Similar to gambling, video game addiction or gaming disorder was recently recognized by the World Health Organization as a mental health condition (World Health Organization, ICD-11). Although only a portion of gamers will go on to develop an addiction, many video games possess addictive properties including gambling. For example, many video games possess what have been termed as loot boxes, where gamers can obtain rewards at random (similar to that of a slot machine) by cashing in credits earned within the game or monies spent online. Those who develop gaming addiction may develop serious consequences in areas such as scholastic performance, their social life or within their family. As with other addictions, we offer counselling and family therapy services that can help individuals address problematic gaming.