Gaming has been part of my management strategy since about 1993. While I have never discussed it in terms of getting some brain reward, I have discussed it in terms of experience control. Our lives are largely out of our control, carefully chosen games give us a sense of control, not just reward. There is something in our lives that is not chaotic and malevolent. That sense of control is a big feature in managing this illness I think. Having said that there is the issue with games becoming too familiar that fits with a reward response. If its not new, novel or surprising, we get less of a brain response, less of that aha moment. Added to which many games incorporate elements similar to gambling ... maybe around that corner I will find something nice, or in this box, or get given some reward for completing a mission. I play a lot of RPGs but tend to avoid FPS adrenaline-fests. If my adrenaline goes up I am in trouble. So dopaminergic triggers are built into many games. Its what makes them addictive. I have played a lot of Skyrim, though the record is Master of Orion, I think I played more of that than anything. Its a very old turn based space strategy game. I cycle through my games, play one for a bit then a different one. In RPGs I play one character, then next time pick something different. Constantly changing and mixing things up does help keep the game from going stale. So does game rotation. I also think have different types of games helps.