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Substance Use and Compulsive Sexual Behavior


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Substance Use and Compulsive Sexual Behavior. Comprehensive treatment is recommended for multiple addictions.

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Substance Use and Compulsive Sexual Behavior

  1. 1. Substance Use & Compulsive Sexual Behaviors A copy of this presentation is located at:
  2. 2. Credentials Dr. Vicki Harris Wyatt PhD – Family Relations & Child Development, OSU LPC, LADC, CSAT, CHFP, EMDR, AACC DUI Certification, Neurofeedback, and others…
  3. 3. Intensive Recovery 6 months of counseling in just 3 days!
  4. 4. Objectives • Understanding Addiction Interaction Disorder • Understanding interaction between compulsive sexual behavior and substance abuse
  5. 5. What is the most difficult aspect of treating chemical dependency? (Results of a survey of CSAT’s)
  6. 6. Top 5 Results 1. 2. 3. 4. 5. Denial Relapse No resources for treatment Forced sobriety/reluctance Co-occurring disorders/multiple addictions 6. Toxic support system/family problems
  7. 7. Other difficulties identified… 1. Dealing with cravings 2. Dealing with physiological problems/brain changes/Post Acute Withdrawal Syndrome (PAWS) 3. Shame 4. Dishonesty
  8. 8. Which population is more difficult to treat, sex addiction or chemical dependency? (Results of a survey of CSAT’s)
  9. 9. 59%: Sex Addiction is harder to treat 1. 2. 3. 4. Social Stigma/Shame Secrets/Deception Relationships damaged more Ambiguity of bottom lines/ difficulty defining sobriety 5. 12-Step sex addiction fellowships less mature, scarce 6. Resistance to group work 7. Legal problems
  10. 10. 41%: Chemical Dependency is more difficult to treat 1. Post Acute Withdrawal Syndrome (PAWS)/ Brain healing 2. Less resource for treatment/ lower SES 3. Denial/ resistances 4. Cultural acceptance of D & A usage 5. Numb to losses 6. Burnt out support system
  11. 11. Addiction Interaction Disorder Addictions more than coexist; they interact, reinforce, become part of one another; they become packages.
  12. 12. Cross Tolerance A. Simultaneous increase in addictive behavior in two or more addictions. B. Transfer of a high level of addictive activity with little or no development sequence.
  13. 13. Withdrawal Mediation One addiction serves to moderate, relieve, or avoid withdrawal from another.
  14. 14. WHAT IS SEX ADDICTION? "Like an alcoholic unable to stop drinking, sexual addicts are unable to stop their self-destructive sexual behavior. Family breakups, financial disaster, loss of jobs, and risk to life are the painful themes of their stories. - Patrick J. Carnes, Ph.D. Author of Out of the Shadows ©2013 Patrick J. Carnes, PhD /
  15. 15. • Sexual addiction is defined as any sexuallyrelated, compulsive behavior which interferes with normal living and causes severe stress on family, friends, loved ones, and one's work environment. Source: ©2013 Patrick J. Carnes, PhD /
  16. 16. WHAT DEFINES A SEX ADDICT? • No single behavior pattern defines sexual addiction. ©2013 Patrick J. Carnes, PhD /
  17. 17. 1. Acting out: a pattern of out-of-control sexual behavior. 2. Experiencing severe consequences due to sexual behavior, and an inability to stop despite these adverse consequences. 3. Persistent pursuit of self-destructive behavior. 4. Ongoing desire or effort to limit sexual behavior. 5. Sexual obsession and fantasy as a primary coping strategy. ©2013 Patrick J. Carnes, PhD /
  18. 18. 6. Regularly increasing the amount of sexual experience because the current level of activity is no longer sufficiently satisfying. 7. Severe mood changes related to sexual activity. 8. Inordinate amounts of time spent obtaining sex, being sexual, and recovering from sexual experiences. 9. Neglect of important social, occupational, or recreational activities because of sexual behavior. ©2013 Patrick J. Carnes, PhD /
  19. 19. SEXUAL DEPENDENCY VS. OTHER ADDICTIONS • • • Sexual addiction can be understood by comparing it to other types of addictions. Individuals addicted to alcohol or other drugs, for example, develop a relationship with their “chemical(s) of choice” – a relationship that takes precedence over any and all other aspects of their lives. Addicts find they need drugs merely to feel normal. In sexual addiction, a parallel situation exists. Sex – like food or drugs in other addictions—provides the "high" and addicts become dependent on this sexual high to feel normal. They substitute unhealthy relationships for healthy ones. They opt for temporary pleasure rather than the deeper qualities of "normal" intimate relationships. Sexual addiction follows the same progressive nature of other addictions. Sexual addicts struggle to control their behaviors, and experience despair over their constant failure to do so. Their loss of self-esteem grows, fueling the need to escape even further into their addictive behaviors. A sense of powerlessness pervades the lives of addicts. ©2013 Patrick J. Carnes, PhD /
  20. 20. BRAIN ACTIVATION DURING SEXUAL AROUSAL Activated region Normal Volunteer Non activated region
  21. 21. Comprehensive Treatment Approach 1. 2. 3. 4. 5. 6. 7. 8. 9. 10. Individual Therapy Group Therapy Twelve Step Meetings Sponsor Inpatient/Residential Treatment Family Participation Family Recovery/Therapy Couples/Marriage Recovery/Therapy Exercise/ Nutrition Medication Management
  22. 22. Additional Information
  23. 23. SexHelp For additional information about Dr. Patrick Carnes, links to other resources, current topics in research, and popular literature, go to: