- Repetitive
- Not necessarily every day
- Degenerative
- Intensifies over time
- More frequent, more intense
- May progress to more dangerous or damaging activities
- Produces increasing shame and decreasing pleasure
- Unmanageable
- Want to stop but can’t
- Medicative
- Use substance or behavior to change feelings or alter mood
- Destructive
- Kills self-worth, relationships, and even leads to death
- Can lead to divorce, financial ruin, loss of employment, legal action, and disease