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Challenging Case: "Digital Addiction" in a Neurodivergent Adolescent.

Maryam Tariq1, Ann Genovese1, Marilyn Augustyn2

  • 1Department of Psychiatry, University of Kansas School of Medicine; and.

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Summary

Managing digital addiction in neurodivergent youth requires careful, trauma-informed strategies. Limiting screen time can trigger severe distress, highlighting the need for balanced approaches in treatment and family support.

Keywords:
adolescent mental healthcomplex ADHDdigital addictionneurodivergenttrauma-informed care

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Area of Science:

  • Neurodevelopmental Disorders
  • Digital Media and Mental Health
  • Adolescent Psychology

Background:

  • A 15-year-old male with combined-type attention-deficit hyperactivity disorder and oppositional defiant disorder presented with severe impulse control, sleep, and aggression issues.
  • Prolonged, unsupervised exposure to digital devices and disturbing online content exacerbated symptoms and led to compulsive technology use.
  • Previous treatments, including medication and posttraumatic stress disorder therapy, did not resolve the compulsive digital behavior.

Purpose of the Study:

  • To explore effective clinical management of digital addiction in neurodivergent adolescents.
  • To investigate multimodal treatment strategies balancing behavioral containment with trauma-informed care.
  • To examine collaborative approaches for establishing digital boundaries that promote recovery without psychological destabilization.

Main Methods:

  • Case study analysis of a neurodivergent adolescent with severe digital addiction.
  • Review of treatment interventions, including medication, therapy, and parental controls.
  • Exploration of the impact of digital device restriction on emotional dysregulation and suicidal ideation.

Main Results:

  • Attempts to restrict screen time provoked severe mood dysregulation, aggression, and suicidal ideation.
  • Digital addiction was intertwined with a history of childhood sexual trauma and family instability.
  • Standard interventions were insufficient to address the complex interplay of neurodevelopmental disorders, trauma, and compulsive digital use.

Conclusions:

  • Clinicians must adopt nuanced, trauma-informed strategies for managing digital addiction in neurodivergent youth.
  • Multimodal approaches are essential to balance behavioral management with psychological safety.
  • Early screening, prevention, and family education are crucial for addressing digital addiction in this population.