Understanding Gaming Disorder: Insights from Dortmund’s Auxilium Reloaded and Prevention Strategies

Introduction

The segment follows a host exploring whether extensive gaming is harmful and when it becomes an addiction. To investigate, the host visits Auxilium Reloaded, a youth residence in Dortmund that supports teenagers struggling with media consumption.

What is Gaming Disorder?

• The World Health Organization (WHO) officially classifies "Gaming Disorder" as a mental health condition.
• Diagnosis is not based solely on daily playtime. WHO requires that all of the following criteria are present for at least 12 months:
• Loss of control over gaming (cannot limit frequency or duration).
• Prioritising gaming over other interests, responsibilities, and relationships.
• Continuation of gaming despite negative consequences (e.g., declining school performance, social isolation, physical health issues).

Tim’s Story – A Real‑World Example

• Tim began gaming after moving homes and receiving a console; his school life deteriorated, leading to bullying and eventual dropout.
• He reports playing up to 8 hours a day, losing track of time, neglecting hygiene, and withdrawing from school.
• His mother involved the youth welfare office, which placed him in Auxilium Reloaded.

Treatment at Auxilium Reloaded

• The residence does not demonise technology; instead, it teaches balanced usage.
• Residents may use phones and consoles only at designated times and under supervision.
• Structured daily routines include chores, cooking, and earned gaming time (e.g., after completing cleaning tasks).
• Tim’s progress:
• Returned to school and re‑engaged with classmates.
• Joined table tennis, badminton, and basketball.
• Improved personal hygiene (daily showering).
• Reports that stopping a gaming session is now easier when he chooses to.

Prevention and Workshops

• Reemt, a counsellor from a youth advisory service, conducts workshops in schools to raise awareness.
• Key messages from the workshops:
• Gaming is appealing because it activates the brain’s reward system, releasing feel‑good chemicals.
• Over time, players may need stronger stimuli, increasing the risk of addiction.
• Parents and educators should monitor limits and intervene when necessary.

Jugger – A Physical Alternative

• In a school workshop, students played Jugger, a sport combining elements of American football and gladiatorial combat.
• Benefits highlighted by participants:
• Teamwork and tactical thinking similar to video games.
• Physical activity and real‑world interaction.
• Immediate, enjoyable feedback (“action like in a movie”).
• The activity demonstrated that fun can be found offline, encouraging youths to balance screen time with active play.

Practical Tips to Maintain Control

• Find a real‑world hobby that provides enjoyment and a sense of achievement.
• Set conscious limits for gaming sessions; use timers or schedule breaks.
• Monitor changes in mood, school/work performance, and social life.
• Communicate openly with family, friends, or professionals; consider helplines for support.

Closing Thoughts

The program shows that with structured support, clear boundaries, and engaging alternatives like Jugger, teenagers can regain control over their gaming habits and re‑integrate into school and social life.

Gaming disorder is preventable and treatable when early signs are recognised, balanced routines are established, and youths are offered appealing real‑world activities that satisfy the same social and reward needs fulfilled by video games.