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COACHING ON
COPING WITH
INTERNET
ADDICTION _
COUNSELLOR S
TOOL
"COUNSELORS AS ADVOCATES
OF BEHAVIORAL HEALTH AND
WELLNESS"
IOTA PHI FOUNDATION, INC. 20I7
NATIONAL GUIDANCE
CONFERENCE AND WORKSHOPS
MAY 12,2017
Tanghalang Teresita Quirino
University of Sto. Tomas,
Espana, Manila
MILEN SANTIAGO RAMOS MA, MSc, PhD
Clinical Psychology- Neuroscience – Criminology
PSYCHSERV, Inc.
HOW DID IT
COME
ABOUT
Internet addiction disorder (IAD), now
more commonly called
problematic Internet use (PIU),
compulsive Internet use
(CIU), Internet overuse, problematic
computer use, or pathological computer
use, refers to excessive computer use
which interferes with daily life.
BEHAVIORAL ABUSE/ ADDICTION
GAMBLING, SEX , INTERNET ,
PORNOGRAPHY
VS
PHYSIOLOGIC ABUSE /ADDICTION
ADDICTION TO COCAINE,
METHAMPHETAMINE HYDROCHLORIDE,
KETAMINE,BARBITURATES, ALCOHOL,
ECSTACY (PARTY DRUG)
It is listed as a "condition for further study"
in DSM-5 from 2013, but not recognized
as a disorder.
PLAYERS IN THE FIELD
IVAN
GOLDBERGH
Eric Nestler
KIMBERLY
YOUNG
IAD was originally proposed as
a disorder in a satirical hoax
by Ivan Goldberg, M.D., in 1995
He took pathological gambling
as diagnosed by the
Diagnostic and Statistical
Manual of Mental Disorders
(DSM-IV) as his model for the
description of IAD.
The IAT was utilized in
outpatient and inpatient settings
and adapted accordingly to fit
the needs of the clinical setting.
The IAT was not validated
during its development, but later
studies have established its
validity in English, and also in
Italy and France, making it the
first global psychometric
measure.
Young KS. Internet
addiction: the emergence of a new clinical
disorder. Cyber Psychol Behav.1998;1:237–244.
The Chen Internet Addiction
Scale (CIAS) contains 26
items ranked on a 4-point
Likert scale, wherein a
higher total score indicates
a greater severity of Internet
addiction symptoms. The
CIAS was revised to
address psychometric
properties in adolescents,
as well adults. According to
the revised version, Internet
addiction is prevalent in
18% of Hong Kong Chinese
adolescents
Ko CH, Yen JY, Chen CC. Proposed diagnostic criteria of
Internet addiction for adolescents. J Nerv Ment
Dis. 2005;193:728–733. [PubMed]
Eric J. Nestler, M.D., Ph.D., is the Nash
Family Professor of Neuroscience,
Chairman of the Department of
Neuroscience and Director of the
Friedman Brain Institute at the
Mount Sinai Medical Center in
New York. His focus in
neuropsychopharmacology
concentrates on forming a molecular
approach to psychiatry and furthering
the understanding of the molecular
basis of both depression and drug
addiction, using animal models to study
the way drug use or stress affects the
brain.His addiction research largely
centers around ΔFosB (a master
control protein that induces addiction)
and associated epigenetic remodeling
in the medium spiny neurons of the
nucleus accumbens.
Molecular neurobiology of drug addiction. Chao J, Nestler EJ.Annu Rev
Med. 2004; 55:113-32.
ATTEMPT TO
DIAGNOSE
USING PSYCHOLOGICAL TEST
USING BIOMOLECULAR
TOOLS
USING PSYCHOLOGICAL TEST
Problematic Internet Use Questionaire (PIUQ)
Thatcher et al, 2005
Internet Addiction Test (IAS)
Young, 1998
Goldberg Internet Addiction Disorder Scale (GIAD)
Armstrong et al, 2000
Chen Internet Addiction Scale
Yen et al, 2008 (CIAS)
Orman Internet Streee Scale (ISS) – French
VAlleur and Velea, 2002
From Problematic Internet Use
Jane Pei-Chen Chang MD,
MSc et al
Institute of Clinical Medical
Science, China Medical
University and Department
of Psychiatry, China Medical
University Hospital, Taichung,
Taiwan
At my end I did
tested the waters on
the psychological
effects of internet
exposure
The purpose of the study
is to develop stages of
symptoms of internet
addiction as a reflection
of development of
pathology thereby
aiding its recognition as
a disorder
CULLING OF DATA
Responses of one thousand
adolescents were used to determine
which among the items in the time
referenced questionaires will give
statistically significant results
 One thousand (1000) answered
questionaires was gathered by 10
students. Each handling 100 cases
It is expected to give out the best items
/behavior that will characterize one
week use, 2 weeks use as well as 3
months use of internet exposure.
CHARACTERIZATION OF THE STAGES
Initial stage - affect is very much affected (i.e. crying spells, loss of appetite,
talking less than usual, restlessness in sleep, talking less than usual – and also affecting
the vegetative functions . NOTE: there is no mention here yet whatsoever of the internet
Middle stage- executive function seems to be in distress (i.e. lack of
concentration or restless ness, difficulties in keeping up with educational activities,
difficulties in look after oneself or taking responsibility for one s independence
Final stage- one s affective disposition and executive/decision making are down
….there is dependence ONLY on one thing …. Internet (i.e. feeling energized online,
feeling life is joyless without the internet, staying online for longer and longer periods of
time
prognostication
USING MOLECULAR TOOLS
Addiction neurobiologists have revealed
that all addictions, both chemical and behavioral,
appear to share a single molecular
switch
Delta fosb
FOSB or FosB is a protein that, in humans, is
encoded by the FOSB gene
The FOS gene family consists of 4 members:
FOS, FOSB, FOSL1, and FOSL2
the FOS proteins have been implicated as
regulators of cell proliferation, differentiation, and
transformation.
FosB has truncated splice variant
In the nucleus accumbens, ΔFosB functions as a
"molecular switch" and "master control protein" in the
development of an addiction in other words, once "turned
on" (sufficiently overexpressed) ΔFosB triggers a series
of transcription events that ultimately result in addictive
behavior
A medical review from late 2014 argued
that accumbal ΔFosB expression can be used as an
addiction biomarker and
that the degree of accumbal ΔFosB induction by a
drug is a metric for how addictive it is relative to
others
current recent assay used
WESTERN BLOT
One of the most powerful methods for detecting a particular protein
in a complex mixture combines the superior resolving power of gel
electrophoresis, the specificity of antibodies, and the sensitivity of
enzyme assays. Called Western blotting, or immunoblotting, this
three-step procedure is commonly used to separate proteins and
then identify a specific protein of interest
http://www.ncbi.nlm.nih.gov/books/NBK21589/figure/A651/?
report=objectonly
POSSIBLE PROBLEMS IN INTERNET
ADDICTION DETECTION
1) ANIMAL STUDIES/
POST MORTEM STUDIES
The challenge is its application in live
humans for treatment and prevention
purposes
2) PROBLEMS IN WESTERN BLOTS
Did you know that 41 percent of
researchers say their Western blots fail
at least 25 percent of the time?
DETERMINATION OF
DANGERS THAT IT PRESENT/
PROGNOSTICATION
In the fifth edition of the Diagnostic and
Statistical Manual of Mental Disorders
(DSM-5), Internet Gaming Disorder is
identified in Section III as a condition
warranting more clinical research and
experience.
But why did it call so much attention?
THE PHOTOS THAT YOU WILL SEE MAY
OFFEND YOUR SENSIBILITIES
CCTV footage shows gamer collapsing in internet
cafe
Player found braindead while playing online
Delta fosB and DOPAMINE
"Eric Nestler has shown how addictions cause
permanent changes in the brains of animals.
A single dose of many addictive drugs will
produce a protein, called delta FosB that
accumulates in the neurons. Each time the drug
is used, more delta FosB accumulates until it
throws a genetic switch, affecting which genes
are turned on or off.
Flipping this switch causes changes that
persist long after the drug is stopped,
leading to irreversible damage to the
brain’s dopamine system and rendering
the animal far more prone to addiction.
Non-drug addictions, such as running and
sucrose drinking, also lead to the
accumulation of deltaFosB and the same
permanent changes in the dopamine
system."
DOWN REGULATION OF
DOPAMINE RECEPTORS
INHIBITION OF DOPAMINE
TRANSPORTER
Many recreational drugs, such
as cocaine and substituted dopamines, INHIBIT
the DOPAMINE TRANSPORTER (DAT), the
protein responsible for removing dopamine from
the neural synapse.
When DAT activity is blocked, the synapse floods
with dopamine and increases dopaminergic
signaling. When this occurs, particularly in the
nucleus accumbens increased D1 and decreased
D2 receptor signaling mediates the "rewarding"
stimulus of drug intake
CONTROVERSIAL DEATHS ON THE USE OF STIMULANTS
There is a strong suspicion that cocaine addict died from
mishandling of pollice officers and use of taser
During the height of cocaine
addiction many sudden deaths were
witnessed ………
the explanation of
which is called excited delusion
It was first identified on institutionalized
chronic psychiatric cases
One of the most serious psychiatric
sequelae of cocaine abuse is excited
delirium, which may be associated with
hyperthermia and sudden death.
Behaviorally, there was extreme
aggression or violence
Brain biomarkers for identifying
excited delirium as a cause of
sudden death.
2009 Sep 10;190(1-3):e13-9. doi: 10.1016/j.forsciint.2009.05.012. Epub 2009 Jun 21.
Mash DC, Duque L, Pablo J, Qin Y, Adi N, Hearn WL, Hyma BA, Karch SB, Druid H,
Wetli CV.
Department Neurology, Miller School of Medicine, University of Miami, 1501 NW 9th Avenue, Miami, FL 33136,
USA. dmash@med.miami.edu
1) CNS dysfunction of dopamine
signalling
2) presence of heat shock protein
(HSP 70)
HEAT SHOCK PROTEIN
important part of the cell's machinery for protein
folding, and
help to protect cells from stress
Hsp70 proteins can act to protect cells from thermal
or oxidative stress
Hsp70 seems to be able to participate in disposal of
damaged or defective proteins
Finally, in addition to improving overall protein
integrity, Hsp 70 directly inhibits apoptosis
Excited Delirium and its medical status
"Excited delirium is not a clinical entity of its own, but
a constellation of symptoms from a varied and
severe underlying process" (Manojlovic et al., 2005
p.38).
While the American Medical Association does not
recognize ED as a medical diagnosis or psychiatric
condition, the National Association of Medical
Examiners has recognized ED (Stephens, Jentzen,
Karch, Wetli, & Mash, 2004) for more than a decade
(Wetli, 2006)
CASCADES OF EVENTS LEADING TO
DEATH AMONG ON LINE GAMERS AND
COCAINE ADDICTIONS
PROMOTING
INTERNET
WELLNESS
LAWS ENACTED ROAD
HEALTH
INFORMATION
CAMPAIGN
ROAD
CREATIONS OF
NATIONAL LAWS,
BILLS AND
RESOLUTIONS INSTITUTIONAL
INITIATIVES i.e.
universities
COMMUNITY
SYNERGISTIC
EFFORTS
The Cybercrime Prevention Act of 2012 is the first law in the Philippines which
specifically criminalizes computer crime, which prior to the passage of the law had no
strong legal precedent in Philippine jurisprudence.
While laws such as the Electronic Commerce Act of 2000 (Republic Act No.
8792[
regulated certain computer-related activities, these laws did not provide a legal
basis for criminalizing crimes committed on a computer in general: for example, Onel de
Guzman, the computer programmer charged with purportedly writing
the ILOVEYOU computer worm, was ultimately not prosecuted by Philippine authorities
due to a lack of legal basis for him to be charged under existing Philippine laws at the
time of his arrest
COPING
CAN BE
ASSISTED OR NON- ASSISTED
NON- ASSISTED
working on dopamine
streamlining internet usage
rationing internet usage
living life off the internet
What Does Dopamine Do?
Dopamine has been called our “motivation molecule.”
It boosts our drive, focus, and concentration.
It enables us to plan ahead and resist impulses so we can achieve our goals.
It gives us that “I did it!” lift when we accomplish what we set out to do.
It makes us competitive and provides the thrill of the chase in all aspects of life
— business, sports, and love.
Dopamine is in charge of our pleasure-reward system. (1)
It allows us to have feelings of enjoyment, bliss, and even euphoria.
But too little dopamine can leave you unfocused, unmotivated, lethargic, and
even depressed.
Dopamine Deficiency Symptoms
People low in dopamine lack a zest for life.
They exhibit low energy and motivation, and often rely on caffeine, sugar, or other
stimulants to get through the day.
Many common symptoms of dopamine deficiency are similar to those of depression:
lack of motivation
fatigue
apathy
procrastination
inability to feel pleasure
low libido
sleep problems
mood swings
hopelessness
memory loss
inability to concentrate
Dopamine-deficient lab mice become so apathetic and lethargic they lack motivation
to eat and starve to death.
Conversely, some people who are low in dopamine compensate with self-destructive
behaviors to get their dopamine boost.
This can include use and abuse of caffeine, alcohol, sugar, drugs, shopping, sex, video
games, online porn, power, gambling, or excessive internet use.
Dopamine Boosting Foods
Dopamine is made from the amino acid tyrosine.
Eating a diet high in tyrosine will ensure you’ve got the basic
building blocks needed for dopamine production.
Here’s a list of foods, drinks, and spices known to increase
dopamine:
all animal products
almonds
apples
avocado
bananas
beets
chocolate
coffee
fava beans
green leafy vegetables
green tea
lima beans
oatmeal
sea vegetables
sesame and pumpkin seeds
turmeric
watermelon
wheat germ
Foods high in natural probiotics such as yogurt, kefir,
and raw sauerkraut can also increase natural dopamine
production.
Surprisingly, the health of your intestinal flora impacts
your production of neurotransmitters.
An overabundance of bad bacteria leaves toxic
byproducts called lipopolysaccharides which
lower levels of dopamine. Sugar has been found to
boost dopamine, but this is a temporary, unhealthy
boost that is more drug-like than food-like.
Dopamine Supplements
There are supplements that can raise dopamine levels naturally.
Curcumin is the main active ingredient in the spice turmeric.
It’s available in an isolated form as a supplement.
It readily crosses the blood-brain barrier and can boost levels of dopamine.
Curcumin has been found to be as effective for treating depression as the popular
antidepressant Prozac.
curcumin supplement that contains piperine — a compound found in black pepper
that increases curcumin absorption by a remarkable 2,000%.
Ginkgo biloba is traditionally used for a variety of brain-related problems such as
poor concentration, memory problems, headaches, fatigue, mental confusion,
depression, and anxiety.
One of the mechanisms by which ginkgo works is by raising dopamine along with
acetylcholine, the neurotransmitter of memory and learning.
L-theanine is a component found in green tea.
It increases levels of dopamine along with two other feel-good
neurotransmitters, serotonin and GABA.
L-theanine improves recall, learning, and positive mood.
You can get a dopamine boost by either taking theanine
supplements or by drinking three cups of green tea per day.
L-tyrosine, the precursor to dopamine, is available as a
supplement.
A better choice is acetyl-l-tyrosine, a more bioavailable form
that readily crosses the blood-brain barrier.
Phosphatidylserine acts as your brain’s “gatekeeper,”
regulating nutrients and waste in and out of your brain.
It can increase dopamine levels and improve memory,
concentration, learning, and symptoms of ADHD.
working on dopamine (increasing dopamine)
1. Don’t Get Addicted
“Many people get addicted to something because it gives them some kind of instant
gratification – drugs, alcohol, sex, pornography, shopping, and other addictive behaviors
actually have the opposite effect on dopamine levels in the long-term. In essence, when we get
overly addicted to something, the ‘reward circuitry’ of our brain kicks into overdrive and we
crave the ‘quick hit.’ This is not a sustainable solution for dopamine production, which can and
should be done naturally.”
2. Checklist Small Tasks
“Dopamine increases when we are organized and finish tasks – regardless if the task is small or
large. So, don’t allow your brain to worry about things that need to be done. Instead, write
these tasks down and then check them off one at a time. It’s been shown that it’s more
satisfying to the brain’s dopamine levels when we physically check something off of our to-do
list. Also, write down and check stuff off regardless if you can mentally remember the tasks.”
3. Create Something
“For us writers, painters, sculptors, poets, singers, dancers, and other artists, we can identify
with this. When we’re in creative mode, we can become hyper-focused. As a result, we can
enter a state called flow. Dopamine is the brain chemical that allows us to achieve this state.
The lesson is this: take up a hobby or activity in which you actually create something tangible.
4. Exercise
“Same ‘ole, same ‘ole, we know. We’ve discussed repeatedly the importance and benefits
of physical exercise, and we’re just going to add to this list again. So, not only does
exercise help us relieve stress, achieve better physical health and make us more
productive; it boosts our dopamine levels. More specifically, exercise increases multiple
neurotransmitters – serotonin and endorphins, besides dopamine, receive a boost. Here’s
something else cool: the exercise needn’t not be arduous. Simply taking a stroll or
climbing some stairs will achieve a good dopamine jolt.”
5. Get a Streak Going
“As with creating a checklist, getting a streak going is a great way to increase dopamine
levels. For the purpose of this article, a streak is a visual reminder of how many days in a
row you’ve achieved something.
Get a calendar specifically for this purpose: write down whatever goal you have and the
days of the week or month when they are scheduled. For example, if you work out on
Monday, Wednesday and Friday, mark these days on the calendar for the month. As you
finish a workout, mark it off on the calendar. Keep a streak going, and you’ll keep the
dopamine coming.”
6. Increase Tyrosine
“Of the chemicals that make up dopamine, none are more important than tyrosine. In fact,
tyrosine is considered the building block of dopamine. Therefore, it is important that you
get enough of this protein. There’s a large list of foods that increase Tyrosine, including:
Almonds, Avocados, Bananas, Beef, Chicken, Chocolate, Coffee, Eggs, Green Tea,
Watermelon, Yogurt.”
7. Listen to Music
“Do you ever wonder why music makes you happy? I mean, we can be in the dumps one
moment but once we put on our favorite jam, we’re swaying and shaking away…feeling
pretty good about ourselves too! The reason for this is that listening to music increases
dopamine levels. In fact, scientists say that listening to music has the same effect as eating
our favorite foods or watching our favorite T.V. show. So, when you’re feeling down, throw
on some of your favorite tunes and jam out!”
8. Meditate
“As with exercise, we are discovering more and more benefits to meditation. We are again
adding to the list. As we discussed, the human brain is susceptible to a variety of
addictions. One other addictive habit that we have is overthinking. In fact, some Buddhists
have a phrase for this addiction: ‘monkey mind.’
Overthinking is not merely a distracting habit, it’s also a genuine compulsion that leaves us
in a perplexing state, while also having a negative effect on our spiritual development.
However, scientists are finally catching up to what Buddhists have known for thousands of
years: meditation and mindfulness are essential to a healthy mind.”
9. Take Supplements
“While there are some great ways to increase dopamine levels, sometimes we’re
facing a time crunch. Fortunately, there are natural supplements on the market that
have been shown to increase dopamine levels. Here are a few:
Acetyl-l-tyrosine: Another building block of dopamine. A healthy dose of this makes it
easier for the brain to produce dopamine.
Curcumin: An active ingredient that’s also common in curry spices and turmeric.
Ginkgo Biloba: A tremendously popular wonder supplement that’s also believed to
boost dopamine levels and keep it circulating in the brain longer.
L-theanine: Increases multiple neurotransmitters in the brain, including dopamine.
Green tea is a terrific source for this.”
10. Toxic Cleansing
“As miraculous as our bodies are, we do accumulate toxins and bacteria that is bad for
us. Endotoxins are the kind that can cause our immune systems to get out of whack,
and it also constrains the production of dopamine. Here are a couple tips for helping
cleanse the gut of endotoxins: eat fermented food, get enough sleep, and resist the
urge to indulge in fatty or sugary foods.”
streamlining internet usage
1. Use a news aggregator. News aggregators like Feedly and Digg Reader
allow you to look at all of your favorite websites in one place, instead of clicking around
through various windows. When you have multiple windows open, your attention gets
scattered, and you get pulled into the immersive experience you’re having with your
screen. Keep your screen simple and clean as a way to keep yourself focused and aware of
what you’re doing and how you’re spending your time.
Add only those websites to your aggregator that you absolutely need to keep tabs on.
Don’t fill your mind with unnecessary information.
Only have one program open unless you actually need to use multiple programs.
Only have one tab open on your web browser at a time.
2. Delete useless accounts. You may have accounts with websites that you
never use, but which email you endlessly trying to remind you to use their service. You
don’t need that temptation, so just delete all the accounts you don’t use and unsubscribe
from their email listservs. You should also take a look at the accounts that you use too
much. Are you spending valuable work time on Facebook or Instagram? Even if you love
them and use them often, it may be in your best interest to delete those accounts, or at
least deactivate them for a time until you get your internet usage under control.
You may need some of these sites for work — for example, Myspace if you’re a musician —
so don’t delete an account that you actually need. You might get a co-worker or friend to
maintain that account until you can handle the responsibility.
3 Turn off notifications.If your smartphone notifies you immediately every
time someone emails you or likes something you’ve posted on social media, you’ll be
forever fiddling around on the internet with your phone. Change the app settings on your
phone to prevent immediate notifications. Set a schedule in which you allow yourself to
manually check email and social media once every two hours or so
rationing internet usage1 Make a plan. Quitting any addiction cold-turkey has a low rate of success.
Relapse rates are high for addicts with chemical addictions like nicotine or alcohol, as
well those with behavioral or procedural addictions like gambling, shopping, or internet
addictions.[
Instead of trying to quit cold turkey, make a plan to scale back your internet
usage in a manageable way, so you don’t feel overwhelmed by the sudden loss of an
important part of your life.
Set manageable goals. If scaling back to one hour a day is your ultimate goal, maybe
start with three hours a day.
When you feel comfortable with one step down, reduce your daily allotment by half an
hour. Keep scaling back your internet usage until you reach your goal.
2 Set a timer.After you’ve made your plan, you need to stick to it, and you can’t
do that unless you’re keeping careful track of how much time you’re spending on the
internet. If you’re allowing yourself three hours a day at first, you might break that up
into three sessions that are one hour each. If that’s the case, make sure to set a timer to
let yourself know when your hour is up each time you sit down at your computer.
Egg timers can be purchased very inexpensively at any grocery store in the kitchen tools
sections.
Most phones have a timer app on them
3 Buy or download an internet-blocking app.
You addiction may be so heavy that you don’t trust yourself to stick to the schedule
you’ve set for yourself. If that’s the case, there are programs you can install that will
limit your internet time for you. The program called Freedom will block you from
the entire internet for up to eight hours at a time, whereas Anti-Social will block
only social media sites like Facebook.[14][15]
If you don’t trust yourself not to just turn those programs off, purchase one that
requires a password to disable its settings, and have a friend set up the password.
Choose a friend you trust not to give you the password!
living life off the internetLiving Life Off the Internet
1 Throw yourself into your studies or work. You need to find
a positive outlet for all the pent-up mental energy you’ll have once you stop using the
internet so much. Throwing yourself into your studies or your work with renewed
energy is a great way to keep your mind occupied while improving your results and
your relationships at work! You’ll be amazed by how much your productivity will
improve when you redirect your attention to tasks that matter more in the long run.
2.Lean on your friends. Talk to them about the problems you’ve been
having with your internet usage, and ask them to spend more time with you. Instead
of chatting with them online, invite them over to your house for dinner, or go meet up
with them for dinner and drinks. Your friends and family will serve as your support
system, filling in those hours where you’d normally be mindlessly clicking through the
internet. Not only will you be distracted from the computer, you’ll also be improving
your relationships with the people most important to you.
3 Develop new hobbies.There’s a whole world of
activities you can enjoy outside of the internet! Make yourself a
promise that you will use your computer only for work, and find
recreation elsewhere.[16]
Get out of the house, away from your
temptations.
Take up walking or jogging.
Join a recreational sports league — soccer, basketball, football,
whatever you enjoy the most!
Join a book club.
Start a band with some friends who share your taste in music.
Take up knitting or crocheting.
Start gardening
Prepare home-cooked meals that taste delicious, save money,
and eat up your spare hours, when you’d normally be surfing the
internet!
ASSISTED
stopping internet addiction
psychotherapies for internet addiction
stopping internet addiction
1 Think about how your emotional health relates to
internet usage. Studies have shown that people with internet addictions
often suffer from loneliness, anxiety, and depression.[1]
If you think you have an
internet addiction, you won’t be able to get past it unless you make an honest effort
to understand how the addictive behavior is tied to your emotional state.
2Keep an addiction journal.When you’re using the internet, take a
moment to write down how you feel in the moment. When you’re not using it, but
are craving the internet, write down how you feel in that moment. An addiction
journal will give you some insight into how your addiction is affecting your emotional
health.
Do you feel smarter, wittier, and more confident online than you do in real life?
Do you feel depressed, isolated, and anxious when you’re not on the internet?
3 See a therapist. If your internet addiction is interfering with your quality of
life, you should seek professional help to get to a better place. Though internet
addiction is not yet recognized as an official psychological diagnosis, there is a
movement within the medical community to have it recognized as a treatable disorder.
[2]
Working with a trained professional will help you to release yourself from your
dependence on the internet.
The Center for Internet Addiction offers a wide variety of information, resources, and
treatment options for internet addiction.[3]
4 Seek help at a rehabilitation center. Although internet addiction
obviously hasn't been around as long as alcohol or drug addiction, there are still some
rehabilitation centers where trained professionals can help guide you toward a
healthier lifestyle.[4]
We do not have a rehabilitation center yet but there is a student at Mapua who is a
visionary and designed a rehab center for internet addicts in 2013. His name is
ROLANDO STACEY TORRES JR
You can view his work at
http://fs.mapua.edu.ph/MapuaLibrary/Thesis/REHABITILITATION%20CENTER%20FOR
%20COMPUTER%20ADDICTION%20by%20TORRES,%20ROLANDO%20JR.
%20(2007100906)%20(1).pdf
5. Call a hotline.If you aren't sure how serious your problem is, if you
have any questions about what internet addiction is, or if you need help finding
treatment for your addiction in your area, there are several hotlines to help you
find the information you need. We still need to create a hotline
6. Find a support group. Therapists and rehab centers can be
incredibly expensive, and you might not be able to afford one. We still need to
create a support group
psychotherapies for internet addiction
Motivational interviewing
Community reinforcement and family training
Reality training
Acceptance and commitment therapy
Cognitive behavioural therapy
Combinations of modalities
Psychotropc medications, family therapy, case management
Solution based brief therapy family therapy and cognitive therapy
Psychoeducational program combination of psychodynamic and cognitive
behaviour theoretical perspectives
Readiness to Change (RtC ) CBT and Mi intervention
Behavioural therapy or CT
Detoxification treatment, psychosocial rehabilitation, personality modelling and
parent training
Restart (Internet Addiction Recovery program
which integrates technology detoxification (no technology for 45 to 90 days),
drug and alcohol treatment, 12 step work, cognitive behavioral therapy (CBT),
experiential adventure based therapy, Acceptance and Commitment therapy
(ACT), brain enhancing interventions, animal assisted therapy, motivational
interviewing (MI), mindfulness based relapse prevention (MBRP), Mindfulness
based stress reduction (MBSR), interpersonal group psychotherapy, individual
psychotherapy, individualized treatments for co-occurring disorders, psycho-
educational groups (life visioning, addiction education, communication and
assertiveness training, social skills, life skills, Life balance plan), aftercare
treatments (monitoring of technology use, ongoing psychotherapy and group
work), and continuing care (outpatient treatment) in an individualized, holistic
approach
FUTURE OF INTERNET
ADDICTION STUDY
Epigenetic
research
WHY IS EPIGENETIC RESEARCH APT IN
OUR CURRENT STATE OF AFFAIRS (I.E
INTERNET ADDICTION)
FILIPINO CHILDREN SHOWED
THE MOST VULNERABILITY
FACTS
Unicef showed that there are about three to six million Filipino
children left behind as parents pursue work abroad.The figure of
affected Filipino children casts a huge shadow when compared with
Indonesia's one million and Thailand's half a million.
Feminization” of migration has complicated the situation as it
“implies a redefinition of the economic role of women in society
and within the
family as well.”
The absence of parents, creates “displacement, disruptions and
changes in care-giving arrangement.”
Such effects are more felt when it is the mother who works
abroad, as families go through more adjustments, than when it
is the father who goes to work abroad.
This is because men do not easily take up care-giving when
they assume the role of the mother
the social costs of labor migration cannot be denied,
impacting severely on children, psychologically and
physically.
While children feel the economic benefits of parents
working abroad, various studies however show that
children “do not recognize this as a form of care.” Thus,
children of migrants are less socially adjusted.
Those with absent mother “tend to be more angry,
confused, pathetic and more afraid than other children
Absence of the mother could be the most disruptive in
the life of the children.”
The feeling of neglect and abandonment is most felt by the
eldest daughter who assumes the mother’s role in the family
as the father struggles to take the mother’s role.
Some report that such communication
technologies as the mobile phone and the internet
have been instrumental in easing the anxiety
arising from separation (Porio 2007). In Madianou
and Miller’s (2011) study of long-distance
parenting among Filipina migrants in the UK,
mothers felt empowered by the mobile phone,
as it allowed them to partially reconstruct their
roles as parents. Others contend that ICT use
can heighten feelings of anxiety because of
increased awareness of how different their
family situation is from the norm (Miller, 2007).
Labor migration of parents also skews the values of
children as they view it only in terms of “money
equivalent.” With no proper guidance from the
parents, the regular remittances lead to materialistic
attitude of children.
Children of migrants are also vulnerable to abuse
and violence with the parent’s absence
Children of OFWs, particularly of migrant mothers, are
more ambivalent about the benefits of transnational
communication. ParreĂąas (2005) describes young
adult children’s feelings of abandonment and
longing for deeper emotional intimacy with their
mothers that cannot be appeased by weekly calls
over the mobile phone.
#SELF
REGULATE
# SELF
PRESERVE
SALAMAT
PO

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Final coaching on coping with internet addiction counsellor s tool (1)

  • 1. COACHING ON COPING WITH INTERNET ADDICTION _ COUNSELLOR S TOOL "COUNSELORS AS ADVOCATES OF BEHAVIORAL HEALTH AND WELLNESS" IOTA PHI FOUNDATION, INC. 20I7 NATIONAL GUIDANCE CONFERENCE AND WORKSHOPS MAY 12,2017 Tanghalang Teresita Quirino University of Sto. Tomas, Espana, Manila MILEN SANTIAGO RAMOS MA, MSc, PhD Clinical Psychology- Neuroscience – Criminology PSYCHSERV, Inc.
  • 3. Internet addiction disorder (IAD), now more commonly called problematic Internet use (PIU), compulsive Internet use (CIU), Internet overuse, problematic computer use, or pathological computer use, refers to excessive computer use which interferes with daily life.
  • 4. BEHAVIORAL ABUSE/ ADDICTION GAMBLING, SEX , INTERNET , PORNOGRAPHY VS PHYSIOLOGIC ABUSE /ADDICTION ADDICTION TO COCAINE, METHAMPHETAMINE HYDROCHLORIDE, KETAMINE,BARBITURATES, ALCOHOL, ECSTACY (PARTY DRUG)
  • 5. It is listed as a "condition for further study" in DSM-5 from 2013, but not recognized as a disorder.
  • 6. PLAYERS IN THE FIELD IVAN GOLDBERGH Eric Nestler KIMBERLY YOUNG
  • 7. IAD was originally proposed as a disorder in a satirical hoax by Ivan Goldberg, M.D., in 1995 He took pathological gambling as diagnosed by the Diagnostic and Statistical Manual of Mental Disorders (DSM-IV) as his model for the description of IAD.
  • 8. The IAT was utilized in outpatient and inpatient settings and adapted accordingly to fit the needs of the clinical setting. The IAT was not validated during its development, but later studies have established its validity in English, and also in Italy and France, making it the first global psychometric measure. Young KS. Internet addiction: the emergence of a new clinical disorder. Cyber Psychol Behav.1998;1:237–244.
  • 9. The Chen Internet Addiction Scale (CIAS) contains 26 items ranked on a 4-point Likert scale, wherein a higher total score indicates a greater severity of Internet addiction symptoms. The CIAS was revised to address psychometric properties in adolescents, as well adults. According to the revised version, Internet addiction is prevalent in 18% of Hong Kong Chinese adolescents Ko CH, Yen JY, Chen CC. Proposed diagnostic criteria of Internet addiction for adolescents. J Nerv Ment Dis. 2005;193:728–733. [PubMed]
  • 10. Eric J. Nestler, M.D., Ph.D., is the Nash Family Professor of Neuroscience, Chairman of the Department of Neuroscience and Director of the Friedman Brain Institute at the Mount Sinai Medical Center in New York. His focus in neuropsychopharmacology concentrates on forming a molecular approach to psychiatry and furthering the understanding of the molecular basis of both depression and drug addiction, using animal models to study the way drug use or stress affects the brain.His addiction research largely centers around ΔFosB (a master control protein that induces addiction) and associated epigenetic remodeling in the medium spiny neurons of the nucleus accumbens. Molecular neurobiology of drug addiction. Chao J, Nestler EJ.Annu Rev Med. 2004; 55:113-32.
  • 11. ATTEMPT TO DIAGNOSE USING PSYCHOLOGICAL TEST USING BIOMOLECULAR TOOLS
  • 12. USING PSYCHOLOGICAL TEST Problematic Internet Use Questionaire (PIUQ) Thatcher et al, 2005 Internet Addiction Test (IAS) Young, 1998 Goldberg Internet Addiction Disorder Scale (GIAD) Armstrong et al, 2000 Chen Internet Addiction Scale Yen et al, 2008 (CIAS) Orman Internet Streee Scale (ISS) – French VAlleur and Velea, 2002 From Problematic Internet Use Jane Pei-Chen Chang MD, MSc et al Institute of Clinical Medical Science, China Medical University and Department of Psychiatry, China Medical University Hospital, Taichung, Taiwan
  • 13. At my end I did tested the waters on the psychological effects of internet exposure
  • 14. The purpose of the study is to develop stages of symptoms of internet addiction as a reflection of development of pathology thereby aiding its recognition as a disorder CULLING OF DATA Responses of one thousand adolescents were used to determine which among the items in the time referenced questionaires will give statistically significant results  One thousand (1000) answered questionaires was gathered by 10 students. Each handling 100 cases It is expected to give out the best items /behavior that will characterize one week use, 2 weeks use as well as 3 months use of internet exposure. CHARACTERIZATION OF THE STAGES Initial stage - affect is very much affected (i.e. crying spells, loss of appetite, talking less than usual, restlessness in sleep, talking less than usual – and also affecting the vegetative functions . NOTE: there is no mention here yet whatsoever of the internet Middle stage- executive function seems to be in distress (i.e. lack of concentration or restless ness, difficulties in keeping up with educational activities, difficulties in look after oneself or taking responsibility for one s independence Final stage- one s affective disposition and executive/decision making are down ….there is dependence ONLY on one thing …. Internet (i.e. feeling energized online, feeling life is joyless without the internet, staying online for longer and longer periods of time
  • 16. USING MOLECULAR TOOLS Addiction neurobiologists have revealed that all addictions, both chemical and behavioral, appear to share a single molecular switch
  • 17. Delta fosb FOSB or FosB is a protein that, in humans, is encoded by the FOSB gene The FOS gene family consists of 4 members: FOS, FOSB, FOSL1, and FOSL2 the FOS proteins have been implicated as regulators of cell proliferation, differentiation, and transformation. FosB has truncated splice variant
  • 18.
  • 19. In the nucleus accumbens, ΔFosB functions as a "molecular switch" and "master control protein" in the development of an addiction in other words, once "turned on" (sufficiently overexpressed) ΔFosB triggers a series of transcription events that ultimately result in addictive behavior A medical review from late 2014 argued that accumbal ΔFosB expression can be used as an addiction biomarker and that the degree of accumbal ΔFosB induction by a drug is a metric for how addictive it is relative to others
  • 20. current recent assay used WESTERN BLOT One of the most powerful methods for detecting a particular protein in a complex mixture combines the superior resolving power of gel electrophoresis, the specificity of antibodies, and the sensitivity of enzyme assays. Called Western blotting, or immunoblotting, this three-step procedure is commonly used to separate proteins and then identify a specific protein of interest http://www.ncbi.nlm.nih.gov/books/NBK21589/figure/A651/? report=objectonly
  • 21. POSSIBLE PROBLEMS IN INTERNET ADDICTION DETECTION 1) ANIMAL STUDIES/ POST MORTEM STUDIES The challenge is its application in live humans for treatment and prevention purposes 2) PROBLEMS IN WESTERN BLOTS Did you know that 41 percent of researchers say their Western blots fail at least 25 percent of the time?
  • 22. DETERMINATION OF DANGERS THAT IT PRESENT/ PROGNOSTICATION
  • 23. In the fifth edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM-5), Internet Gaming Disorder is identified in Section III as a condition warranting more clinical research and experience. But why did it call so much attention?
  • 24. THE PHOTOS THAT YOU WILL SEE MAY OFFEND YOUR SENSIBILITIES
  • 25. CCTV footage shows gamer collapsing in internet cafe
  • 26. Player found braindead while playing online
  • 27. Delta fosB and DOPAMINE "Eric Nestler has shown how addictions cause permanent changes in the brains of animals. A single dose of many addictive drugs will produce a protein, called delta FosB that accumulates in the neurons. Each time the drug is used, more delta FosB accumulates until it throws a genetic switch, affecting which genes are turned on or off.
  • 28. Flipping this switch causes changes that persist long after the drug is stopped, leading to irreversible damage to the brain’s dopamine system and rendering the animal far more prone to addiction. Non-drug addictions, such as running and sucrose drinking, also lead to the accumulation of deltaFosB and the same permanent changes in the dopamine system."
  • 29.
  • 30. DOWN REGULATION OF DOPAMINE RECEPTORS INHIBITION OF DOPAMINE TRANSPORTER
  • 31. Many recreational drugs, such as cocaine and substituted dopamines, INHIBIT the DOPAMINE TRANSPORTER (DAT), the protein responsible for removing dopamine from the neural synapse. When DAT activity is blocked, the synapse floods with dopamine and increases dopaminergic signaling. When this occurs, particularly in the nucleus accumbens increased D1 and decreased D2 receptor signaling mediates the "rewarding" stimulus of drug intake
  • 32. CONTROVERSIAL DEATHS ON THE USE OF STIMULANTS There is a strong suspicion that cocaine addict died from mishandling of pollice officers and use of taser
  • 33. During the height of cocaine addiction many sudden deaths were witnessed ……… the explanation of which is called excited delusion
  • 34. It was first identified on institutionalized chronic psychiatric cases One of the most serious psychiatric sequelae of cocaine abuse is excited delirium, which may be associated with hyperthermia and sudden death. Behaviorally, there was extreme aggression or violence
  • 35. Brain biomarkers for identifying excited delirium as a cause of sudden death. 2009 Sep 10;190(1-3):e13-9. doi: 10.1016/j.forsciint.2009.05.012. Epub 2009 Jun 21. Mash DC, Duque L, Pablo J, Qin Y, Adi N, Hearn WL, Hyma BA, Karch SB, Druid H, Wetli CV. Department Neurology, Miller School of Medicine, University of Miami, 1501 NW 9th Avenue, Miami, FL 33136, USA. dmash@med.miami.edu 1) CNS dysfunction of dopamine signalling 2) presence of heat shock protein (HSP 70)
  • 36. HEAT SHOCK PROTEIN important part of the cell's machinery for protein folding, and help to protect cells from stress Hsp70 proteins can act to protect cells from thermal or oxidative stress Hsp70 seems to be able to participate in disposal of damaged or defective proteins Finally, in addition to improving overall protein integrity, Hsp 70 directly inhibits apoptosis
  • 37. Excited Delirium and its medical status "Excited delirium is not a clinical entity of its own, but a constellation of symptoms from a varied and severe underlying process" (Manojlovic et al., 2005 p.38). While the American Medical Association does not recognize ED as a medical diagnosis or psychiatric condition, the National Association of Medical Examiners has recognized ED (Stephens, Jentzen, Karch, Wetli, & Mash, 2004) for more than a decade (Wetli, 2006)
  • 38. CASCADES OF EVENTS LEADING TO DEATH AMONG ON LINE GAMERS AND COCAINE ADDICTIONS
  • 39.
  • 41.
  • 43. CREATIONS OF NATIONAL LAWS, BILLS AND RESOLUTIONS INSTITUTIONAL INITIATIVES i.e. universities COMMUNITY SYNERGISTIC EFFORTS
  • 44.
  • 45. The Cybercrime Prevention Act of 2012 is the first law in the Philippines which specifically criminalizes computer crime, which prior to the passage of the law had no strong legal precedent in Philippine jurisprudence. While laws such as the Electronic Commerce Act of 2000 (Republic Act No. 8792[ regulated certain computer-related activities, these laws did not provide a legal basis for criminalizing crimes committed on a computer in general: for example, Onel de Guzman, the computer programmer charged with purportedly writing the ILOVEYOU computer worm, was ultimately not prosecuted by Philippine authorities due to a lack of legal basis for him to be charged under existing Philippine laws at the time of his arrest
  • 46.
  • 48. CAN BE ASSISTED OR NON- ASSISTED
  • 49. NON- ASSISTED working on dopamine streamlining internet usage rationing internet usage living life off the internet
  • 50. What Does Dopamine Do? Dopamine has been called our “motivation molecule.” It boosts our drive, focus, and concentration. It enables us to plan ahead and resist impulses so we can achieve our goals. It gives us that “I did it!” lift when we accomplish what we set out to do. It makes us competitive and provides the thrill of the chase in all aspects of life — business, sports, and love. Dopamine is in charge of our pleasure-reward system. (1) It allows us to have feelings of enjoyment, bliss, and even euphoria. But too little dopamine can leave you unfocused, unmotivated, lethargic, and even depressed.
  • 51. Dopamine Deficiency Symptoms People low in dopamine lack a zest for life. They exhibit low energy and motivation, and often rely on caffeine, sugar, or other stimulants to get through the day. Many common symptoms of dopamine deficiency are similar to those of depression: lack of motivation fatigue apathy procrastination inability to feel pleasure low libido sleep problems mood swings hopelessness memory loss inability to concentrate Dopamine-deficient lab mice become so apathetic and lethargic they lack motivation to eat and starve to death. Conversely, some people who are low in dopamine compensate with self-destructive behaviors to get their dopamine boost. This can include use and abuse of caffeine, alcohol, sugar, drugs, shopping, sex, video games, online porn, power, gambling, or excessive internet use.
  • 52. Dopamine Boosting Foods Dopamine is made from the amino acid tyrosine. Eating a diet high in tyrosine will ensure you’ve got the basic building blocks needed for dopamine production. Here’s a list of foods, drinks, and spices known to increase dopamine: all animal products almonds apples avocado bananas beets chocolate coffee fava beans green leafy vegetables green tea lima beans
  • 53. oatmeal sea vegetables sesame and pumpkin seeds turmeric watermelon wheat germ Foods high in natural probiotics such as yogurt, kefir, and raw sauerkraut can also increase natural dopamine production. Surprisingly, the health of your intestinal flora impacts your production of neurotransmitters. An overabundance of bad bacteria leaves toxic byproducts called lipopolysaccharides which lower levels of dopamine. Sugar has been found to boost dopamine, but this is a temporary, unhealthy boost that is more drug-like than food-like.
  • 54. Dopamine Supplements There are supplements that can raise dopamine levels naturally. Curcumin is the main active ingredient in the spice turmeric. It’s available in an isolated form as a supplement. It readily crosses the blood-brain barrier and can boost levels of dopamine. Curcumin has been found to be as effective for treating depression as the popular antidepressant Prozac. curcumin supplement that contains piperine — a compound found in black pepper that increases curcumin absorption by a remarkable 2,000%. Ginkgo biloba is traditionally used for a variety of brain-related problems such as poor concentration, memory problems, headaches, fatigue, mental confusion, depression, and anxiety. One of the mechanisms by which ginkgo works is by raising dopamine along with acetylcholine, the neurotransmitter of memory and learning.
  • 55. L-theanine is a component found in green tea. It increases levels of dopamine along with two other feel-good neurotransmitters, serotonin and GABA. L-theanine improves recall, learning, and positive mood. You can get a dopamine boost by either taking theanine supplements or by drinking three cups of green tea per day. L-tyrosine, the precursor to dopamine, is available as a supplement. A better choice is acetyl-l-tyrosine, a more bioavailable form that readily crosses the blood-brain barrier. Phosphatidylserine acts as your brain’s “gatekeeper,” regulating nutrients and waste in and out of your brain. It can increase dopamine levels and improve memory, concentration, learning, and symptoms of ADHD.
  • 56. working on dopamine (increasing dopamine) 1. Don’t Get Addicted “Many people get addicted to something because it gives them some kind of instant gratification – drugs, alcohol, sex, pornography, shopping, and other addictive behaviors actually have the opposite effect on dopamine levels in the long-term. In essence, when we get overly addicted to something, the ‘reward circuitry’ of our brain kicks into overdrive and we crave the ‘quick hit.’ This is not a sustainable solution for dopamine production, which can and should be done naturally.” 2. Checklist Small Tasks “Dopamine increases when we are organized and finish tasks – regardless if the task is small or large. So, don’t allow your brain to worry about things that need to be done. Instead, write these tasks down and then check them off one at a time. It’s been shown that it’s more satisfying to the brain’s dopamine levels when we physically check something off of our to-do list. Also, write down and check stuff off regardless if you can mentally remember the tasks.” 3. Create Something “For us writers, painters, sculptors, poets, singers, dancers, and other artists, we can identify with this. When we’re in creative mode, we can become hyper-focused. As a result, we can enter a state called flow. Dopamine is the brain chemical that allows us to achieve this state. The lesson is this: take up a hobby or activity in which you actually create something tangible.
  • 57. 4. Exercise “Same ‘ole, same ‘ole, we know. We’ve discussed repeatedly the importance and benefits of physical exercise, and we’re just going to add to this list again. So, not only does exercise help us relieve stress, achieve better physical health and make us more productive; it boosts our dopamine levels. More specifically, exercise increases multiple neurotransmitters – serotonin and endorphins, besides dopamine, receive a boost. Here’s something else cool: the exercise needn’t not be arduous. Simply taking a stroll or climbing some stairs will achieve a good dopamine jolt.” 5. Get a Streak Going “As with creating a checklist, getting a streak going is a great way to increase dopamine levels. For the purpose of this article, a streak is a visual reminder of how many days in a row you’ve achieved something. Get a calendar specifically for this purpose: write down whatever goal you have and the days of the week or month when they are scheduled. For example, if you work out on Monday, Wednesday and Friday, mark these days on the calendar for the month. As you finish a workout, mark it off on the calendar. Keep a streak going, and you’ll keep the dopamine coming.”
  • 58. 6. Increase Tyrosine “Of the chemicals that make up dopamine, none are more important than tyrosine. In fact, tyrosine is considered the building block of dopamine. Therefore, it is important that you get enough of this protein. There’s a large list of foods that increase Tyrosine, including: Almonds, Avocados, Bananas, Beef, Chicken, Chocolate, Coffee, Eggs, Green Tea, Watermelon, Yogurt.” 7. Listen to Music “Do you ever wonder why music makes you happy? I mean, we can be in the dumps one moment but once we put on our favorite jam, we’re swaying and shaking away…feeling pretty good about ourselves too! The reason for this is that listening to music increases dopamine levels. In fact, scientists say that listening to music has the same effect as eating our favorite foods or watching our favorite T.V. show. So, when you’re feeling down, throw on some of your favorite tunes and jam out!” 8. Meditate “As with exercise, we are discovering more and more benefits to meditation. We are again adding to the list. As we discussed, the human brain is susceptible to a variety of addictions. One other addictive habit that we have is overthinking. In fact, some Buddhists have a phrase for this addiction: ‘monkey mind.’ Overthinking is not merely a distracting habit, it’s also a genuine compulsion that leaves us in a perplexing state, while also having a negative effect on our spiritual development. However, scientists are finally catching up to what Buddhists have known for thousands of years: meditation and mindfulness are essential to a healthy mind.”
  • 59. 9. Take Supplements “While there are some great ways to increase dopamine levels, sometimes we’re facing a time crunch. Fortunately, there are natural supplements on the market that have been shown to increase dopamine levels. Here are a few: Acetyl-l-tyrosine: Another building block of dopamine. A healthy dose of this makes it easier for the brain to produce dopamine. Curcumin: An active ingredient that’s also common in curry spices and turmeric. Ginkgo Biloba: A tremendously popular wonder supplement that’s also believed to boost dopamine levels and keep it circulating in the brain longer. L-theanine: Increases multiple neurotransmitters in the brain, including dopamine. Green tea is a terrific source for this.” 10. Toxic Cleansing “As miraculous as our bodies are, we do accumulate toxins and bacteria that is bad for us. Endotoxins are the kind that can cause our immune systems to get out of whack, and it also constrains the production of dopamine. Here are a couple tips for helping cleanse the gut of endotoxins: eat fermented food, get enough sleep, and resist the urge to indulge in fatty or sugary foods.”
  • 60. streamlining internet usage 1. Use a news aggregator. News aggregators like Feedly and Digg Reader allow you to look at all of your favorite websites in one place, instead of clicking around through various windows. When you have multiple windows open, your attention gets scattered, and you get pulled into the immersive experience you’re having with your screen. Keep your screen simple and clean as a way to keep yourself focused and aware of what you’re doing and how you’re spending your time. Add only those websites to your aggregator that you absolutely need to keep tabs on. Don’t fill your mind with unnecessary information. Only have one program open unless you actually need to use multiple programs. Only have one tab open on your web browser at a time. 2. Delete useless accounts. You may have accounts with websites that you never use, but which email you endlessly trying to remind you to use their service. You don’t need that temptation, so just delete all the accounts you don’t use and unsubscribe from their email listservs. You should also take a look at the accounts that you use too much. Are you spending valuable work time on Facebook or Instagram? Even if you love them and use them often, it may be in your best interest to delete those accounts, or at least deactivate them for a time until you get your internet usage under control. You may need some of these sites for work — for example, Myspace if you’re a musician — so don’t delete an account that you actually need. You might get a co-worker or friend to maintain that account until you can handle the responsibility.
  • 61. 3 Turn off notifications.If your smartphone notifies you immediately every time someone emails you or likes something you’ve posted on social media, you’ll be forever fiddling around on the internet with your phone. Change the app settings on your phone to prevent immediate notifications. Set a schedule in which you allow yourself to manually check email and social media once every two hours or so
  • 62. rationing internet usage1 Make a plan. Quitting any addiction cold-turkey has a low rate of success. Relapse rates are high for addicts with chemical addictions like nicotine or alcohol, as well those with behavioral or procedural addictions like gambling, shopping, or internet addictions.[ Instead of trying to quit cold turkey, make a plan to scale back your internet usage in a manageable way, so you don’t feel overwhelmed by the sudden loss of an important part of your life. Set manageable goals. If scaling back to one hour a day is your ultimate goal, maybe start with three hours a day. When you feel comfortable with one step down, reduce your daily allotment by half an hour. Keep scaling back your internet usage until you reach your goal. 2 Set a timer.After you’ve made your plan, you need to stick to it, and you can’t do that unless you’re keeping careful track of how much time you’re spending on the internet. If you’re allowing yourself three hours a day at first, you might break that up into three sessions that are one hour each. If that’s the case, make sure to set a timer to let yourself know when your hour is up each time you sit down at your computer. Egg timers can be purchased very inexpensively at any grocery store in the kitchen tools sections. Most phones have a timer app on them
  • 63. 3 Buy or download an internet-blocking app. You addiction may be so heavy that you don’t trust yourself to stick to the schedule you’ve set for yourself. If that’s the case, there are programs you can install that will limit your internet time for you. The program called Freedom will block you from the entire internet for up to eight hours at a time, whereas Anti-Social will block only social media sites like Facebook.[14][15] If you don’t trust yourself not to just turn those programs off, purchase one that requires a password to disable its settings, and have a friend set up the password. Choose a friend you trust not to give you the password!
  • 64. living life off the internetLiving Life Off the Internet 1 Throw yourself into your studies or work. You need to find a positive outlet for all the pent-up mental energy you’ll have once you stop using the internet so much. Throwing yourself into your studies or your work with renewed energy is a great way to keep your mind occupied while improving your results and your relationships at work! You’ll be amazed by how much your productivity will improve when you redirect your attention to tasks that matter more in the long run. 2.Lean on your friends. Talk to them about the problems you’ve been having with your internet usage, and ask them to spend more time with you. Instead of chatting with them online, invite them over to your house for dinner, or go meet up with them for dinner and drinks. Your friends and family will serve as your support system, filling in those hours where you’d normally be mindlessly clicking through the internet. Not only will you be distracted from the computer, you’ll also be improving your relationships with the people most important to you.
  • 65. 3 Develop new hobbies.There’s a whole world of activities you can enjoy outside of the internet! Make yourself a promise that you will use your computer only for work, and find recreation elsewhere.[16] Get out of the house, away from your temptations. Take up walking or jogging. Join a recreational sports league — soccer, basketball, football, whatever you enjoy the most! Join a book club. Start a band with some friends who share your taste in music. Take up knitting or crocheting. Start gardening Prepare home-cooked meals that taste delicious, save money, and eat up your spare hours, when you’d normally be surfing the internet!
  • 67. stopping internet addiction 1 Think about how your emotional health relates to internet usage. Studies have shown that people with internet addictions often suffer from loneliness, anxiety, and depression.[1] If you think you have an internet addiction, you won’t be able to get past it unless you make an honest effort to understand how the addictive behavior is tied to your emotional state. 2Keep an addiction journal.When you’re using the internet, take a moment to write down how you feel in the moment. When you’re not using it, but are craving the internet, write down how you feel in that moment. An addiction journal will give you some insight into how your addiction is affecting your emotional health. Do you feel smarter, wittier, and more confident online than you do in real life? Do you feel depressed, isolated, and anxious when you’re not on the internet?
  • 68. 3 See a therapist. If your internet addiction is interfering with your quality of life, you should seek professional help to get to a better place. Though internet addiction is not yet recognized as an official psychological diagnosis, there is a movement within the medical community to have it recognized as a treatable disorder. [2] Working with a trained professional will help you to release yourself from your dependence on the internet. The Center for Internet Addiction offers a wide variety of information, resources, and treatment options for internet addiction.[3] 4 Seek help at a rehabilitation center. Although internet addiction obviously hasn't been around as long as alcohol or drug addiction, there are still some rehabilitation centers where trained professionals can help guide you toward a healthier lifestyle.[4] We do not have a rehabilitation center yet but there is a student at Mapua who is a visionary and designed a rehab center for internet addicts in 2013. His name is ROLANDO STACEY TORRES JR You can view his work at http://fs.mapua.edu.ph/MapuaLibrary/Thesis/REHABITILITATION%20CENTER%20FOR %20COMPUTER%20ADDICTION%20by%20TORRES,%20ROLANDO%20JR. %20(2007100906)%20(1).pdf
  • 69. 5. Call a hotline.If you aren't sure how serious your problem is, if you have any questions about what internet addiction is, or if you need help finding treatment for your addiction in your area, there are several hotlines to help you find the information you need. We still need to create a hotline 6. Find a support group. Therapists and rehab centers can be incredibly expensive, and you might not be able to afford one. We still need to create a support group
  • 70. psychotherapies for internet addiction Motivational interviewing Community reinforcement and family training Reality training Acceptance and commitment therapy Cognitive behavioural therapy Combinations of modalities Psychotropc medications, family therapy, case management Solution based brief therapy family therapy and cognitive therapy Psychoeducational program combination of psychodynamic and cognitive behaviour theoretical perspectives Readiness to Change (RtC ) CBT and Mi intervention Behavioural therapy or CT Detoxification treatment, psychosocial rehabilitation, personality modelling and parent training
  • 71. Restart (Internet Addiction Recovery program which integrates technology detoxification (no technology for 45 to 90 days), drug and alcohol treatment, 12 step work, cognitive behavioral therapy (CBT), experiential adventure based therapy, Acceptance and Commitment therapy (ACT), brain enhancing interventions, animal assisted therapy, motivational interviewing (MI), mindfulness based relapse prevention (MBRP), Mindfulness based stress reduction (MBSR), interpersonal group psychotherapy, individual psychotherapy, individualized treatments for co-occurring disorders, psycho- educational groups (life visioning, addiction education, communication and assertiveness training, social skills, life skills, Life balance plan), aftercare treatments (monitoring of technology use, ongoing psychotherapy and group work), and continuing care (outpatient treatment) in an individualized, holistic approach
  • 73. Epigenetic research WHY IS EPIGENETIC RESEARCH APT IN OUR CURRENT STATE OF AFFAIRS (I.E INTERNET ADDICTION) FILIPINO CHILDREN SHOWED THE MOST VULNERABILITY
  • 74. FACTS Unicef showed that there are about three to six million Filipino children left behind as parents pursue work abroad.The figure of affected Filipino children casts a huge shadow when compared with Indonesia's one million and Thailand's half a million. Feminization” of migration has complicated the situation as it “implies a redefinition of the economic role of women in society and within the family as well.” The absence of parents, creates “displacement, disruptions and changes in care-giving arrangement.” Such effects are more felt when it is the mother who works abroad, as families go through more adjustments, than when it is the father who goes to work abroad. This is because men do not easily take up care-giving when they assume the role of the mother
  • 75. the social costs of labor migration cannot be denied, impacting severely on children, psychologically and physically. While children feel the economic benefits of parents working abroad, various studies however show that children “do not recognize this as a form of care.” Thus, children of migrants are less socially adjusted. Those with absent mother “tend to be more angry, confused, pathetic and more afraid than other children Absence of the mother could be the most disruptive in the life of the children.” The feeling of neglect and abandonment is most felt by the eldest daughter who assumes the mother’s role in the family as the father struggles to take the mother’s role.
  • 76. Some report that such communication technologies as the mobile phone and the internet have been instrumental in easing the anxiety arising from separation (Porio 2007). In Madianou and Miller’s (2011) study of long-distance parenting among Filipina migrants in the UK, mothers felt empowered by the mobile phone, as it allowed them to partially reconstruct their roles as parents. Others contend that ICT use can heighten feelings of anxiety because of increased awareness of how different their family situation is from the norm (Miller, 2007).
  • 77. Labor migration of parents also skews the values of children as they view it only in terms of “money equivalent.” With no proper guidance from the parents, the regular remittances lead to materialistic attitude of children. Children of migrants are also vulnerable to abuse and violence with the parent’s absence Children of OFWs, particularly of migrant mothers, are more ambivalent about the benefits of transnational communication. ParreĂąas (2005) describes young adult children’s feelings of abandonment and longing for deeper emotional intimacy with their mothers that cannot be appeased by weekly calls over the mobile phone.