​Digital Process Addiction in Children, Teens, and Adults in an Age of Compulsory Internet Usage

In this episode, I speak with Alex about his career working with addiction. While there are countless resources for substance-related issues—such as drug, alcohol, and sex addiction—he noticed a striking lack of support when it came to process addictions related to technology use. He shared how he connected with and learned from Dr. Hilarie Cash, founder of reSTART, a pioneering treatment program for technology addiction. Alex discusses his work with parents, helping them implement comprehensive behavioral strategies to support children and adolescents in developing a healthy relationship with technology. In an age where digital exposure is unavoidable and children grow up as digital natives, he explains how we can encourage balance and moderation from an early age to prevent problematic or addictive behaviors from forming. He delves into the unique challenges of treating process or behavioral addictions, which can involve greater complexity than substance-related ones. Alex emphasizes the difficulty of establishing structures that foster intrinsic motivation for self-regulation in children and young adults. He highlights the importance of helping young people connect with their values, become more intentional with their screen time, and take a holistic approach to balance—not just with technology, but across all areas of life. The conversation also explores how parents can coordinate across households to create consistent expectations around technology use and how they can impose meaningful limits even when school-issued laptops have minimal built-in safeguards. Alex concludes by discussing how screen use can become a mechanism for emotional avoidance, which can significantly block personal growth. He underscores the need to prioritize self-care and emotional awareness to prevent this from becoming a long-term negative coping strategy. Alex Basche, LMFT is a psychotherapist based in the SF Bay Area. He works mainly with adolescents and young adults, specializing in the treatment of tech-related behavioral addictions such as gaming, social media, pornography, online gambling & shopping in addition to substance use disorders, as well as frequently co-occurring conditions such as anxiety disorders, ADHD, depressive disorders, OCD, Autism Spectrum, and identity formation issues. In 2017, Alex helped create and found the first in-network Intensive Outpatient Program in the state of California treating technology addiction in adolescents. He has written many therapy groups’ curricula and leads trainings and workshops on topics related to Assessment & Treatment for Process Addictions, Parenting in the Digital Age, Adolescent Anxiety & Depression Treatment and more. Alex serves as a Subject Matter Expert (SME) on the Mental Health Workgroup Advisory Board for Fairplay’s Children’s Screentime Action Network and on the Board of Directors for local nonprofit Adolescent Counseling Services. He continues to co-author and present research on digital addictions and related topics.