• caseyy 5 hours 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.

    • bigfatfrock 3 hours 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.

      • lnxg33k1 2 hours 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

        • j45 2 hours 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.

        • softwaredoug 3 hours 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 5 hours ago

            This is a newer application of an existing approach

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

            • gurjeet an hour 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 3 hours 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 5 hours 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 4 hours 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 4 hours 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.

                  • gurjeet an hour ago
                    • tslocum an hour ago

                      More HN-esque:

                        ssh playnetris.com
                      
                      https://playnetris.com
                      • gurjeet an hour ago

                        It says it's waiting for 2 players to join. I don't understand why is it a collaborative game?

                        • tslocum an hour ago

                          The version I linked supports both single player and online (competitive) multiplayer. The 'Practice' option allows playing single player.

                    • AndrewKemendo an hour ago

                      This answers a lot of questions for me.

                      I was obsessed with Tetris from 2018-2021, specifically NES Tetris (because I grew up with it) to the point that my Max score on a NES CRT was 943252(1) on level 28, with DAS.

                      Not long ago I got a C-PTSD diagnosis, oddly cause I was able to finally see the situation I used to be in, and that was during a hard decade which included 2019-2021

                      I got out of that situation and have played Tetris maybe twice in the past year.

                      So yeah feels right

                      (1) https://kemendo.com/tetris.jpg

                      • calvins 5 hours ago
                        • afro88 5 hours 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 5 hours 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 5 hours 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. )

                            • JansjoFromIkea 5 hours ago
                              • cryptoz 4 hours 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 5 hours ago

                                  "With just one guided treatment session, we saw positive effects that persisted after five weeks and even six months after treatment."

                                • dudeinjapan 22 minutes ago

                                  My childhood is full of stressful memories of all these shapes falling, I can’t fit them into place fast enough, they begin to pile up, the Nutcracker music starts playing faster, soon I realize its hopeless, I hear a crashing sound and the screen blanks out.

                                  Some would even call it traumatic.

                                  • tlhunter 4 hours ago

                                    I love how the banner image is of an unlicensed Tetris knockoff.

                                    • lovegrenoble 5 hours ago

                                      Well, this Tetris is addictive... Tangram as well (for mind-benders): https://blocks.ovh

                                      • mdp2021 5 hours ago

                                        Article says rotation is a crucial operation to the purpose.

                                        • duskwuff 4 hours 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.

                                      • hanniabu 5 hours ago

                                        Don't most coping mechanisms? What's needed is to reduce it without reliance to continue doing it.

                                        • wannabeeez 3 hours ago

                                          try just about anything made by Nintendo (not just for Nintendo, but by Nintendo). strong focus on wellbeing... If Tetris isnt involving enough, you will find something. The nice thing about the good video games is that- unlike drugs and alcohol, the effects wear off faster and its easier to create a healthy rhythm for that reason. Disclaimer- it can be addictive and as bad as any- but Nintendo games are self-aware of this by design (usually). And some games are deliberately made to foster addiction, but generally not games made by Nintendo

                                          • AI_beffr 4 hours ago

                                            this is nonsense. people will believe this but not believe that being in ketosis cat put PTSD into remission. it has for many people including myself. that frustrates me so much

                                            • BikeShuester 40 minutes ago

                                              There doesn't have to be a single silver bullet for PTSD. The beauty of science and medicine is that we can explore multiple avenues simultaneously. Ketosis has shown promise for some, including you, which is great. However, different people respond differently to treatments. Instead of pitting methods against each other, why not advocate for a more inclusive approach? Embracing multiple methods makes sense because PTSD is complex and affects individuals differently. The goal should be to find what works best for each individual, not to win a treatment popularity contest. Let's push for more research into all promising methods. That way, we can build a more comprehensive understanding of PTSD treatment options and hopefully help more people find relief.

                                              • FrustratedMonky 3 hours ago

                                                Guess the point of studies, is to prove something is or is-not non-sense.

                                                There are a lot of different treatments for PTSD, it doesn't have to be only one. So if ketosis works for some people, that doesn't mean video games can't work for others. So if it helps some, it isn't non-sense.

                                                I think Ketosis sounds interesting, I'd hope someone would do a study on that also. Since it seems like Ketosis has been shown to help a variety of conditions, even if PTSD wasn't singled out.

                                                Here is a positive one on Ketosis. https://med.stanford.edu/news/all-news/2024/04/keto-diet-men...