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Achieving Balance Between Online and Offline Life SMAHRT Conference 2014 - Seattle, WA. Anna DiNoto - Neils Clark

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Page 1: Achieving Balance Between Online and Offline Life SMAHRT Conference 2014 - Seattle, WA. Anna DiNoto - Neils Clark

Achieving Balance Between Online and Offline Life SMAHRT Conference 2014 - Seattle, WA.

Anna DiNoto - Neils Clark

Page 2: Achieving Balance Between Online and Offline Life SMAHRT Conference 2014 - Seattle, WA. Anna DiNoto - Neils Clark

presenters

Neils Clark Anna [email protected]

[email protected]

Page 3: Achieving Balance Between Online and Offline Life SMAHRT Conference 2014 - Seattle, WA. Anna DiNoto - Neils Clark

Agenda

Caveats

Outline of Tools: Intake process

Assessment of executive functioning skills Assessing functionality of tech use Addiction assessment

Individualizing treatment Make a plan Start replacing behaviors Maintain progress Contingency planning

Your Questions

Page 4: Achieving Balance Between Online and Offline Life SMAHRT Conference 2014 - Seattle, WA. Anna DiNoto - Neils Clark

getting started…

what we can and can’t discuss

Page 5: Achieving Balance Between Online and Offline Life SMAHRT Conference 2014 - Seattle, WA. Anna DiNoto - Neils Clark

things to consider

Anna won’t be discussing client details This isn’t a “one-size-fits-all” solution Ducks

Page 6: Achieving Balance Between Online and Offline Life SMAHRT Conference 2014 - Seattle, WA. Anna DiNoto - Neils Clark

tools for: clinical assessmentself-assessment

where are you at right now?

Page 7: Achieving Balance Between Online and Offline Life SMAHRT Conference 2014 - Seattle, WA. Anna DiNoto - Neils Clark

intake process

1. Assessing current functioning• “What brings you here?”• History of problem (frequency, duration,

severity, etc.)• Interweave – executive functioning• Hypothesize – “What is their behavior

communicating?”• Begin to formulate treatment plan

Page 8: Achieving Balance Between Online and Offline Life SMAHRT Conference 2014 - Seattle, WA. Anna DiNoto - Neils Clark

1. Assessing for addiction• Chicken or the egg?

Video games tap into vulnerabilities - increased susceptibility in children

Devil is in the details – individual characteristics in player

understanding gaming addiction in kiddos

Page 9: Achieving Balance Between Online and Offline Life SMAHRT Conference 2014 - Seattle, WA. Anna DiNoto - Neils Clark

motivation level for changing how much you play

1. Precontemplation (denial)2. Contemplation (ambivalence)3. Preparation (motivation)4. Action (doing it)5. Maintenance (evolving it)

Page 10: Achieving Balance Between Online and Offline Life SMAHRT Conference 2014 - Seattle, WA. Anna DiNoto - Neils Clark
Page 11: Achieving Balance Between Online and Offline Life SMAHRT Conference 2014 - Seattle, WA. Anna DiNoto - Neils Clark

elicit help from a roommate, spouse, or other observer

Page 12: Achieving Balance Between Online and Offline Life SMAHRT Conference 2014 - Seattle, WA. Anna DiNoto - Neils Clark

monitoring software - both paid and free

Page 13: Achieving Balance Between Online and Offline Life SMAHRT Conference 2014 - Seattle, WA. Anna DiNoto - Neils Clark

tracking console play

Page 14: Achieving Balance Between Online and Offline Life SMAHRT Conference 2014 - Seattle, WA. Anna DiNoto - Neils Clark

steam

Page 15: Achieving Balance Between Online and Offline Life SMAHRT Conference 2014 - Seattle, WA. Anna DiNoto - Neils Clark

account for: stress level!

what 5 things REALLY stress you out?

Page 16: Achieving Balance Between Online and Offline Life SMAHRT Conference 2014 - Seattle, WA. Anna DiNoto - Neils Clark

account for: cues/triggers

what 5 cues, or triggers, remind you to game?

Page 17: Achieving Balance Between Online and Offline Life SMAHRT Conference 2014 - Seattle, WA. Anna DiNoto - Neils Clark

tools for: making a plan

once we’ve established a pattern, we can hack it

Page 18: Achieving Balance Between Online and Offline Life SMAHRT Conference 2014 - Seattle, WA. Anna DiNoto - Neils Clark

making a plan

we‘ll look at three kinds of plan:

abstinence

harm reduction

play reduction

Page 19: Achieving Balance Between Online and Offline Life SMAHRT Conference 2014 - Seattle, WA. Anna DiNoto - Neils Clark

abstinence

Page 20: Achieving Balance Between Online and Offline Life SMAHRT Conference 2014 - Seattle, WA. Anna DiNoto - Neils Clark

harm reduction

Page 21: Achieving Balance Between Online and Offline Life SMAHRT Conference 2014 - Seattle, WA. Anna DiNoto - Neils Clark

play reduction

how much would you like to play vs. your current play

black out times leechblock – mozilla firefox chrome nanny – google chrome binaryswitch eclipse – internet explorer concentrate or isolator – mac watch me or selfrestraint - windows

Page 22: Achieving Balance Between Online and Offline Life SMAHRT Conference 2014 - Seattle, WA. Anna DiNoto - Neils Clark

parental controls: warcraft!

Page 23: Achieving Balance Between Online and Offline Life SMAHRT Conference 2014 - Seattle, WA. Anna DiNoto - Neils Clark

parental controls: warcraft!

Page 24: Achieving Balance Between Online and Offline Life SMAHRT Conference 2014 - Seattle, WA. Anna DiNoto - Neils Clark

accountabilibuddy

Page 25: Achieving Balance Between Online and Offline Life SMAHRT Conference 2014 - Seattle, WA. Anna DiNoto - Neils Clark

use accountability software

Page 26: Achieving Balance Between Online and Offline Life SMAHRT Conference 2014 - Seattle, WA. Anna DiNoto - Neils Clark

use post-its

Page 27: Achieving Balance Between Online and Offline Life SMAHRT Conference 2014 - Seattle, WA. Anna DiNoto - Neils Clark

physically block distractions

optional alternate use for post-its note the music player, for white noise

Page 28: Achieving Balance Between Online and Offline Life SMAHRT Conference 2014 - Seattle, WA. Anna DiNoto - Neils Clark

do your work on a burner computer

separating work and play computers Neils doesn’t even keep wifi drivers on his

work laptop

Page 29: Achieving Balance Between Online and Offline Life SMAHRT Conference 2014 - Seattle, WA. Anna DiNoto - Neils Clark

use timers

Page 30: Achieving Balance Between Online and Offline Life SMAHRT Conference 2014 - Seattle, WA. Anna DiNoto - Neils Clark

make a delightful list

Page 31: Achieving Balance Between Online and Offline Life SMAHRT Conference 2014 - Seattle, WA. Anna DiNoto - Neils Clark

mantras, and mindfulness

Page 32: Achieving Balance Between Online and Offline Life SMAHRT Conference 2014 - Seattle, WA. Anna DiNoto - Neils Clark

tools for: maintenance

save your progress!

Page 33: Achieving Balance Between Online and Offline Life SMAHRT Conference 2014 - Seattle, WA. Anna DiNoto - Neils Clark

treat yo self (token economy)

Page 34: Achieving Balance Between Online and Offline Life SMAHRT Conference 2014 - Seattle, WA. Anna DiNoto - Neils Clark

treat yo self (cheat days)

Page 35: Achieving Balance Between Online and Offline Life SMAHRT Conference 2014 - Seattle, WA. Anna DiNoto - Neils Clark

setting reminders

Page 36: Achieving Balance Between Online and Offline Life SMAHRT Conference 2014 - Seattle, WA. Anna DiNoto - Neils Clark

go outside, eat something modestly fresh

Page 37: Achieving Balance Between Online and Offline Life SMAHRT Conference 2014 - Seattle, WA. Anna DiNoto - Neils Clark

find, then hang, with good people

Page 38: Achieving Balance Between Online and Offline Life SMAHRT Conference 2014 - Seattle, WA. Anna DiNoto - Neils Clark

create realistic short- and long-term goals

for what you want to change

and what you want to achieve

Page 39: Achieving Balance Between Online and Offline Life SMAHRT Conference 2014 - Seattle, WA. Anna DiNoto - Neils Clark

make the long-term reasonably major

choice of goals using project management tools for personal

life here‘s an approach I stole from an indie game

developer:

Page 40: Achieving Balance Between Online and Offline Life SMAHRT Conference 2014 - Seattle, WA. Anna DiNoto - Neils Clark

tools for: recalibration

you’ll need the occasional tune-up!

Page 41: Achieving Balance Between Online and Offline Life SMAHRT Conference 2014 - Seattle, WA. Anna DiNoto - Neils Clark

“wh” questions!

1.Where do I start?2.What’s working?3.What isn’t working?4.When might I change?5.How might I change? 6.Why keep going?7.Who could help?

Page 42: Achieving Balance Between Online and Offline Life SMAHRT Conference 2014 - Seattle, WA. Anna DiNoto - Neils Clark

remember: you are a human being!

learn to be patient with yourself

most intelligent life forms are fallible accept stumbles remember that changing behavior takes time learn to ask for help when you need it

Page 43: Achieving Balance Between Online and Offline Life SMAHRT Conference 2014 - Seattle, WA. Anna DiNoto - Neils Clark

if you need more specific help:

psychologytoday.com

goodtherapy.org

if you don’t have insurance: psychologicalconnections.org

crisis hotline: 800-621-4636

Page 44: Achieving Balance Between Online and Offline Life SMAHRT Conference 2014 - Seattle, WA. Anna DiNoto - Neils Clark

have some questions?have your own tools??

anna – [email protected]

neils – [email protected]