Teens & Gaming: A Parent’s Guide

We know that today's teens play more games than any previous generation, which is why the Let’s All Talk Mental Health team wanted to understand more about gaming and its impact on teenagers. We were joined by two experts, Psychotherapist, Alison Smith, and Psychiatrist, Dr. Romayne Gadelrab from the National Centre for Gaming Disorders. They provided an understanding of when gaming becomes a problem, and how families can respond with empathy, structure, and support.

The Rise of Gaming and the Risks

Gaming has become a cultural and economic powerhouse, now surpassing both the film and music industries. While for many young people gaming is a fun and social pastime, a small percentage develop problematic gaming behaviours, a pattern where gaming takes priority over everything else.

According to Dr. Gadelrab and Alison Smith, problematic gaming is marked by:

  • A loss of control over gaming time.

  • Choosing gaming over family time or responsibilities.

  • Emotional outbursts or irritability when gaming is limited.

  • Neglecting hobbies, schoolwork, or social interactions outside of the screen.

The COVID Effect

The pandemic significantly changed the way young people connect. With physical gatherings restricted, online gaming became the primary means of socialising for many teens. While this shift was understandable and even necessary, it blurred the lines between healthy and excessive gaming, making it harder for families to reset routines once life returned to normal.

Setting Boundaries Without Conflict

One of the most important takeaways from the session was the importance of setting healthy boundaries around screen time. While there’s no one-size-fits-all number, the clinic suggests around two hours per day, with flexibility depending on the young person’s schedule and commitments.

Rather than imposing abrupt limits, which can lead to pushback or distress, parents are encouraged to negotiate and gradually adjust gaming time, always keeping communication open.

A Special Note on Neurodiversity

Gaming can be particularly appealing to neurodivergent teens, such as those with ADHD or autism. For these individuals, it often provides a sense of structure, escape, or self-regulation. However, encouraging alternative activities that offer similar satisfaction and stimulation can help create a more healthy balance.

Family-Centred Support Makes a Difference

Treatment at the National Centre for Gaming Disorders doesn’t just focus on the individual, it involves the whole family. Repairing strained relationships, improving communication, and understanding any underlying issues (like anxiety or unmet social needs) are some of the steps in helping a young person reduce their reliance on gaming.

Encouraging Open Conversations

Above all, Alison Smith emphasised the importance of honest, non-judgemental communication. Asking questions like “What do you enjoy about this game?” or “Who are you playing with?” can open the door to understanding and cooperation. When teens feel heard and respected, they’re more likely to engage in problem solving.

Final Thoughts

Gaming can be a normal and often enriching part of many teens’ lives, as long as it doesn't start to interfere with daily functioning, relationships, or emotional wellbeing. With family involvement, well considered communication, and some agreed boundaries, it is possible to have the best of both worlds.

 For more support, resources, and professional guidance, visit the National Centre for Gaming Disorders.

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Screens, Teens & Mental Health - A Parent's guide