Treating Behavioral Addictions in Frisco, Texas

Most people who reach out to me about a behavior like gambling, gaming, or compulsive spending have been quietly wrestling with it for a while. They care about their life and still feel like this one thing keeps pulling them under. If that sounds familiar, you are not stuck with it. Behaviors like these are real, they take a toll on your relationships, work, and peace of mind, and they can respond to the right kind of help. I work with adults across Texas through telehealth, and my job is to help you understand what is driving the behavior and find a way out that actually holds.

What is a Behavioral Addiction?

Behavioral addictions, also known as process addictions, are a type of addiction that involves a compulsive need to engage in a particular behavior, even when it has negative consequences. Examples of behavioral addictions include gambling, gaming, internet use, shopping, and sex.

How to understand behavioral addictions

People with behavioral addictions often experience intense cravings and loss of control over their behavior. This can lead to negative consequences such as financial problems, relationship issues, social isolation, and even physical and mental health problems. In severe cases, behavioral addictions can lead to job loss, academic problems, and legal trouble.

The importance of early intervention with addictions

Behavioral addictions are a serious mental health issue, but early support can help people minimize the toll they take. Support can include individual therapy and support groups, and therapy is the first-line approach for most behavioral addictions. NorthStar does not prescribe medication. If medication might have a role for you, that is a conversation for a physician, psychiatrist, or prescribing clinician, and I can coordinate with your prescriber so your care fits together.

Types of Behavioral Addictions and Compulsive Behaviors

When we talk about a behavioral addiction, we mean a behavior you feel pulled to do over and over, even when it is costing you. It helps to be honest about which of these are formally recognized conditions and which are patterns that still cause real harm even without an official label.

Gambling disorder

Gambling is the clearest example. Of all the behaviors people call addictions, gambling is the one that made it into the DSM-5, the manual clinicians use to diagnose mental health conditions. That means it is well studied, better understood than many other compulsive behaviors, and there are evidence-based ways to treat it.

Gaming disorder

Gaming is close behind. The World Health Organization added gaming disorder to its diagnostic manual, the ICD-11. Not everyone who games a lot has a problem. The question is whether gaming keeps winning out over sleep, school, work, or the people in your life.

Other compulsive behaviors

Plenty of other patterns can take on a life of their own: shopping, internet use, pornography, sex, exercise, food, work, even the way we chase relationships. Most of these are not separate formal diagnoses the way gambling is, and I am careful not to put a label on something that does not have one. But they can absolutely cause real distress, and they often sit on top of anxiety, depression, or a hard time with impulses. You do not need a diagnosis to deserve help with any of them.

A note on drugs and alcohol

Drug and alcohol addiction is a little different. It is a substance use disorder rather than a behavioral one, because the substance itself changes the body. The two can look similar and often show up together, but they are treated as separate things. If substances are part of what is going on, my page on drug and alcohol abuse is a better starting point.

Causes of behavioral addictions

The causes of behavioral addictions are complex and likely involve a combination of genetic, environmental, and psychological factors. Some people may be more genetically predisposed to developing behavioral addictions, while others may be more vulnerable due to environmental stressors such as a history of trauma. Psychological factors such as impulse control difficulties and underlying mental health conditions can also play a role.

Impact of behavioral addictions

Behavioral addictions can have a significant impact on a person’s life. Excessive engagement in addictive behaviors can lead to:

• Financial problems
• Relationship problems
• Social isolation
• Physical health problems
• Mental health problems, such as anxiety and depression

Behavioral Addiction Therapy with Megan Corrieri

Behavioral Addiction Treatment via Telehealth: What Works?

Behavioral addiction treatment via telehealth has become increasingly popular in our digital age. It offers a convenient and effective way to receive therapy and support from the comfort of your home.

There are a variety of telehealth treatment approaches available, including CBT, motivational interviewing, mindfulness-based therapies, and 12-step support groups. It is important to choose the approach that is right for you, based on your individual needs and preferences.

What Is Telehealth Treatment for Behavioral Addictions?

Telehealth treatment for behavioral addictions is a convenient and effective way to receive therapy and support from the comfort of your home. Using video conferencing or other online platforms, you can connect with a qualified therapist who can help you overcome your addiction.

What Are the Benefits of Telehealth Treatment for Behavioral Addictions?

Telehealth treatment for behavioral addictions offers a number of benefits, including:

• Convenience: You can access therapy from anywhere, anytime, without having to travel to a therapist’s office.
• Affordability: Telehealth treatment is often more affordable than traditional in-person therapy.
• Privacy: Telehealth treatment can provide a more discreet and confidential setting for therapy.

What Are the Different Types of Telehealth Treatment for Behavioral Addictions?

There are a variety of telehealth treatment approaches available for behavioral addictions, including:

• Cognitive-Behavioral Therapy (CBT): CBT helps you identify and change the thoughts and behaviors that contribute to your addiction.
• Motivational Interviewing: Motivational interviewing helps you explore your motivations for change, increase your commitment to recovery, and set achievable goals.
• Mindfulness-Based Therapies: Mindfulness-based therapies help you develop awareness of your addictive behaviors and cultivate healthier responses.
• 12-Step Support Groups: These are external peer-support groups, not something NorthStar runs, but they offer community and shared experience that can complement therapy, and I am glad to point you toward ones that fit.

How to Find Telehealth Treatment for Behavioral Addictions in Frisco, Texas

You have come to the right place if you are trying to find telehealth treatment in Frisco, TX. NorthStar Counseling & Therapy offers tele-therapy specifically for behavioral addictions.

How to Choose the Right Telehealth Treatment Approach for Behavioral Addictions

The best telehealth treatment approach for you will depend on your individual needs and preferences. When choosing a telehealth treatment approach, consider the following factors:

• The type of behavioral addiction you have
• Your treatment goals
• Your learning style
• Your budget

What to Expect from Telehealth Treatment for Behavioral Addictions

Telehealth treatment for behavioral addictions typically involves meeting with a therapist on a regular basis for individual therapy sessions. You may also participate in group therapy sessions or attend online support groups.

During your therapy sessions, your therapist will help you develop a personalized treatment plan that addresses your specific needs. You may also learn coping skills, strategies for managing cravings, and how to prevent relapse.

Telehealth is a convenient and effective way to receive treatment for behavioral addictions because of it’s immediate access. If you are struggling with a behavioral addiction, consider telehealth treatment as a way to get the support you need to overcome your addiction and achieve recovery.

How does behavioral therapy modification work?

Behavioral therapy modification (BTM) is a type of psychotherapy that helps individuals overcome negative behaviors and develop more positive ones. It is based on the idea that behavior is learned, and can therefore be unlearned and replaced with healthier behaviors.

BTM is a collaborative process between the therapist and the individual. The therapist helps the individual to identify their specific goals for therapy, as well as the triggers and stressors that contribute to their negative behaviors. The therapist then develops a treatment plan that is tailored to the individual’s needs and goals.

What is Behavioral Therapy Modification?

Behavioral therapy modification (BTM) is a type of psychotherapy that helps individuals overcome negative behaviors and develop more positive ones. It is based on the idea that behavior is learned, and can therefore be unlearned and replaced with healthier behaviors.

How Does BTM Work?

BTM begins with a thorough assessment of the individual’s behaviors, thoughts, and emotions. Based on this assessment, the therapist will develop a treatment plan that is tailored to the individual’s specific needs and goals.

BTM typically involves several steps, including:

• Setting goals: The therapist and individual work together to set specific, achievable goals for the therapy.
• Identifying triggers: The therapist helps the individual identify the situations, people, or emotions that trigger the negative behavior.
• Creating a safety plan: The therapist helps the individual develop a plan for how to avoid or cope with triggers in a healthy way.
• Developing coping skills: The therapist teaches the individual new, healthier ways of coping with triggers and stressors.
• Reinforcement: The therapist provides positive reinforcement and encouragement for the individual’s progress towards their goals.
• Practice: The individual practices the new behaviors and coping skills in real-life situations, with the support and guidance of the therapist.
• Maintenance: The individual continues to use the new behaviors and coping skills even after the therapy is complete, in order to maintain their progress and prevent relapse.

Benefits of BTM

BTM is a collaborative process that empowers individuals to take control of their behavior and develop new, healthier habits. It can be effective for a wide range of behavioral issues, including addiction, anxiety, depression, and other mental health conditions.

Some of the benefits of BTM include:

• It is a relatively short-term therapy, with most individuals experiencing significant improvement within a few weeks or months.
• It is a goal-oriented therapy, which means that the individual is actively involved in setting and achieving their goals.
• It is a practical therapy, which means that the individual learns new skills and strategies that they can use in their everyday life.
• It is a personalized therapy, which means that the treatment plan is tailored to the individual’s specific needs and goals.

If you are struggling with a behavioral issue, find out how BTM may be a helpful option for you.

What to Look for in a Therapist for Behavioral Addictions or Compulsive Behaviors

Honestly, finding someone you click with matters more than almost anything else in this work. A few things worth asking about or looking for:

• Real experience with addictions and compulsive behaviors. Ask how long they have worked in this area and with which behaviors. I have worked with addictions and compulsive behaviors in teens and adults for over 15 years.
• A clear, evidence-based approach. CBT, motivational interviewing, and behavioral modification all have research support. A good therapist can explain how they work, not just name them.
• A plan built around you. Treatment should start with an honest look at your situation, goals, and anything else going on, then a plan shaped around that rather than a one-size-fits-all script.
• Attention to what is underneath. Compulsive behaviors often sit on top of anxiety, depression, or past trauma. Ask how a therapist handles those alongside the behavior.
• Honest talk about outcomes. Be cautious of anyone promising guaranteed results. Recovery is real and worth the effort, but it takes time, and no honest therapist can promise you a specific success rate.
• A fit you can feel. You should feel like you can be honest with this person. If you cannot, the work will be harder no matter how qualified they are.

If you want to involve family or a partner, that can genuinely help recovery hold over the long run, whether through family therapy to rebuild communication and trust, or couples counseling when a relationship is affected.

10 Common Mistakes to Avoid in Behavioral Counseling Therapy

Behavioral counseling can be a very effective treatment for behavioral addictions. However, there are some factors that can make it less effective. Here are the 10 most common factors that can make behavioral counseling less effective:

1. Lack of motivation: If a client is not motivated or ready to change, they are less likely to succeed in therapy.
2. Therapist-client mismatch: It is important to find a therapist who you feel comfortable with and who has the right approach for you. If you don’t feel comfortable with your therapist, you are less likely to be honest and open with them, which can make therapy less effective.
3. Inadequate experience or training: It is important to choose a therapist who has experience and training in treating behavioral addictions.
4. Untreated co-occurring disorders: If you have other mental health conditions, such as anxiety or depression, they need to be treated in order for behavioral counseling to be effective.
5. Insufficient support system: Having a supportive family, friends, and peers can be very helpful during recovery. If you don’t have a strong support system, it can be more difficult to stay on track.
6. Unrealistic expectations: Recovery from addiction takes time and effort. If you expect to change overnight, you are likely to be disappointed. It is important to set realistic expectations for the recovery process.
7. Inconsistent attendance or commitment: It is important to attend therapy sessions regularly and to be committed to the process. If you are not consistent with your attendance or commitment, you are less likely to succeed.
8. Inadequate aftercare or follow-up: Once you have completed therapy, it is important to have a plan in place to maintain your progress. This may include attending support groups or meeting regularly with a therapist. Without proper aftercare, you are more likely to relapse.
9. Environmental factors: Stressful life events, social pressure, or an environment that enables your addiction can make it difficult to stay sober. It is important to identify and address these factors in order to maintain recovery.
10. Biological factors: In some cases, genetic or neurological factors may contribute to addiction. This can make it more challenging to treat through behavioral counseling alone.

If you are struggling with a behavioral addiction, it is important to seek professional help. A therapist can help you to identify the factors that are contributing to your addiction and develop a treatment plan that is right for you.

How to Avoid Relapse After Treatment: 9 Tools and Resources

After completing behavioral addiction therapy, various tools and resources may be provided to help prevent relapse and maintain long-term recovery. These may include:

• Aftercare planning: Before therapy concludes, your therapist will work with you to develop a personalized aftercare plan that includes strategies for coping with triggers, stress management, and maintaining a healthy lifestyle.
• Support groups: Encouraging clients to continue attending support groups like 12-step meetings, SMART Recovery, or other relevant groups can provide ongoing peer support, accountability, and a sense of community.
• Booster sessions: Periodic follow-up appointments with your therapist can help reinforce learned skills, address new challenges, and evaluate progress.
• Self-help materials: You will be given resources like books, worksheets, or apps to help you continue practicing skills and strategies learned during therapy.
• Mindfulness practices: Encouraging clients to maintain a regular mindfulness practice, such as meditation or yoga, can help manage stress and increase self-awareness.
• Coping strategies: Clients should continue using healthy coping strategies learned during therapy to deal with triggers, cravings, and negative emotions.
• Social support: Maintaining a strong support network of family, friends, and peers who understand the recovery process is crucial for long-term success.
• Monitoring: Encouraging clients to monitor their thoughts, feelings, and behaviors regularly can help them recognize early warning signs of potential relapse and take appropriate action.
• Access to professional help: Providing clients with information on how to access additional counseling or treatment services if needed can be helpful for maintaining recovery.

Ultimately, the specific tools and resources provided will depend on the individual’s needs, preferences, and the approach taken during therapy. It is essential for clients to stay engaged with their aftercare plan and maintain open communication with their support network to minimize the risk of relapse.

What is the expected duration of treatment for someone with addictions?

The expected duration of treatment for behavioral addictions can vary depending on a number of factors, including the type of addiction, the severity of the addiction, and the individual’s response to treatment. However, most behavioral addictions require long-term treatment, typically lasting for several months or even years.

Some of the factors that can influence the duration of treatment include:

• The type of addiction. Some behavioral addictions, such as gambling addiction, can be more difficult to treat and may require longer-term treatment.
• The severity of the addiction. The more severe the addiction, the longer it may take to treat.
• The individual’s response to treatment. Some people respond to treatment more quickly than others.
• The availability of resources and support. Access to affordable treatment and supportive relationships can help people recover more quickly.

It is important to note that recovery from behavioral addiction is often a long-term process. Even after completing treatment, people may need to keep using coping skills and strategies to prevent relapse.

Common Questions About Behavioral Addictions

Is gambling really an addiction? Gambling is the clearest behavioral addiction formally recognized in the DSM-5, and therapy can help. Therapy is often the starting point, and medication questions should be discussed with a physician, psychiatrist, or prescribing clinician.

Is gaming addiction real? It is. The World Health Organization recognizes gaming disorder in the ICD-11. Loving video games does not mean you have it. The question is whether gaming is consistently crowding out sleep, school, work, or the people you care about.

What about shopping, porn, or too much time online? These can genuinely take over and cause real harm, even though most are not official diagnoses the way gambling is. I do not get hung up on labels. If a behavior is hurting your life, that is reason enough to work on it.

Can therapy actually help with this? Yes. Approaches like CBT, motivational interviewing, and behavioral work are well supported, and I tailor them to you. A lot of the time we are also working on the anxiety or depression underneath the behavior, not just the behavior itself.

Do you prescribe medication? No, I do not prescribe. I provide therapy. If medication might be worth considering, that is a conversation for a physician, psychiatrist, or prescribing clinician, and I am glad to coordinate with whoever is prescribing for you.

Is this private pay? Yes. I am a private-pay, telehealth-only practice. I accept HSA and FSA, and I provide superbills you can submit for possible out-of-network reimbursement. You can find the full details on the therapy cost page.

Getting Started

If a behavior has been running more of your life than you want it to, it is worth talking about, and reaching out does not commit you to anything. We start with a free 15-minute consultation, just a conversation about what is going on and whether working together feels right. Everything is telehealth, so you can meet from wherever you are in Texas. I am a private-pay practice and accept HSA and FSA; you can find the full details on the therapy cost page.

Here are some additional expert and helpful resources for information on behavioral therapy:

• The American Psychological Association. (2013). Diagnostic and statistical manual of mental disorders (5th ed.). American Psychiatric Publishing.
• Robbins, T. W., & Clark, L. (2015). Behavioral addictions. Current Opinion in Neurobiology, 30, 66-72.
• Petry, N. M., Zajac, K., & Ginley, M. K. (2018). Behavioral addictions as mental disorders: To be or not to be?. Annual Review of Clinical Psychology, 14, 399-423.
• Alavi, S. S., Ferdosi, M., Jannatifard, F., Eslami, M., Alaghemandan, H., & Setare, M. (2012). Behavioral addiction versus substance addiction: Correspondence of psychiatric and psychological views. International Journal of Preventive Medicine, 3(4), 290-294.
• Yau, Y. H., & Potenza, M. N. (2015). Gambling disorder and other behavioral addictions: Recognition and treatment. Harvard Review of Psychiatry, 23(2), 134-146.