.
  41. Traditional mandala supplementary courses are used after addiction recovery themes to help learners gradually bring their tense attention back to their body and mind through graphics, colors, and quiet viewing.
  42. Course assessments are used to review what was learned in this unit, identify risks, change exercises, and what follow-up support is needed. They also help the course be continuously adjusted to better suit learners.
Note: This content is for self-understanding and training purposes only and does not replace professional medical diagnosis, psychotherapy, financial or legal advice, or emergency treatment. If you experience severe debt crisis, self-harm risk, domestic violence, significant functional impairment, or high-risk behavior that you cannot stop, please contact offline professional resources immediately.

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