Current Psychiatry Reports

, Volume 12, Issue 5, pp 462–470 | Cite as

Treatment of Internet Addiction

  • Xui-qin Huang
  • Meng-chen Li
  • Ran TaoEmail author


Internet addiction (IA) is a prevalent, highly comorbid, and significantly impairing disorder. Although many psychotherapeutic approaches and psychotropic medications have been recommended and some of the psychotherapeutic approaches and a few pharmacotherapy strategies have been studied, treatment of IA is generally in its early stages. This article reviews theoretical descriptions of psychotherapy and the effects of psychosocial treatment and pharmacologic treatment. We also outline our own treatment model of IA.


Internet addiction Treatment Review Psychotherapy Pharmacologic treatment Multimodal psychotherapy 



This research was supported by the Beijing Natural Science Foundation (grant no. 7082091).


No potential conflicts of interest relevant to this article were reported.


Papers of particular interest, published recently, have been highlighted as: • Of importance ••Of major importance

  1. 1.
    Block JJ: Issues for DSM-V: Internet addiction. Am J Psychiatry 2008, 165:306–307.CrossRefPubMedGoogle Scholar
  2. 2.
    Hechanova RM, Czincz J: Internet addiction in Asia: reality or myth? Available at Accessed July 23, 2010.
  3. 3.
    Carbonell X, Guardiola E, Beranuy M, Belles A: A bibliometric analysis of the scientific literature on Internet, video games, and cell phone addiction. J Med Libr Assoc 2009, 97:102–107.CrossRefPubMedGoogle Scholar
  4. 4.
    Young KS: Understanding online gaming addiction and treatment issues for adolescents. Am J Ther 2009, 37:355–372.CrossRefGoogle Scholar
  5. 5.
    Shaw M, Black DW: Internet addiction: definition, assessment, epidemiology and clinical management. CNS Drugs 2008, 22:353–365.CrossRefPubMedGoogle Scholar
  6. 6.
    Bernardi S, Pallanti S: Internet addiction: a descriptive clinical study focusing on comorbidities and dissociative symptoms. Compr Psychiatry 2009, 50:510–516.CrossRefPubMedGoogle Scholar
  7. 7.
    Johansson A, Gotestam KG: Internet addiction: characteristics of a questionnaire and prevalence in Norwegian youth (12–18 years). Scand J Psychol 2004, 45:223–229.CrossRefPubMedGoogle Scholar
  8. 8.
    Morahan-Martin J, Schumacher P: Incidence and correlates of pathological Internet use among college students. Comput Human Behav 2000, 16:13–29.CrossRefGoogle Scholar
  9. 9.
    Yang S, Tung C: Comparison of Internet addicts and non-addicts in Taiwanese high school. Comput Human Behav 2007, 23:79–96.CrossRefGoogle Scholar
  10. 10.
    Young KS: Cognitive behavior therapy with Internet addicts: treatment outcomes and implications. Cyberpsychol Behav 2007, 10:671–679.CrossRefPubMedGoogle Scholar
  11. 11.
    •• Du YS, Jiang W, Vance A: Longer term effect of randomized, controlled group cognitive behavioural therapy for Internet addiction in adolescent students in Shanghai. Aust N Z J Psychiatry 2010, 44:129–134. This was a well-designed randomized controlled study to evaluate the effectiveness of multimodal school-based group CBT in the treatment of IA. A 6-month follow-up was also performed. CrossRefPubMedGoogle Scholar
  12. 12.
    Orzack MH, Voluse AC, Wolf D, Hennen J: An ongoing study of group treatment for men involved in problematic Internet-enabled sexual behavior. Cyberpsychol Behav 2006, 9:348–360.CrossRefPubMedGoogle Scholar
  13. 13.
    Zhong X, Tao R, Zu S, et al.: Effect of group psychological intervention in adolescents on Internet addiction. J Capital Med Univ 2009, 30:494–499.Google Scholar
  14. 14.
    Young KS: A therapist's guide to assess and treat Internet addiction. Available at Accessed July 23, 2010.
  15. 15.
    • Shek DT, Tang VM, Lo CY: Evaluation of an Internet addiction treatment program for Chinese adolescents in Hong Kong. Adolescence 2009, 44:359–373. It is noteworthy that this study was an intervention model based on an integration of the research findings, particularly those based on the field of substance abuse. It is important because this study applied a method of subjective outcome evaluation. PubMedGoogle Scholar
  16. 16.
    Rolhiick S, Miller WR: What is motivational interviewing? Behav Cogn Psychother 1995, 23:325–334.CrossRefGoogle Scholar
  17. 17.
    Rosen MI, Ryan C, Rigsby M: Motivational enhancement and MEMS: review to improve medication adherence. Behav Change 2002, 19:1–8.CrossRefGoogle Scholar
  18. 18.
    • Kim JU: The effect of a R/T group counseling program on the Internet addiction level and self-esteem of Internet addiction university students. Int J Real Ther 2008, 27:4–12. This was the first study to examine the effect of RT in the treatment of IA. Google Scholar
  19. 19.
    Kim JU: A reality therapy group counseling program as an Internet addiction recovery method for college students in Korea. Int J Real Ther 2007, 26:2–9.Google Scholar
  20. 20.
    Gao L, Li ZT: The case report on Naikan-cognitive psychotherapy curing Internet addicted disorders of adolescent. Tianjin Yi Ke Da Xue Xue Bao 2005, 11:372–374.Google Scholar
  21. 21.
    Zhao P, Mao FQ, Liu L, et al.: Control study of Naikan-cognitive psychotherapy on medical university students with Internet addiction disorder. China J Health Psychol 2009, 17:429–432.Google Scholar
  22. 22.
    Fisher GL, Harrison TC: Substance Abuse: Information for School Counselors, Social Workers, Therapists, and Counselors. Boston, MA: Allyn & Bacon; 2009.Google Scholar
  23. 23.
    Cao FL, Su LY, Gao XP, et al.: Control study of group psychotherapy on middle school students with Internet overuse. Chin Ment Health J 2007, 21:346–358.Google Scholar
  24. 24.
    Cash H, McDaniel K: Video Games & Your Kids: How Parents Stay in Control. Washington, DC: Idyll Arbor; 2008.Google Scholar
  25. 25.
    Young, KS: Internet addiction: symptoms, evaluations and treatment. In Innovations in Clinical Practice: A Source Book. Edited by VandeCreek L, Jackson TL. Sarasota, FL: Professional Resource Press; 1999:19–31. Available at
  26. 26.
    Yen JY, Yen CF, Chen CC, et al.: Family factors of Internet addiction and substance use experience in Taiwanese adolescents. Cyberpsychol Behav 2007, 10:323–329.CrossRefPubMedGoogle Scholar
  27. 27.
    Huang XQ, Zhang HM, Li MC, et al.: Mental health, personality, and parental rearing styles of adolescents with Internet addiction disorder. Cyberpsychol Behav 2010 (in press).Google Scholar
  28. 28.
    Yang FR, Hao W: The effect of integrated psychosocial intervention on 52 adolescents with Internet addiction. Chin J Clin Psychol 2005, 13:343–346.Google Scholar
  29. 29.
    Shek DTL, Tang MY, Working Group Youngster Internet addiction Prevention and Counseling Service: An Evaluation Study. Hong Kong: Hong Kong Jockey Club Wah Ming Integrated Youth Services Centre, Hong Kong Lutheran Social Service, LC-HKS; 2008.Google Scholar
  30. 30.
    Li N, Li GY, Wang YY, et al.: The therapeutic effect of 48 Internet inpatients with addiction. J Psychiatry 2008, 21:356–359.Google Scholar
  31. 31.
    Ko CH, Liu GC, Hsiao S, et al.: Brain activities associated with gaming urge of online gaming addiction. J Psychiatr Res 2009, 43:739–747.CrossRefPubMedGoogle Scholar
  32. 32.
    Murali V, George S: Lost online: an overview of Internet addiction. Adv Psychiatr Treat 2007, 13:24–30.CrossRefGoogle Scholar
  33. 33.
    Sattar P, Ramaswamy S: Internet gaming addiction. Can J Psychiatry 2004, 49:869–870.PubMedGoogle Scholar
  34. 34.
    Bostwick JM, Bucci JA: Internet sex addiction treated with naltrexone. Mayo Clin Proc 2008, 83:226–230.CrossRefPubMedGoogle Scholar
  35. 35.
    •• Dell’Osso B, Hadley SJ, Allen A, et al.: Escitalopram in the treatment of impulsive-compulsive internet usage disorder: an open-label trial followed by a double-blind discontinuation phase. J Clin Psychiatry 2008, 69:452–456. This was the first study to investigate the efficacy and safety of escitalopram, a selective serotonin reuptake inhibitor, in individuals suffering from impulsive-compulsive Internet usage disorder. CrossRefPubMedGoogle Scholar
  36. 36.
    Ko CH, Yen JY, Chen CS, et al.: Psychiatric comorbidity of Internet addiction in college students: an interview study. CNS Spectr 2008, 13:147–153.PubMedGoogle Scholar
  37. 37.
    Yen JY, Ko CH, Yen CF, et al.: The comorbid psychiatric symptoms of Internet addiction: attention deficit and hyperactivity disorder (ADHD), depression, social phobia, and hostility. J Adolesc Health 2007, 41:93–98.CrossRefPubMedGoogle Scholar
  38. 38.
    Shapira NA, Goldsmith TD, Keck PE Jr, et al.: Psychiatric features of individuals with problematic Internet use. J Affect Disord 2000, 57:267–272.CrossRefPubMedGoogle Scholar
  39. 39.
    Black DW, Belsare G, Schlosser S: Clinical features, psychiatric comorbidity, and health-related quality of life in persons reporting compulsive computer use behavior. J Clin Psychiatry 1999, 60:839–844.CrossRefPubMedGoogle Scholar
  40. 40.
    •• Han DH, Lee YS, Na C, et al.: The effect of methylphenidate on Internet video game play in children with attention-deficit/hyperactivity disorder. Compr Psychiatry 2009, 50:251–256. MPH can reduce the symptoms of ADHD and IA simultaneously. In this study, the changes in IA symptoms were positively correlated with those in ADHD symptoms. The findings may provide a promising medication treatment for IA. CrossRefPubMedGoogle Scholar
  41. 41.
    Wu LZ, Yan JJ, Han JS: Treatment on 27 adolescents with Internet addiction by 2/100 Hz HAN’s acupoint nerve stimulation (HANS). Chin J Drug Depend 2007, 16:32–35.Google Scholar
  42. 42.
    Tao R, Huang XQ, Wang JN, et al.: Proposed diagnostic criteria for Internet addiction. Addiction 2010, 105:556–564.CrossRefPubMedGoogle Scholar

Copyright information

© Springer Science+Business Media, LLC 2010

Authors and Affiliations

  1. 1.Internet Addiction Treatment CenterGeneral Hospital of Beijing Military RegionBeijingChina

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