Dr Ben Riley1,2, Dr Huu Kim Le3,4, Prof Michael Baigent1,2, Dr Reece Bush-Evans5
1Flinders Psychological Therapy Services, Southern Adelaide Local Health Network, Adelaide, Australia, 2Flinders University, College of Medicine and Public Health, Adelaide, Australia, 3CGI Clinic, Adelaide, Australia, 4University of South Australia, Adelaide, Australia, 5Bournemouth University, Department of Psychology, Poole, England
Biography:
Ben has a 25-year background in public mental health and has worked with behavioural addictions for 15 years. He holds a degree in social work, a master’s in cognitive behavioural therapy, and a PhD from Flinders University College of Medicine and Public Health. He is currently employed as a senior clinician and researcher with Flinders Psychological Therapy Services and team leader of the Statewide Gambling Therapy Service in Adelaide South Australia. His research interests include working with individuals and their families concerning gambling and video gaming addictions.
Abstract:
Gaming is a popular activity among adolescents with many benefiting from improved cognitive functioning, mood, and developing meaningful online relationships. However, for some, excessive gaming can lead to negative health effects and issues such as family conflict, poor academic performance, and isolation. Excessive gaming behaviour is often cited as a means to mask underlying developmental or psychological challenges. This case report highlights the intricate relationship between gaming and gender dysphoria, an aspect frequently overlooked in clinical practice. We present the case of a 16-year-old adolescent who presented with gaming disorder (GD), attention deficit hyperactivity disorder (ADHD), and undisclosed gender identity issues. Through a multidisciplinary approach, we revealed that the young person’s excessive gaming behaviour was, in part, a coping mechanism for their gender dysphoria. The virtual world provided a safe space for them to explore and express their gender identity, experiencing gender euphoria through their online avatar. This case underscores the importance of clinicians working with GD to be aware of the potential connection between gaming behaviour and gender identity issues. The gaming industry’s growing recognition of gender inclusiveness and the role of video games in facilitating gender exploration and affirmation among transgender adolescents further emphasise the need for a comprehensive approach to GD diagnosis and treatment. Our report contributes to the emerging literature on the intersection of gaming disorder, gender dysphoria, and identity exploration, highlighting the need for increased awareness and sensitivity among clinicians, policymakers, and the gaming industry to better support the complex needs of transgender adolescents.