There is a lack of knowledge and guidelines regarding how professionals and relatives should understand and act with respect to individuals engaged in games regarding participation and self-determination. This research project aspires to contribute to an enhanced understanding of the gaming practice. The purpose of this paper is to discuss the empirical findings from seven semi-structured interviews conducted during the spring semester in 2015. Seven interviews were conducted with representatives from three disability rights movements that represent persons with neuropsychiatric impairments in Sweden. The informants consisted of both elected and recruited officials from the three organisations. Social constructivism was the main theoretical framework and were utilized to further explore the informants views regarding online gaming as sources to both challenges and development for their members. The analysis of the material showed that the informants had a rather ambivalent attitude toward online games where the games are seen as a source of both self-realisation and great difficulties. Among the positive aspects that were mentioned, new means for intra-personal communication and self-fulfillment were some of the emerging themes. Regarding negative aspects of online gaming, overwhelming immersion and different kinds of abuse were the main emerging themes.