Behavioral addictions can include which of the following?

• A. Alcohol use disorder
• B. Gambling
• C. Tobacco use disorder
• D. Opioid addiction

Answer: (B)

Behavioral addictions refer to compulsive behaviors that can lead to significant disruptions in an individual's life, similar to substance use disorders, but without the use of a chemical substance. Gambling is a prime example of a behavioral addiction because it involves a strong compulsion to engage in gambling activities despite negative consequences, such as financial problems, strained relationships, or emotional distress.

Individuals with a gambling addiction often experience a loss of control over their gambling habits, which can lead to a cycle of chasing losses or returning to gambling in an attempt to win back money. This compulsive engagement can create significant emotional and psychological distress, akin to what individuals with substance use disorders experience.

Other options, such as alcohol use disorder, tobacco use disorder, and opioid addiction, are classified as substance use disorders, which are based on the ingestion of psychoactive substances that affect the brain's chemistry. While these conditions also involve compulsive behaviors, they specifically center around the use and dependence on drugs or alcohol rather than a behavioral aspect. Thus, gambling stands out as it represents a non-substance-based addiction, making it the correct choice.