Archives for Recovery

General

“Merry Christmas, I’m a Sex Addict”! When to Tell Your Parents and Family


Although full disclosure to a partner or spouse is considered essential to recovery, telling your parents, your grown up children, your relatives or your in-laws that you are a sex addict can be a good idea or a very bad idea depending on a number of factors. Of the scores of sex addicts I have treated, each one has had a unique situation in confronting the fallout from this question. There are a myriad of possible scenarios but I will attempt a look at some of the key variables involved in this decision.

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General

Lovers or Sex Buddies?

Many sex addicts don't know how to date. They crave a normal relationship but do not have a realistic picture of what a good relationship might look like - or how to get there. By the same token, they may think they are dating you when what they are actually doing is using their time with you as one of their acting out behaviors.

Even for non-addicts the term "dating" is ambiguous and increasingly hard to define in this age of random sexual hook-ups. But the non-addict will be capable of normal courtship while the sex addict will have underlying intimacy issues that prevent them from pursuing a dating situation in a healthy way.

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General

Why Sex Addiction Treatment Works When Therapy Doesn’t


Many people manage to get free of their addictions or mature out of them on their own, but other people require help. And for those who require help, psychotherapy alone is often insufficient. On the most basic level, it is simply not possible to conduct a counseling session with a person who is using drugs as a primary coping mechanism. This includes those who rely heavily on sexual acting out, pornography, gambling and other behavioral addictions as ways to escape.

Therapy can help people grow, gain self-efficacy and adopt healthier coping mechanisms through insight, awareness and working through old pain. But if you have ever tried to counsel someone who is actively using a drug you were probably humbled by the realization that you have nothing to offer that even comes close to their drug's awesome power to relieve pain and relieve it now.

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General

4 Stages of Denial of Sex Addiction

As with any addiction, the denial of sex addiction is a powerful obstacle to recovery.  Sex addiction recovery has been described as a grief process. When we let go of an addictive drug or behavior we are letting go of a coping skill that has served us well in the past. This is a major loss. The addiction is like an old friend, often one we have relied on our whole life to deal with stress and escape negative feelings.

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Diagnosis

5 Ways Sex Addiction Recovery Can Get Derailed

I have heard this story of treatment failure from many couples who come in to see me about sex addiction. One partner was discovered to have sexually addictive behavior(s) such as porn addiction, voyeurism, hook-ups, paying for sex etc. After an initial upheaval the couple found help for the addict. The addict went into a program which may have included residential or intensive outpatient treatment, individual therapy, couple counseling, or some combination of these.

At some point the addict felt that he or she had seen the light and was able to refrain from the compulsive behavior for a period of months or years. Then seemingly out of the blue, the addict starts secretly acting out again.
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General

Risk Factors in Recovery From Sexual Betrayal

At the recent CSAT convention in February the emphasis was on partners and couples recovering from the posttraumatic stress of sex addiction. The numerous lectures covered a wide range of topics, but several things stood out to me.

What follows are some snippets I gleaned which are by no means meant to address betrayal trauma as a whole or the many issues involved in disclosure, assessment and treatment.   Rather they are suggestions regarding some of the relevant risk factors and healing strategies.

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General

New Study on Porn and Erectile Dysfunction is a Wax Banana

I chose the metaphor of fake fruit to describe the recent article by Prause and Pfaus entitled Viewing Sexual Stimuli Associated with Greater Sexual Responsiveness, Not Erectile Dysfunction. I did this not because of any phallic symbolism with bananas but because the authors present fake conclusions. Published in the online journal Sexual Medicine (04/2015; DOI: 10.1002/sm2.58) this article appears to offer a synthesis of findings from Prause's prior attempts at porn research.  On closer inspection the article turns out to be lacking in any real substance.

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cross addiction

The Whack-a-Mole Effect: Tackling New Addictions in Sexual Recovery

Sex Addicts in recovery have worked hard to identify their damaging addictive sexual behaviors such as out-of-control porn use, constant sexual hook-ups, or the obsessive pursuit of commercial sex. And they are often able to identify and eliminate other addictions such as drugs or alcohol which co-exist with their primary sex addiction.

In addition to these off limits behaviors, sex addiction treatment and 12-step programs help the addict to be on the alert for "slippery" behaviors. These might include things like driving through the neighborhood where the addict's favorite sexual massage parlor is located. These are red flags because although they are not forbidden, they can lead down the path toward relapse.

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