Learn / Understanding Process Addiction: Types, Symptoms, and Treatment
When we think of addiction, we usually think of drugs or alcohol. But did you know you can also become addicted to certain behaviors?
Process addiction, also known as behavioral addiction, is an addiction to behaviors like eating, shopping, or sex that can result in an unhealthy relationship with activities that are otherwise a normal part of life. We explore the various types of process addiction, their signs and symptoms, and effective treatment options.
Process addiction, also known as behavioral addiction, involves compulsively engaging in certain behaviors despite their negative consequences. Not all behavioral addictions are yet in The Diagnostic and Statistical Manual of Mental Illnesses (DSM-5), the professional manual on mental health disorders. But the American Psychiatric Association (APA) does include behaviors—not just substances—in its definition of addiction:1
A state of psychological and/or physical dependence on the use of drugs or other substances, such as alcohol, or on activities or behaviors. The term…can be applied to non-substance-related behavioral addictions, such as sex, exercise, and gambling.
Unlike substance addiction, where the dependency is on drugs or alcohol, process addiction centers on actions that cause intense feelings of pleasure or relief, creating an overwhelming urge to repeat them. These behaviors, which might include gambling, shopping, or internet-based activities, can consume people to the point of disrupting their daily lives. The cycle of addiction is driven by the same brain changes that are involved in substance addiction, and it’s equally important to address process addiction with the same seriousness and care.
Gambling addiction is a strong, uncontrollable need to keep gambling, even when it’s causing severe problems. This can include anything from playing the lottery and betting on sports to hitting the casinos or gambling online. The excitement of possibly winning2 can push people to gamble more money than they can afford, leading to mounting debt and stress. Even though they know the risks, the urge to keep gambling grows stronger, making it feel virtually impossible to stop.
Shopping addiction, sometimes called compulsive buying disorder, is an overwhelming need to shop and spend money. This addiction also causes significant financial and emotional stress. While it’s not a central focus in the recovery space, it is widespread: shopping addiction affects around 5.8% of people in the U.S.3
People with this addiction get a temporary emotional boost when they make a purchase—but it’s often followed by guilt or regret. Shopping becomes a way to deal with feelings or fill a void, but it only creates bigger problems.
The fact that most shopping now takes place online adds another layer to this problem:
“Shopping enabled via the Internet now introduces new features to the shopping experience that translates to positive benefits for the shopper,” say authors of a study on online shopping addiction.4 “Evidence now suggests that this new shopping experience may lead to problematic online shopping behaviour.”
The term “internet addiction” refers to an addiction to behaviors that are performed online as opposed to the internet itself. As one meta-study states, “exactly what it is on the Internet that they are addicted to still remains unclear.”5
This addiction is more about being hooked on certain online behaviors,6 like social media, gaming, or endless web browsing—and it affects between 1.5-8.2% of people in Europe and the U.S.
Being unable to control the time you spend online can cause you to neglect your responsibilities, become socially isolated, and start to develop mental health issues like anxiety or depression. While turning to the virtual world to escape real-life problems is increasingly common, spending too much time online usually worsens these issues, creating a tough cycle to break.
Food addiction happens when someone can’t control their eating habits, even when they know it’s harmful to their health. It’s often tied to emotional eating, where food becomes a way to cope with depression, anxiety, or stress. People with this addiction tend to crave high-calorie or sugary foods, which can lead to weight gain, self-esteem issues, and other problems with mental and physical health.
Eating disorders are multifaceted and complex, and eating disorders and food addiction are not necessarily the same thing. However, understanding that behavioral addictions can sometimes include eating can help us better understand and treat disordered eating. According to current research on eating addiction,7
Food addiction is considered an important link for a better understanding of psychiatric and medical problems triggered by dysfunctions of eating behaviors, e.g., obesity, metabolic syndrome, binge eating disorder, or bulimia nervosa.
Some foods have a higher addictive potential than others. The same study finds that “High-sodium foods, artificially flavored foods, rich carbohydrate- and saturated fats-containing foods are triggers for the activation of the same neural pathways, therefore they act similarly to any drug of abuse.”
While it may not be clearly defined, researchers agree that food addiction functions in much the same way that substance addictions do: “Food addiction is considered a disorder based on functional negative consequences, associated distress and potential risks to both psychological well-being and physical health.”8
Sex addiction, sometimes called hypersexual disorder, is when someone’s sexual behavior becomes compulsive, negatively impacting their relationships and daily life. These behaviors often stem from deeper emotional or psychological issues.
Sex addiction is listed in the International Classification of Diseases (ICD-11) under impulse control disorders as compulsive sexual behavior disorder (CSBD).9
There’s still debate among some behavioral scientists, however, about whether it can be classified as an addiction at all. “It’s not consistent with an addiction model,” says psychologist Jeffrey Parsons, PhD. “Sexual compulsivity is something that clearly exists, but it has a lot of variation and variability in how it presents itself.”10
Regardless of how it’s officially defined, compulsive sexual behavior seriously impacts a lot of people. Members of Sex and Love Addicts Anonymous (S.L.A.A.) say, “We find a common denominator in our obsessive/compulsive patterns,”11 which they describe as:
To better understand the challenges of process addiction, let’s explore its signs and symptoms.
Behavioral addictions cause very similar changes in the brain, and therefore present similarly, to substance addictions. Signs of process addiction include obsession, compulsive behavior, neglecting your responsibilities, and social withdrawal.
When someone has a process addiction, they often become obsessed with the behavior to the point where it takes over their thoughts. They might constantly think about it, plan when they’ll do it next, and find it hard to focus on anything else. This obsession can cause them to increasingly engage in the behavior, even when they don’t want to or know it’s causing harm.
A key sign of process addiction is the uncontrollable urge to repeat certain behaviors even when you know they’re not good for you. People struggling with compulsive behaviors feel driven to do them again and again, chasing whatever positive feelings they provide. These behaviors become more frequent and intense over time.
People with process addictions may neglect their responsibilities at home, work, school, or in their relationships as the compulsive behavior takes priority. Once-important tasks might be put off or ignored, causing missed deadlines, a decline in performance, or even job loss.
Process addiction can result in social withdrawal as you become absorbed in your addictive behavior. You might avoid social gatherings, withdraw from family and friends, or lose interest in the things you used to love doing. This isolation only heightens feelings of loneliness and depression, further entrenching the addictive behavior as a coping strategy.
Compulsive behavior addictions, like alcohol and drug addictions, can be influenced by several factors. According to addiction researchers,
Genetic predisposition, psychological and environmental risk factors, the timing of exposure to the substance, the type of substance used, and the frequency of use influence the individual’s susceptibility to addiction.12
Process addictions often stem from underlying mental health conditions like anxiety, depression, or trauma. If you don’t have other coping strategies in place, these issues can prompt you to turn to behaviors that momentarily make you feel good—like gambling, shopping, or overeating—as a way to distract yourself from emotional pain. But while this might offer temporary relief, it only worsens mental health issues over time.
A number of environmental factors can influence your likelihood of developing a process addiction:13
For example, growing up in a household where addictive behaviors are common or dealing with chronic stress can increase the risk of forming a process addiction. Understanding and learning to manage these environmental triggers can help you overcome process addiction—or even prevent it in the first place.
Genetics can make some people more likely to develop process addictions. If addiction runs in the family—whether it’s to substances or behaviors—it may increase your likelihood of following a similar path. Genetics can also affect how the brain responds to rewarding behaviors, making certain people more prone to compulsive habits.
Pinpointing the exact genes that influence addiction14 has been difficult, however, as addiction is complex and doesn’t follow a clear pattern. “Because addiction is a heterogeneous and complex disorder15 without a clear Mendelian pattern, identification of specific genes has proved challenging,” say addiction researchers. While genetics alone don’t cause addiction, they are an important factor to consider.
Process addiction can deeply affect your emotional health as it causes persistent guilt, shame, and anxiety. The rush of excitement during a certain addictive behavior is often followed by intense regret. This emotional rollercoaster causes mood swings and can even cause long-term mental health conditions like depression. Over time, this ongoing cycle can erode your self-esteem as you start to feel stuck in negative patterns.
Process addiction takes a toll on your relationships. People may become dishonest or distant as they prioritize their addiction over their loved ones. This leads to conflicts, broken trust, and emotional distance with partners, friends, or family.
Gambling addiction is known to be especially hard on relationships because of the way it strains finances. “Pathological gambling is a relevant condition that negatively affects the family system of gamblers,” say authors of a study on pathological gambling and romantic relationships.16 The same study found that “partners of pathological gamblers reported a worse quality of couple relationship on all dimensions investigated: they reported higher levels of conflict and lower levels of companionship, help, security, and closeness,” and that “both pathological gamblers and their partners reported a more insecure romantic attachment.”
Rebuilding these connections is an essential part of recovery.
Some process addictions, like gambling or shopping, can cause serious financial problems. Spending and betting can quickly get out of control, and the resulting financial stress often worsens the addiction as people use more of the same behavior to try to escape their problems.
Process addiction can cause a drop in your performance at work or in school. As the addictive behavior consumes more time and energy, other responsibilities start to fall by the wayside. Missing deadlines, trouble focusing, and decreased productivity can lead to bad grades or job loss.
Several evidence-based therapies are proven effective for treating behavioral addiction. Cognitive behavioral therapy (CBT) is one of the most widely used treatments for process addictions,17 helping people identify and challenge the thought patterns that fuel their compulsive behaviors. Another well-supported option is acceptance and commitment therapy (ACT), which encourages people to accept their thoughts and emotions rather than avoid them, and teaches healthy coping mechanisms.
Evidence-based therapies are delivered in group or individual formats. A combination of these is often the most effective way to achieve long-term recovery from process addiction.
While the mechanisms of behavioral addiction are very similar to substance use disorders, process addictions pose a unique set of challenges. That’s why specialized programs are often more effective. According to one study on treatment for process addictions,18
Research suggests similarities between natural and drug reward processing, but clinical evidence supports the utilization of treatment modalities for these behavioral conditions that can sometimes differ from traditional drug treatment.
Thankfully, a wide array of innovative treatment approaches are gaining popularity in addressing process addiction. Mindfulness-based therapy, for example, focuses on helping people become more aware of their thoughts and behaviors, allowing them to put some helpful space between their urges and reactions. Tech-based interventions like apps and online programs offer accessible, personalized support for people in ongoing recovery.
Rehab programs designed for process addiction offer effective, comprehensive care, whether you’re staying in an inpatient facility or attending outpatient sessions. Inpatient programs give you a structured environment where you can focus entirely on recovery, while outpatient options provide flexibility so you can balance treatment with work, school, or family life. Both types of programs usually combine therapy, education, and life skills training to help you build the tools you need for life in recovery.
Many people struggling with process addiction also deal with mental health issues like depression or anxiety. These challenges often fuel addictive behaviors, making recovery even more complicated. That’s why it’s so important to treat both the addiction and any underlying mental health conditions at the same time. Thoroughly addressing both issues lets you recover—and reduce the risk of relapse—more effectively.
An integrated approach to treating process addictions addresses not just the symptoms, but the mental, emotional, and physical aspects of addiction. A combination of therapies is often most effective—research shows that a “multimodal, bio-psychosocial approach of treatment including individual, group, family or conjoint therapy, use of medication when necessary and adjunct treatments such as self-help groups will be the most cohesive and effective way for behavioral addictions.”19
Recovery from process addiction doesn’t end with rehab—you need long-term support to stay on track. Aftercare programs help prevent relapse and reinforce the progress you’ve made by offering regular therapy sessions, support groups, and access to resources that keep you focused on recovery. Ongoing support ensures you continue making healthy choices and staying motivated toward long-term recovery.
Having a solid support network is critical to maintaining your recovery. Whether it’s friends, family, or people you meet in support groups, leaning on others when you need to makes the journey less isolating. These relationships provide the encouragement, understanding, and accountability you need to stay on track when challenges come up.
Recognizing process addiction is the first step toward taking back control of your life. But recovery isn’t just about stopping an addictive behavior—it’s about addressing its root causes, rebuilding your self-esteem, and creating a balanced, healthy life that doesn’t include addiction. While the journey may be challenging, the right process addiction treatment and support puts lasting recovery within reach. Explore addiction treatment centers to find a program that meets your needs, and contact them directly today.
APA Dictionary of Psychology. https://dictionary.apa.org/. Accessed 23 Sept. 2024.
Wulfert, Edelgard, et al. “Heart Rate Arousal and Excitement in Gambling: Winners versus Losers.” Psychology of Addictive Behaviors, vol. 19, no. 3, 2005, pp. 311–16. APA PsycNet, https://doi.org/10.1037/0893-164X.19.3.311.
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