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Common addictions that people don't typically think of as addictions

Common Addictions That People Don’t Typically Think Of As Addictions

Clinically Reviewed By Dr. Jeremy Dubin

When most people think about addiction, substances like alcohol, opioids, or illegal drugs typically come to mind. However, addiction extends far beyond traditional substances. Many people struggle with behavioral addictions that can be just as challenging and disruptive to daily life.

Understanding what types of addictions exist beyond substance use can help you recognize problematic patterns in yourself or loved ones. While these behavioral addictions might not seem as immediately dangerous as drug or alcohol dependence, they can still cause significant harm to relationships, finances, mental health, and overall well-being.

Understanding Behavioral Addictions

Behavioral addictions involve compulsive engagement in rewarding activities despite negative consequences. Unlike substance addictions, these don’t involve putting drugs or alcohol into your body. Instead, they center around activities that trigger the brain’s reward system, releasing feel-good chemicals like dopamine.

Whether someone is gambling, shopping excessively, binge eating, or engaging in other compulsive behaviors, these activities can become problematic when they share certain characteristics with substance use disorders. The key difference between healthy enjoyment and addiction lies in the inability to control the behavior despite harmful consequences.

Signs That a Behavior Has Become Addictive

A behavior crosses the line from enjoyment into addiction when several warning signs appear:

  • Physical and mental health suffer as a direct result of the behavior and the inability to stop
  • Personal relationships deteriorate because the behavior takes priority over family, friends, or work responsibilities
  • Financial problems develop due to money spent on or lost through the behavior
  • Inability to stop engaging in the harmful behavior despite experiencing these negative consequences
  • Tolerance develops, meaning more of the behavior is needed to achieve the same satisfaction
  • Withdrawal symptoms occur when the behavior is stopped, such as irritability, anxiety, or depression

Types of Behavioral Addictions

Porch Light Health Types of Addictions - Suboxone Treatment at Porch Light Health

While substance addictions involve putting drugs or alcohol into the body, behavioral addictions center around activities that become compulsive despite negative consequences. These behaviors activate the same reward pathways in the brain as substances, leading to similar patterns of tolerance, withdrawal, and loss of control. Here are some of the most common types of behavioral addictions that people struggle with.

1. Gambling Addiction

Gambling addiction closely resembles substance use disorders in how it affects the brain. The excitement of winning and the risk of betting money trigger the same reward pathways that drugs and alcohol activate, with research showing that pathological gamblers have altered dopamine transmission similar to those with substance use disorders. This creates a powerful cycle that can be extremely difficult to break.

People with gambling problems often experience:

  • Mounting debt and financial ruin
  • Relationship problems and divorce
  • Job loss due to missed work or theft
  • Mental health issues like anxiety and depression
  • Legal problems related to debt or illegal activities to fund gambling

The accessibility of online gambling and sports betting apps has made this type of addiction more common, especially among younger adults. For those struggling with gambling addiction, principles of harm reduction can provide practical strategies while working toward recovery.

2. Shopping and Spending Addiction

While buying things is a normal part of life, shopping addiction involves compulsive purchasing that goes far beyond meeting actual needs. People with shopping addictions often buy items to cope with negative emotions, only to feel guilty afterward.

Warning signs include:

  • Multiple maxed-out credit cards
  • Buying items that are never used or remain in packaging
  • Hiding purchases from family members
  • Shopping when feeling sad, angry, or stressed
  • Lying about spending or debt levels

Treatment typically involves therapy to address underlying emotional triggers and practical strategies for managing finances and shopping habits.

3. Gaming and Internet Addiction

Video games and internet use have become significant parts of modern life, but they can become problematic when they interfere with real-world responsibilities and relationships. Gaming addiction has become increasingly recognized, with the World Health Organization officially recognizing “gaming disorder” as a mental health condition in 2018.

Problematic gaming or internet use may involve:

  • Spending excessive amounts of time online or gaming (often 8+ hours daily)
  • Neglecting work, school, or family responsibilities
  • Social isolation and withdrawal from offline relationships
  • Physical health problems from lack of sleep, poor nutrition, or lack of exercise
  • Difficulty distinguishing between online and offline reality

Understanding dual diagnosis is important here, as gaming addiction often occurs alongside depression, anxiety, or other mental health conditions.

4. Food and Eating-Related Addictions

Food addiction and binge eating disorder represent complex relationships with eating that go far beyond normal hunger and satisfaction. Unlike other behavioral addictions, food is necessary for survival, which makes these conditions particularly challenging to address.

Binge eating disorder involves:

  • Eating large amounts of food in short periods
  • Feeling out of control during eating episodes
  • Eating when not physically hungry
  • Eating alone due to embarrassment
  • Feeling guilty or disgusted after overeating

Some people also develop addictions to specific types of foods, particularly those high in sugar, fat, or salt. These foods can trigger similar brain responses to addictive substances, with research showing that binge eating activates dopamine pathways and can lead to changes in brain reward circuits similar to those seen in substance addictions. Self-medication of mental health disorders with drugs and alcohol often extends to food as well, with people using eating to cope with difficult emotions.

5. Social Media and Technology Addiction

Social media platforms are designed to be engaging and habit-forming, using psychological principles that can lead to compulsive use. Social media addiction involves spending excessive time on platforms like Facebook, Instagram, TikTok, or Twitter in ways that interfere with daily life.

Signs of problematic social media use include:

  • Checking social media constantly throughout the day
  • Feeling anxious when unable to access social media
  • Neglecting real-world relationships in favor of online interactions
  • Comparing yourself to others online and feeling inadequate
  • Using social media to escape negative emotions
  • Seasonal depression and substance use patterns may worsen with excessive social media use during difficult periods

6. Work Addiction (Workaholism)

While dedication to work is generally viewed positively, work addiction involves compulsive working that harms personal relationships and mental health. Unlike people who work long hours out of necessity, work addicts feel compelled to work constantly and struggle to relax.

Characteristics of work addiction include:

  • Working significantly more hours than required
  • Thinking about work constantly, even during personal time
  • Feeling guilty or anxious when not working
  • Neglecting family, friends, and personal interests
  • Using work to avoid dealing with personal problems or emotions

If you’re supporting a loved one with substance use disorder, it’s important to recognize that work addiction can be just as challenging for families to navigate.

The Connection Between Behavioral and Substance Addictions

Many people who struggle with behavioral addictions also have an increased risk of developing substance use disorders. This happens for several reasons:

  • Shared brain pathways: Both types of addictions affect the same reward systems in the brain
  • Underlying factors: Trauma, mental health issues, and genetic predisposition can increase risk for all types of addictive behaviors
  • Coping mechanisms: People may use substances to manage stress, anxiety, or depression related to their behavioral addictions

Understanding addiction relapse signs and prevention strategies becomes especially important when someone is dealing with multiple types of addictive behaviors.

The relationship between depression and addiction is particularly important to understand, as mood disorders frequently co-occur with both behavioral and substance addictions.

Treatment Approaches for Behavioral Addictions

Recovery from behavioral addictions typically involves similar approaches to substance addiction treatment, adapted for the specific behavior:

Therapy and Counseling

  • Cognitive Behavioral Therapy (CBT) helps identify triggers and develop healthier coping strategies
  • Dialectical Behavior Therapy (DBT) teaches emotional regulation skills
  • Group therapy provides peer support and accountability
  • Family therapy addresses relationship issues caused by the addiction

Lifestyle Changes

  • Developing new hobbies and interests
  • Building stronger social connections
  • Improving physical health through exercise and nutrition
  • Practicing stress management techniques like meditation

Addressing Underlying Issues

Many behavioral addictions stem from underlying mental health conditions, trauma, or life stressors. Comprehensive treatment addresses these root causes alongside the addictive behavior.

When Behavioral Addictions Occur with Substance Use

It’s common for people to struggle with both behavioral addictions and substance use disorders simultaneously. For example, someone might use alcohol to cope with gambling losses, or use stimulants to fuel longer gaming sessions.

When multiple addictions occur together, treatment becomes more complex but is still very achievable. Comprehensive addiction treatment programs can address various types of addictive behaviors simultaneously.

Getting Help for Any Type of Addiction

Whether someone is struggling with a substance use disorder, behavioral addiction, or both, professional help is available. The first step is recognizing that the behavior has become problematic and is causing harm.

Treatment doesn’t always require residential rehab. Many people benefit from outpatient counseling, support groups, and other community-based resources. Alternatives to rehab for addiction treatment can be particularly effective for behavioral addictions. The key is finding approaches that address the specific type of addiction and any underlying factors contributing to it.

If you’re concerned about your own behavior or that of a loved one, don’t wait for the situation to get worse. Behavioral addictions tend to progress over time, and early intervention often leads to better outcomes. Learning how to talk abouta drug problem with a loved one can provide guidance that applies to behavioral addictions as well.

Take the First Step and Get Connected

We know this is a hard journey, but you are not alone. Porch Light Health will be your partner in beating your addiction.

Whether you’re dealing with gambling, shopping, gaming, eating, or any other compulsive behavior, our comprehensive addiction treatment services include support for various types of addictive behaviors. With over 60 locations across Colorado and New Mexico, we provide accessible care through in-person visits, telehealth services, and mobile treatment options.

We welcome everyone seeking help, regardless of financial situation. We offer a sliding fee scale based on family size and income to make treatment accessible to all. For more information about payment options and financial assistance, please contact us at (866) 394-6123.


References

Clark, L., Averbeck, B., Payer, D., Sescousse, G., Winstanley, C. A., & Xue, G. (2013). Pathological choice: The neuroscience of gambling and gambling addiction. Journal of Neuroscience, 33(45), 17617-17623.

Leeman, R. F., & Potenza, M. N. (2015). Gambling disorder and other behavioral addictions: Recognition and treatment. Harvard Review of Psychiatry, 23(2), 134-146.

Wang, G. J., Geliebter, A., Volkow, N. D., Telang, F. W., Logan, J., Jayne, M. C., … & Fowler, J. S. (2011). Enhanced striatal dopamine release during food stimulation in binge eating disorder. Obesity, 19(8), 1601-1608.

World Health Organization. (2018). Gaming disorder. 11th Revision of the International Classification of Diseases (ICD-11). World Health Organization.

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