Dr Prerna Kohli

Video Game addicted child?

Gaming Addiction in Children: Signs, Causes, and What Indian Parents Can Actually Do

By Dr. Prerna Kohli  |  Clinical Psychologist, Gurugram  |  Updated June 2026

If your child is spending four, six, eight hours a day on BGMI, Free Fire, or any online game — refusing food, skipping homework, becoming aggressive when you ask them to stop — you are not imagining a problem. Gaming Disorder is now officially recognised by the World Health Organisation as a clinical condition. Understanding what it actually is, why games are specifically designed to produce it, and what genuinely helps is what this article is for.
Dr. Prerna Kohli, clinical psychologist Gurugram
Written by Dr. Prerna Kohli, PhD

Dr. Kohli is one of India's most respected clinical psychologists, in private practice since 1993. Gaming disorder in children and adolescents is one of the fastest-growing presenting concerns in her practice — and it is one where parents frequently arrive having already tried everything except the approaches that actually work.

Gaming disorder is not a character flaw in a child, and it is not purely a parenting failure. It is a clinical condition driven by deliberate design — by games engineered to be as engaging and as difficult to stop as possible — interacting with the neurological vulnerabilities of a still-developing adolescent brain. Understanding this does not remove parental responsibility. But it does change what effective intervention looks like.

ICD-11 Gaming Disorder officially classified by the WHO in 2022 — the first time a behavioural addiction related to technology received clinical recognition
~16% of Indian adolescents estimated to show problematic gaming patterns — significantly higher in urban areas post-COVID
By design modern games are built by teams of behavioural psychologists specifically to maximise engagement and minimise the desire to stop
Gaming Disorder is now officially recognised by the World Health Organisation — defined as impaired control over gaming, increasing priority given to gaming over other life activities, and continuation despite negative consequences. The key diagnostic feature is significant impairment in functioning for at least 12 months. It is a genuine clinical condition — not simply a matter of children being irresponsible or parents being too permissive. And like all clinical conditions, it responds far better to understanding than to punishment.
Dr. Prerna Kohli, PhD — Clinical Psychologist, in practice since 1993

Why Games Are Designed to Be Addictive — Understanding the Mechanism

Modern video games — particularly online multiplayer games like BGMI, Free Fire, Valorant, and similar titles that dominate Indian adolescent gaming — are not simply entertainment products. They are engineered engagement systems, built by teams that include behavioural psychologists, neuroscientists, and game designers working specifically to maximise the time players spend in the game and the difficulty of stopping.

The mechanisms they use are not accidental. They include:

  • Variable reward schedules — the same mechanism that makes slot machines addictive. Rewards (loot boxes, drops, achievements) arrive unpredictably, which produces a stronger and more persistent dopamine response than predictable rewards would.
  • Social belonging and fear of letting down teammates — team-based games create genuine social obligation. Leaving a game mid-session means letting down real people the child knows. This social pressure makes stopping significantly harder.
  • Incremental achievement systems — constant small rewards (level-ups, unlocks, rank progression) provide a continuous stream of achievement that many children are not experiencing in academic or social life.
  • Time-limited events and FOMO — seasonal events, limited-time rewards, and daily login bonuses create artificial urgency that drives daily engagement even when the child would otherwise not play.
  • Loss aversion mechanics — ranked modes mean that stopping mid-session costs the player rank points. The fear of loss is a stronger motivator than the desire for gain — and games exploit this reliably.

A child's prefrontal cortex — the brain region responsible for impulse control, long-term planning, and the regulation of reward-seeking behaviour — is not fully developed until the mid-twenties. This means children and adolescents are neurologically significantly more vulnerable to these design features than adults. The gaming industry's engagement design is targeting a brain that has not yet developed the regulatory capacity to resist it.

Signs of Gaming Disorder in Children

Normal enthusiasm for games is not gaming disorder. The distinction — as with all behavioural addictions — is impairment: is the gaming significantly interfering with the child's functioning across important domains of life? The following signs, particularly when persistent and in combination, warrant serious attention:

Preoccupation with gaming even when not playing
Irritability, anxiety, or rage when gaming is stopped
Needing to play more to get the same level of satisfaction
Unsuccessful attempts to control or reduce gaming
Significant decline in school performance
Withdrawal from friends and family relationships
Loss of interest in all previously enjoyed activities
Disrupted sleep — playing late into the night
Skipping meals or neglecting personal hygiene
Lying about the amount of time spent gaming
Using gaming to escape from anxiety, depression, or family conflict
Physical symptoms — eye strain, back pain, repetitive strain
From the Counselling Room

"His parents brought him to me after his school had called to say he had failed three subjects in his Class 10 half-yearlies. He was fifteen, and had been spending between six and ten hours a day on BGMI for over a year. When I spoke with him alone, I asked him to tell me about the game. He spoke for twenty minutes — about his team, his rank, his strategies, the friendships he had built with players across the country. It was the most animated and articulate I had heard him in the session."

"'Do you have friends at school like that?' I asked. He shook his head. 'School is just competition. Everyone's trying to beat each other. In the game, we actually help each other.' He had found in gaming what he could not find in his academic environment: genuine belonging, a sense of competence, and relationships built on collaboration rather than competition. The gaming was not the problem. It was the solution to a problem — the solution that was now creating its own problems."

"We worked on three tracks simultaneously: helping his parents understand that removing the game without addressing what it was providing would simply produce a different crisis; working with him to identify ways the needs the game was meeting could be met through other channels; and gradually, together, establishing a structure that allowed gaming in controlled amounts while rebuilding his engagement with school and non-gaming friendships. By his Class 10 boards, his gaming was down to 90 minutes daily, his grades had recovered, and he had joined a debate team. 'The game is still fun,' he told me in our last session. 'But it's not the only thing anymore.'"

Gaming Addiction in India: The Specific Context

Why Indian Children Are Particularly Vulnerable

The post-COVID explosion. The COVID-19 pandemic and its extended school closures produced a dramatic and sustained increase in adolescent gaming across India. Children who began gaming during lockdown as a legitimate social and entertainment outlet continued at elevated levels long after schools reopened — and many had developed habitual patterns that resisted reduction. The post-COVID generation of Indian adolescents entered secondary school with significantly higher baseline gaming engagement than any previous cohort.

Academic pressure and escape. India's intensely competitive academic environment — board exam pressure, coaching class culture, the constant performance comparison — creates a level of chronic stress in adolescents that makes escape into gaming particularly appealing. The child who is failing at school and succeeding spectacularly at BGMI has found the only domain in their life where they feel competent and valued. Understanding this is essential to effective intervention — removing the game without addressing the academic pressure and the self-esteem it is damaging does not solve the problem.

Both parents working and unsupervised time. In urban Indian dual-income households, children frequently spend significant unsupervised time at home — particularly in the after-school hours before parents return from work. This unsupervised time, combined with device access, is the most consistent predictor of problematic gaming patterns. It is not a moral failing of working parents; it is a structural feature of urban Indian professional life that requires structural solutions.

The BGMI and Free Fire phenomenon. Indian-specific gaming titles and the localisation of global games for the Indian market — combined with free-to-play models that lower the entry barrier to zero — have made high-engagement gaming accessible to a demographic that previously had less exposure. The combination of free access, mobile delivery, and social multiplayer design has produced a uniquely potent gaming environment in India.

What Indian Parents Can Actually Do — Eight Strategies That Work

Strategy 01

Understand Before You Confront

Before any intervention, spend time genuinely understanding what the game provides your child — ask them to explain it to you, watch them play, ask about their team and their friendships within the game. This is not passive acceptance of the problem. It is the intelligence-gathering that makes effective intervention possible. Parents who understand what need gaming is meeting are significantly more effective at addressing it than those who simply experience it as defiance to be broken.

Strategy 02

Set Limits Together — Not Unilaterally

Limits imposed without the child's involvement are resisted, circumvented, and frequently drive gaming underground — to friends' houses, to hidden devices, to gaming after parents sleep. Limits negotiated with the child's genuine participation are significantly more likely to be observed. The conversation: "I'm concerned about how much time you're spending gaming. I'd like us to agree together on what makes sense. What do you think is a reasonable amount?" The limit that emerges from this conversation may not be your first preference — but it will be one the child has some ownership of.

Strategy 03

Address What Gaming Is Replacing

Gaming addiction rarely exists in a vacuum. It typically fills a space left by something that is missing or something that is overwhelming. If your child is escaping into gaming, ask honestly: what are they escaping from? Academic pressure that feels unmanageable? Social relationships that feel competitive and unsatisfying? Boredom in an unstructured afternoon? Anxiety about the future? The answer to this question determines what the effective intervention is — and it is almost never simply "take the game away."

Strategy 04

Model the Digital Behaviour You Want to See

Parents who are constantly on their phones, who check work messages at the dinner table, who use screens to decompress every evening, have limited credibility as advocates for their child's screen limits. Children watch what parents do, not what they say. A family where adults model deliberate, boundaried device use — where phones are put away during meals, where evenings have screen-free time — creates a different environment from one where the message is "your screens are the problem, mine are fine."

Strategy 05

Build Alternative Sources of Competence and Belonging

Gaming provides two things that are fundamental human needs: competence (the experience of being good at something, of progressing, of mastering challenges) and belonging (the experience of being part of a team, of being known and valued by peers). If these needs are being met adequately elsewhere in the child's life, gaming becomes one source of enjoyment among many rather than the primary one. Sport, music, drama, martial arts, coding, any genuine extracurricular engagement that provides competence and social connection — these are not distractions from the gaming problem. They are the solution to it.

Strategy 06

Use Technology Tools — Practically

Parental controls, router-based time limits, and device management tools are legitimate and useful — not as punishments, but as structural supports that reduce the friction of gaming limits. An agreed-upon router time limit that cuts internet access at 10pm removes the need for nightly conflict about "five more minutes." When technology tools are framed as a shared solution rather than a surveillance mechanism, they produce less resistance. Inform the child about what you are setting up and why, rather than implementing covertly.

Strategy 07

Protect Sleep Absolutely

The most non-negotiable limit in gaming is the one that protects sleep. Gaming — particularly competitive, socially-connected gaming — is most compelling in the evening and late at night, when team members are online and stakes feel highest. Devices leaving the bedroom at a fixed time (chargers in the parents' room, phones out of the child's bedroom from 10pm) is the single most impactful structural change most families can make. Sleep deprivation worsens the impulsivity and emotional dysregulation that drives gaming excess — so protecting sleep is also directly protective against the addiction dynamic itself.

Strategy 08

Seek Professional Support When Needed

If gaming has been significantly impairing school performance, health, or family relationships for an extended period despite parental attempts to address it — professional support is appropriate and effective. Gaming disorder responds well to cognitive behavioural approaches that address both the addictive behaviour and the underlying needs it is meeting. Family therapy that helps the whole family navigate the dynamic is often more effective than individual child therapy alone. Seeking help is not an admission of failure. It is the recognition that this is a clinical condition, not a disciplinary problem.

The parents who are most effective at addressing gaming addiction are not the ones who take the most punitive approach. They are the ones who take the most curious approach — who spend time understanding what the game provides their child before they decide what to do about it. Gaming disorder is almost always about something beyond the game. The child who cannot stop playing is almost always a child who has found in gaming something they cannot find elsewhere: competence, belonging, escape, or simply the experience of being good at something in a life that has made them feel bad at everything. Address that, and the gaming problem often resolves itself.
Dr. Prerna Kohli, PhD — Clinical Psychologist, in practice since 1993
I want Indian parents to understand one thing clearly: taking the game away without addressing what it is providing does not solve gaming addiction. It relocates it. The child who loses device access at home finds it at a friend's house, at a gaming café, on a hidden second phone. The addiction does not disappear because the device disappears — because the addiction was never about the device. It was about what the device was providing. Effective intervention addresses the need. Everything else is management.
Dr. Prerna Kohli, PhD — Clinical Psychologist, in practice since 1993

Frequently Asked Questions

Is gaming addiction a real disorder?

As Dr. Prerna Kohli explains: "Yes — Gaming Disorder is officially recognised by the World Health Organisation in ICD-11. It is defined as impaired control over gaming, increasing priority given to gaming over other life activities, and continuation despite negative consequences, with significant impairment in functioning for at least 12 months. It is a genuine clinical condition — not simply children being irresponsible or parents being too permissive. And like all clinical conditions, it responds far better to understanding than to punishment."

What are the signs of gaming addiction in a child?

Signs include: preoccupation with gaming even when not playing; irritability or rage when gaming is stopped; needing to play more for the same satisfaction; unsuccessful attempts to control gaming; significant decline in school performance; withdrawal from all other relationships and activities; disrupted sleep; skipping meals; lying about gaming time; and using gaming to escape negative emotions. When these patterns are persistent and significantly impairing daily functioning, professional assessment is appropriate.

Why are video games so addictive for children?

Modern games are engineered by teams of behavioural psychologists to maximise engagement using variable reward schedules (like slot machines), social belonging through team play, incremental achievement systems, time-limited events that create FOMO, and loss aversion mechanics. A child's still-developing prefrontal cortex makes them significantly more vulnerable to these design features than adults — meaning children are neurologically less equipped to resist systems specifically designed to be difficult to stop.

How can Indian parents manage their child's gaming addiction?

Dr. Prerna Kohli recommends: approach with curiosity before confrontation; set limits together with the child rather than unilaterally; address what need gaming is meeting — social connection, competence, escape from academic pressure; model the digital behaviour you want to see; build alternative sources of competence and belonging; use technology tools as structural supports; protect sleep absolutely; and seek professional support if the gaming is causing significant impairment despite parental attempts to address it.

When should I seek professional help for my child's gaming addiction?

Seek professional support when: gaming has significantly impaired school performance over an extended period; the child becomes aggressive or severely distressed when gaming is limited; the child has withdrawn from all other social relationships; attempts to limit gaming have significantly damaged the parent-child relationship without reducing gaming; or the pattern has been present for 12 months or more. Gaming disorder responds well to professional treatment — particularly approaches that address both the addictive behaviour and the underlying needs it is meeting.

The Game Is Not the Enemy — But It Is a Symptom Worth Taking Seriously

Gaming disorder is a clinical condition driven by deliberate design, interacting with genuine needs that are not being met elsewhere in the child's life. The child who cannot stop playing is not defiant — they are, in their own way, struggling. The parent who understands this is in a far better position to help than the parent who simply fights the game.

If your child's gaming has crossed from enthusiasm into impairment — if school, health, relationships, and daily functioning are being significantly affected — it is time to take it seriously. Not by taking the controller. By having the conversation that actually matters.

Concerned About Your Child's Gaming?

Gaming disorder is a treatable condition — and early intervention produces significantly better outcomes than waiting. I offer assessments and consultations from my practice in Gurugram, with online sessions available across India and internationally.

WhatsApp Dr. Kohli
Dr. Prerna Kohli, Clinical Psychologist and Marriage Counsellor, Gurugram

About the author — Dr. Prerna Kohli

Dr. Prerna Kohli is a clinical psychologist with over 30 years of practice, based in Gurugram. She holds a PhD from Aligarh Muslim University, where she was a four-time gold medalist, and received the “100 Women Achievers of India” award from the President of India in 2016. A TEDx speaker and published author, she works with individuals, couples, and families through her private practice — in-clinic in Gurugram and online worldwide — with a particular speciality in NRI mental health.