Dr. Jerald Block says psychiatry has fallen far behind the times when it comes to dealing with patients who are compulsive online gamers. The Portland, Oregon psychiatrist says one of the main problems facing the profession is ignorance regarding many aspects of MMOGs, such as what a "guild" is or the importance of hitting level 60. As a result, many people with problems seek help in online groups rather than with trained therapists.

In an interview with the Boston Globe, Block also claimed that patients who come to him for help with gaming problems are often harder to treat than those who suffer from addiction to internet porn because there's a greater level of shame involved. "Some people come in for trouble with internet porn. But the computer gamers tend to be harder to treat," Block said. "People feel a lot of shame around computer games. Whereas, it's socially acceptable to have a porn problem."

Gamer patients are more ashamed of "playing World of Warcraft than looking at porn. Yes," he added.

"As a society, we understand that porn is something people do, and you can see a psychiatrist and get treated for it," he said. "But gaming is hard to describe to anyone else. So these people can't explain their situation to friends. In fact, it's hard to give you an example of what my clients talk about, because gaming is enormously complicated."

When pressed to describe such a client, Block said, "There was a man engaged in a game called EVE Online. He was one of the most powerful characters in the universe of this game. He had played for years and accumulated great wealth; he would have been worth about $17,000 if he sold his character and all his virtual assets on eBay."

"Well, within the game someone took out a contract on his life," the doctor continued. "And in the span of one night, this guy lost thousands of dollars, lost his alter ego, and was betrayed by everyone he knew in this world. How does he describe that experience and have any of his friends understand it? It's so bizarre and otherworldly. In fact, it's so bizarre that many therapists don't want to go there."