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The more we learn about addiction medicine, the more we recognize a subcategory of behavioral addictions, as opposed to substance related addictions. These “behavioral addictions” can include sexual addiction, gambling addiction, and more recently the concept of “social media” addiction. Some people become addicted to using social media and may experience a variety of unwanted mental health symptoms as a result.
About 210 million people worldwide are believed to have a social media addiction out of a total of about 4.48 billion social media users. In the United States, the rate of social media addiction is believed by some experts to be about 10% of social media users.[1]
Social media has brought some wonderful benefits to society, but also has some downsides. The purpose of this article is not to demonize social media in its entirety, but rather to educate about some of the potential risks of social media use so that users can be more aware of their own healthy or unhealthy use patterns.
Broadly, a person may have a social media addiction if they regularly use social media despite it having negative consequences for them, especially if they are actively aware of those consequences and continue to use social media anyway.
Common concerns among social media users who exhibit problematic use include the following:[2]
Some signs that may signal a social media addiction include the following:[18]
The pathophysiology of social media addiction is similar to any addiction, although the complex chemical pathways involved are not totally understood.
When a person has an addiction to a substance, the brain releases a neurotransmitter called dopamine that creates pleasurable “rewarding” feelings. Research shows that dopamine is similarly released when we participate in any pleasing activity, including sex, gambling, and now social media use.
Fundamentally, humans are social animals. We find interacting with other humans rewarding, and we crave the attention of others. Social media taps into the psychological reward we get from these interactions.
Social media platforms are designed to take advantage of our natural desire to crave social interaction and its rewards.
The biggest social media platforms of 2023 include Facebook, YouTube, WhatsApp, Instagram, twitter, WeChat, and TikTok. [20] It is not known which social media platforms are more “addicting”. It probably depends more on the individual and which applications they use most or find most enticing.
In 1 study of Instagram users between the ages of 14 and 17, participants reported increased including fear of missing out (FOMO), depression, anxiety, loneliness, sleep problems, body dysmorphia, and experiences being cyberbullied as a result of their instagram use. [21,22]
While we don’t know everything about how social media addiction works, we do know that the time spent on social media usage strongly correlates to addiction. [23] People who are addicted, especially teens, can spend vast amounts of time on social media every day, with some using social media on some level for more than a third of their day.[24] While spending large amounts of time on social media doesn’t necessarily mean someone is addicted, it is a warning sign.
About 53% of children own a smartphone by the time they’re 11, and one in five children have a smartphone by age 8.[25] Social media addiction can begin early in life. The earlier kids have access to these platforms, the more likely they are to develop unhealthy use behaviors. Rates of social media addiction are worse among teens and young adults compared to other groups. Parents should think actively about their children’s use of these platforms and set rules about when they permit their children to start using these platforms, for how long, and which platforms are permissible.
It isn’t fully clear how remote work, which spiked during the COVID-19 pandemic, may have impacted social media addiction. However, it is known that substance misuse got worse during the pandemic. It is not unreasonable to suspect that social media addiction may also have seen a rise in rates during that same time, particularly as people were forced to substitute virtual interaction for in person interactions as a result of the pandemic. [26]
Paradoxically, spending excessive time on social media can lead to social isolation. Virtual connections reduce face-to-face interactions and limit the development of meaningful relationships, which are crucial for overall mental well-being.
Additionally, the constant pressure to present an idealized self-image, accumulate likes and followers, and stay up-to-date with trends can contribute to anxiety and stress. The fear of negative feedback, judgment, or social rejection can be overwhelming.
Social media platforms bombard users with a constant stream of information, including news, opinions, and updates from friends and acquaintances. This information overload can be overwhelming and contribute to feelings of stress and anxiety.
Monitoring the amount of time you spend on online activities can significantly reduce your risk of social media addiction. One thing individuals (and parents of those individuals) can do to prevent addictive behaviors related to social media is to set time limits for its use. There are even some apps that exist to track social media time that provide alarms or even lock the user out of social media for the day once the limit is reached.
Paying close attention to how social media makes you feel can help to lessen its ability to impact your mental health. Noticing if you actually feel more anxious or depressed after scrolling can help you to identify if your use is problematic and motivate you to change the way you are using social media.
One can also limit individuals or accounts that they follow that are triggering or anxiety provoking.
The best way to treat a social media addiction is still being researched. There is evidence that cognitive behavioral therapy (CBT) can help to reduce problematic social media use.[28]
CBT, which is a first-line treatment option for other types of addiction, involves working with a professional to understand your own patterns of thinking and what may drive you to engage in unhealthy behaviors, including social media use. Then, you build skills to adjust your way of thinking and ultimately change those unhealthy behaviors.
As with any form of addiction, there isn’t a single way to effectively treat social media addiction. The key will be to work with an addiction treatment team that can come up with a plan that works for you.
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Elena Hill, MD; MPH received her MD and Masters of Public Health degrees at Tufts Medical School and completed her family medicine residency at Boston Medical Center. She is currently an attending physician at Bronxcare Health Systems in the Bronx, NY where she works as a primary care physician as well as part time in pain management and integrated health. Her clinical interests include underserved health care, chronic pain and integrated/alternative health.