Ben Alexander spent nearly every waking minute playing the video game “World of Warcraft.” As a result, he flunked out of the University of Iowa. Alexander, 19, needed help to break an addiction he calls as destructive as alcohol or drugs. He found it in this suburb of high-tech Seattle, where what claims to be the first residential treatment center for Internet addiction in the United States just opened its doors. The center, called ReSTART, opened in July and offers a 45-day program intended to help people wean themselves from pathological computer use, which can include obsessive use of video games, texting, Facebook, eBay, Twitter and any other time-killers brought courtesy of technology. “We've been doing this for years on an outpatient basis,” said Hilarie Cash, a therapist and executive director of the center. “Up until now, we had no place to send them.” Internet addiction is not recognized as a separate disorder by the American Psychiatric Association, and treatment is not generally covered by insurance. But there are many such treatment centers in China, South Korea and Taiwan and many psychiatric experts say it is clear that Internet addiction is real and harmful. Alexander is so far the only patient of the program, which uses a cold turkey approach. He spends his days in counseling and psychotherapy sessions, doing household chores, working on the grounds, going on outings, exercising and baking a mean batch of ginger cookies.. The effects of addiction are no joke. They range from loss of a job or marriage to car accidents for those who can't stop texting while driving. Some people have died after playing video games for days without a break, generally stemming from a blood clot associated with being sedentary. According to Dr. Kimberly Young of the Center for Internet Addiction Recovery in Bradford, Pa., addiction warning signs are being preoccupied with thoughts of the Internet; using it longer than intended, and for increasing amounts of time; repeatedly making unsuccessful efforts to control use; jeopardizing relationships, school or work to spend time online; lying to cover the extent of Internet use; using the Internet to escape problems or feelings of depression; physical changes to weight, headaches or carpal tunnel syndrome. Internet addiction can be a symptom of other mental illness, such as depression, or conditions like autism, experts say. Internet addicts miss out on real conversations and real human development, often see their hygiene, their home and relationships deteriorate, don't eat or sleep properly and don't get enough exercise, psychotherapist Cosette Dawna Rae said. Alexander is a tall, quiet young man who always got good grades and hopes to become a biologist. He started playing “World of Warcraft,” about a year ago, and got sucked right in. “At first it was a couple of hours a day,” he said. “By midway through the first semester, I was playing 16 or 17 hours a day. Alexander dropped out in the second semester and went to a traditional substance abuse program, which was not a good fit. He graduated from a 10-week outdoors-based program in southern Utah, but felt he still had little control over his gaming.