Here is a scenario you may have seen in your office:
- a teenager or young adult, usually male, who is suddenly failing at life.
- He may be having anger problems, personality changes, and sleep or appetite changes.
- He may have gotten good grades in school and is now failing all of his classes.
- He is not “running with a bad crowd”; in fact, he is not running with any crowd.
- He is usually home, playing on his computer.
- He says he is fine and denies feeling depressed.
- Drug tests come back negative.
- You may have prescribed antidepressants or stimulants empirically for depression or attention-deficit/hyperactivity disorder, but there has been no response.
- This patient does not act like anything you have seen before.
This young man may very well be obsessively playing a massively multiplayer online role-playing game.
Full story at; American Academy of Family Physicians
See also; On-Line Gamers Anonymous