I can offer insight into the gaming aspect. While it can get unhealthy by overdoing it. The alternatives of self harm, alcohol and drug abuse could be far worse options. While it may be frustrating for you to be a part of. There are some considerable positive health aspects to gaming that are helpful to PTSD sufferers. I wish a lot of Military / First Responder PTSD sufferers would turn to gaming instead of the alternatives.
As sufferer, video games keeps my mind, hand eye co-ordination going, problem solving, entertainment, in many cases, the game I play is also online multiplayer, meaning I’ve built connections with people all over the world to play this game together. In fact, the clan or group I am a part of, we’re all Military / First Responder. The extent of conversation is focused on the task at hand. People ask how I am doing and leave it at that. No in depth conversation about feelings and emotions. The biggest factor, is that when playing, I don’t think about the traumas I’ve been a part of. I’m too busy strategizing and reacting to gameplay. I come from a First Responder background. Where every decision I made had consequences and results. Now that I’m off work, that adrenaline I thrived on is gone. The gaming fills that adrenaline rush gap.
Here are some mental connections I have made to the game that I appreciate. When you die in game, you can revive yourself, there’s no real threat to my life which I faced often in real life, your team mates go down you can revive or save them, things I was not able to do in real life, when I’m angry and agitated, I take it out on enemies in the game and not those who are a part of my real life.