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caseyy · a year ago
Video games are an excellent distraction to break up invasive thought patterns, too. There are several methods to use distractions that therapists tailor to their clients.

This is part of why I work in the games industry, grandstanding as it may sound. Games have helped me deal with complex PTSD at a point in my life. It is important to do the other work and not just rely on distraction as forever.

But distractions give you breathing room and some space away from invasive thoughts. The trauma can then begin to heal.

lnxg33k1 · a year ago
I have no PTSD, but I recently lost my job, and while I am looking for another one I decided to use the time off in order to stop smoking, so far it's been a bit more than 3 weeks, and I think it's been the period I've been playing the most videogames since high school, it is really useful to overcome temporary cravings by doing something that doesn't require much mental efforts but still keeps the mind busy to don't think about smoking, every day I am suffering less and less, and I think without videogames it would have been much harder.

Keep in mind, I'm 37 years old and have smoked since I was 13

grashalm · a year ago
That is a great strategy. It gets easier over time though. My tipp is to still join smoking friends, but just don't smoke. Makes you robust against the temptation longer term.
dbrueck · a year ago
This is so cool! From one random internet person to another: you can do it!
bigfatfrock · a year ago
That's a highly compassionate reason to get into an industry, bravo.

Is there a specific type of game you found healing, or especially one that you prefer to create for such a purpose?

I personally strangely find a mix of 'brain turn off' games such as ARPGs healing but then can also find great peace in crushing my brain through another Factorio run.

caseyy · a year ago
Thank you for your compliment.

I think the type of game most healing is the type of game that gives you what you need — good emotions, wisdom, coming of age stories and role models, escapism, or a distraction. There is a lot in the medium that can be healing.

As all art, games have a message and a purpose. What speaks to you is what will be most impactful.

j45 · a year ago
Don’t worry about grandstanding, it’s not.

It’s good to have found an angle that you care about and can apply yourself to.

This is a really nice way of explaining it and I didn’t consider it before despite being a very heavy gamer at one point.

ncr100 · a year ago
Do you wish for the Star Trek AR game with the tubes gobbling up the discs, and the mind control side effect?

It seemed mildly compelling, and Tetris like.

* https://www.popularmechanics.com/culture/tv/a13595750/star-t...

deterministic · a year ago
As somebody who is currently experiencing depression/anxiety can you talk more on what happened with you and how you improved?
vitalurk · a year ago
Hey, any chance you would be into connecting and talking about healing trough playing games?
caseyy · a year ago
Thank you for asking. Apologies, but I enjoy the anonymity here and am not looking to connect outside HN. Hope what I shared has been useful.
softwaredoug · a year ago
My reading of the research is quite a bit of positive impact of video game usage on mental health, and the negatives come up when they take away from healthy habits due to extreme use (exercise, socialization, education).

And it’s hard to tell causality of the negative side (maybe video games are being used to cope with something terrible)

https://www.charliehealth.com/post/video-games-and-mental-he...

brontitall · a year ago
This is a newer application of an existing approach

https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2607539/

gurjeet · a year ago
From the conclusion:

> Playing “Tetris” after viewing traumatic material reduces unwanted, involuntary memory flashbacks to that traumatic film, leaving deliberate memory recall of the event intact.

ktm5j · a year ago
As someone living with PTSD, distraction is absolutely the best tool for dealing with the effects. I'm lucky enough to have a career that does that job for me, I get really absorbed in what I'm working on and then I don't have to think about the awful things that happened to me.
petercooper · a year ago
Some of what they're saying reminds me of EMDR therapy which is also used (with mixed success) to treat PTSD, and is briefly mentioned in the underlying paper: https://en.wikipedia.org/wiki/Eye_movement_desensitization_a...
animal_spirits · a year ago
This was my first thought when I saw the title. Lots of rapid eye movement and stimulation alongside therapy might release some of the stored trauma.
johnmaguire · a year ago
From your link:

> There is debate about how the therapy works and whether it is more effective than other established treatments.[3][9] The eye movements have been criticized as having no scientific basis.[10] The founder promoted the therapy for the treatment of PTSD, and proponents employed untestable hypotheses to explain negative results in controlled studies.[11] EMDR has been characterized as a pseudoscientific purple hat therapy (i.e., only as effective as its underlying therapeutic methods without any contribution from its distinctive add-ons).[12]

I always assumed EMDR's effectiveness had nothing to do with eye movements.

REDS1736 · a year ago
I support your assumption. The mechanisms of how EDMR affects the PTSD symptoms are still debated, but indeed a quite prevalent opinion (which i also subscribe to) is that EMDR is not at all about the eye movements but about the exposition therapy happening concurrently. Exposition has been robustly proven to be effective at PTDS treatment and as far as i know, there is no rigorous evidence for EMDR having more effect than standalone exposition, highly suggesting that the exposition part is what makes EMDR work.
petercooper · a year ago
I'm only an educated reader, not a doctor, but I think the role of eye movements (or Tetris!) in these types of therapies is simply to consume the patient's full attention and brain power without being tiring or frustrating in the short term - those things just happen to be quite effective at it.
lovegrenoble · a year ago
Well, this Tetris is addictive... Tangram as well (for mind-benders): https://blocks.ovh
mdp2021 · a year ago
Article says rotation is a crucial operation to the purpose.
REDS1736 · a year ago
The hypothesis is that mental rotation as one way to induce high cognitive load hinders my brain from plaguing me with intrusions. As my sibling commenter already stated, this mechanism's evidence level is "unproven hypothesis" but on top of that, the hypothesis does not explicitly assume mental rotation to be the only effective task for this use case because there are a lot of other very brain-consuming tasks.
duskwuff · a year ago
The study hypothesizes that rotation is significant, but didn't specifically test that. I wouldn't be surprised if the effect were more general.
amadeuspagel · a year ago
Reminds me of the shape rotator meme[1].

[1]: https://knowyourmeme.com/memes/wordcel-shape-rotator-mathcel

afro88 · a year ago
Does this effect last after they stop playing tetris, or just while they play? I know when I played tetris a lot, my brain seemed to be stuck on it in a way. I would close my eyes and almost see tetris shapes. I'd have dreams about it. And I would kind of see various problems through a tetris lens, so to speak.

I wonder if that phenomenon is what is going on here. Your brain uses slightly different pathways that are tetris influenced and have lower risk of jumping into the PTSD paths.

I wonder if that lasts after they stop playing and their brain reverts to non-tetris influenced ways of thinking.

pcardoso · a year ago
Kind of related, the days when I pick weeds from my lawn I’ll see the weeds for hours when I close my eyes or even just flashes with my eyes open. I guess the weed picking activity stresses my pattern recognition and it continues working afterwards. Very trippy, at least for regular garden weeds.
alexdong · a year ago
This is totally a thing.

I think it also strengthens the neural pathway so that <speculation>when the next time you face the many options, the weight would be just slightly higher</>.

(I am assuming human brain works similar to how neural net works. I can be wrong here. )

cryptoz · a year ago
The only time I've ever lucid dreamed was when I played an obscene amount of tetris, and I could actually play games in my sleep. Like games that followed the rules, falling pieces randomy, I could rotate them, lines would disappear, the whole thing. It was really really wild.
jprete · a year ago
"With just one guided treatment session, we saw positive effects that persisted after five weeks and even six months after treatment."