May 21st, 2011
We know that addiction can go beyond drug use, but are we becoming addicted to making our bodies perfect?
I put “addiction” in parentheses here because I think it’s important to distinguish substance-related addictions from behavioral ones. There’s no doubt that people’s behavior can become compulsive in the same way addicts become compulsive about using, but I’ve seen no evidence that behavioral addictions interfere with brain function in the way that cocaine, methamphetamine, and opiates alter actual brain mechanisms.
Still, this recent trend of obsessive plastic surgery is a dual-headed “addiction”, one that is both physical and social. In many ways, people are now able to change aspects of their being that were once thought unalterable including their own physical appearances. To gain social acceptance, if you have money, you now have new tools!
This may also play a big role for those who are love addicted, at least if they have money… Read the rest of this entry »
|Posted in: Education, Opinions, Prescription, Tips
Tags: addiction, antisocial, behavioral addictions, body image, celebrity, death, drug use, hollywood, hormones, love addicted, love addiction, love addicts, medical procedures, medicalization, medication, michael jackson, michael jackson's death, my addiction, people, perfectionism, pill, plastic surgery, prescription, relationship addiction, sex addiction, social, society, surgery
November 26th, 2009
Contributing co-author: Andrew Chen
We’ve already talked about the fact that sex addiction (or love addiction) is defined by the inability to regulate sexual behavior despite negative consequences. We also mentioned already that it affects millions of Americans.
Addictive sexual behaviors can range from compulsive masturbation and porn watching, to compulsive cheating, to pedophilia. If left untreated, sexual addiction can severely interrupt daily functions and prevent meaningful relationships from forming. Fortunately, specialized treatment centers for sexual addiction are becoming more and more available. In fact, David Duchovny, an actor known to have sexual compulsion issues, just checked himself into one of those treatment centers.
Sex addiction help options
There is a number of behavioral and pharmacological therapies that are commonly used to treat compulsive sexual disorders. This review of sex addiction help options is not exhaustive by any means, but it’s long, so take your time:
– Individual therapy can help patients address any underlying issues that may be contributing to their abnormal sexual behavior. Surveys of sex addicts show that up to 40% have anxiety disorders, 50% have substance abuse disorders, and 70% have mood disorders (1). Resolving these issues can greatly increase a patient’s chances for a successful recovery from sexual compulsion. There are many different forms of individual-psychotherapy, including Freudian, humanistic, and object centered. The important thing is to find a therapist that fits the patient’s individual style and that makes them feel comfortable.
– Cognitive-behavioral therapy (CBT) is very common in treating sexual addiction. CBT teaches its patients to correct irrational thoughts, beliefs, and feelings that lead to addictive sexual behavior (1). In practice, this is often done by role playing, journal keeping, and actual workbook homework. By adopting a healthy mindset, patients can better understand their urges and prevent relapse into unhealthy sexual behaviors. CBT can be practiced within individual sessions or as a form of group therapy.
– Group therapy and 12-step programs based on the Alcoholics Anonymous model provide a non-hostile environment where patients can share their experiences and provide support for each other during recovery. Shame, a major issue for sexual addiction, is often best dealt with in a group setting. (2)
– Family counseling and couples counseling are also common during recovery. Counseling can help rebuild trust and intimacy that has been lost as a result of compulsive sexual behavior (3). Like individual therapy, these forms of counseling allow for a slightly more tailored, personal approach.
– Drug therapy may be used in conjunction with psychotherapy to treat sexual addiction. Selective serotonin reuptake inhibitors (SSRIs) and lithium have been reported to reduce the frequency and intensity of urges to engage in addictive sexual behaviors (2). In more serious cases of sexual addiction such as sexual predation, gonadotropin-releasing hormone and chemical castration agents may be administered to reduce sexual drive. These forms of therapy can allow a reduction in the compulsions that drive the behavior, sometimes allowing the patient to better focus on the therapeutic efforts.
Sex addiction bears great resemblance to substance abuse. However, the goal in treating sexual addiction is not abstinence, but the development of healthy sexual practices (who wants a life without sex?). Compared to substance abusers, it generally takes longer for sex addicts to adopt a healthy lifestyle.
What to expect from sex addiction help
The first year is the most turbulent and poses the greatest risk for relapse as the patient is often experiencing difficulties with their occupation, relationships, or health as a result of their addiction. From the second year of recovery and onward, patients begin to regain the ability to form meaningful relationships and move forward in their personal life (4). However, patients often find that the struggle with their addiction is ongoing, at least for the first few years of their “recovery.” Considering how long it took for the unhealthy habits to develop, it’s no surprise that a substantial amount of time is often needed to reconfigure them.
The important thing is to have support and to take your time. Success often comes on the 2nd, 3rd, or even on a later treatment attempt. If the motivation is there, the chance of beating sexual addiction is good. Keep your focus and try different options or combinations. As always, feel free to email me with questions.
1. Briken, P., Habermann, N., Berner, W., and Hill, A.(2007) Diagnosis and Treatment of Sexual Addiction: A Survey among German Sex Therapist, Sexual Addiction & Compulsivity,14:2,131 – 143
2. Schneider, J.P. & Irons, R.R. (2001) Assessment and treatment of addictive sexual disorders: Relevance for chemical dependency relapse, Substance Use & Misuse, 36(13).
3. Salisbury, R.M.(2008) Out of control sexual behaviours: a developing practice model, Sexual and Relationship Therapy,23:2,131 – 139
4. Goodman, A. (1998) Sexual addiction: Diagnosis and treatment, Psychiatric Times, 15(5)
|Posted in: Education, For addicts, For others, Sex, Tips, Treatment
Tags: 12 step, CBT, celebrity, cognitive behavioral therapy, couples counseling, family counseling, group therapy, love addiction, love addicts, porn addiction, porn addiction help, Sex, sex addiction, sex addiction help
November 5th, 2009
What do you think of when you hear the words “sex addict“? Do you imagine someone who has sex dozens of times a day? Someone who owns a lot of sex toys? Someone who spends all their time immersed in pornography?
While all of these scenarios, and others, can identify someone with a sexual addiction, the crucial part of identifying an addict has to do with the consequences of the behavior and the person’s inability to control them. That being said, sex addiction is a relatively recent idea. In fact, it’s sometimes called love addiction instead.
So what is sex addiction?
A sexual addict experiences the same type of uncontrollable compulsions that others feel in different forms of addiction (like substance, alcohol, gambling, shopping, etc). In his book (Out of the Shadow: Understanding Sexual Addiction) Carnes talks about the compulsive sexual behavior as guiding a misperception of the self.
In simple words: Sex addicts’ view of themselves depends on their relationship with sexual behavior. Since they often find themselves unable to control the behavior, they often have trouble with their self-image.
What is sex addiction NOT?
Let us look at some of the NOTS of sexual addiction. Sex addicts are not people who are just hypersexual and get satisfied with their sexual behaviors; rather, they are often not satisfied with the sexual activities that they engage in. Sex addicts are not necessarily Casanovas, but are often normal functioning people who find themselves having to hide their compulsive sexual urges.
While some sex addicts do pay for sex, others are compulsive about watching porn and others simply struggle with monogamy. The point is, the stigma of sex addicts as predatory child molesters needs to be put to rest.
How common is sex addiction?
Sex addiction is a major problem in our society. Some estimate that as many as 15 million people in the U.S. are sexual addicts (roughly 8% of all men and 3% of women). Easy access to porn offered by the internet has most likely increased the prevalence of sexual addiction in the past decade. In fact, for most people getting porn addiction help specifically is the problem.
The costs for those suffering from sex addiction are also numerous: Relationships and families are disrupted and destroyed, the addict’s self-esteem diminishes as they are unable to be productive in other areas of their life; illegal activity (like prostitution) ends up causing arrests, and health is often affected through the contraction of diseases.
Am I a sex addict?
Now, don’t immediately assume that you are a sex addict because you fantasize about sex a lot. But how does one know if they are addicted to sex?
The simple rule is: no impairment, no addiction.
On the other hand, if day to day functioning is affected by the behavior (in this case, something sexual), this may be an indication of a problem. So, whether it be having sex often, thinking of sex, or even just being extremely horny, if it’s making a person’s daily activities or relationships dysfunctional and if they are unable to control their behavior they may be defined as a sex addict.
In future posts we will look more into the symptoms, forms, theories, and treatments related to sex addiction. In the mean-time, keep reading, and if you feel brave enough, share your story; who knows, you may be able to help someone else who is love addicted!!!
Sex addiction help from All About Addiction
If you need help finding treatment for your own, or a loved one’s sex addiction, make sure to give our Rehab-Finder a try: It’s the only evidence-based, scientifically created, tool for finding rehab anywhere in the United States!
|Posted in: Education, Sex
Tags: addicted sex, addiction, addiction help, addicts, behavior, finder, internet, love addicted, love addiction, love addicts, molesting, porn addiction help, pornography, prostitute, prostitution, rehab, rehab finder, Sex, sex addict, sex addiction, sex addiction help, sex addicts, sexaholics, sexual, sexual addiction, unable control behavior
July 19th, 2009
As you may recall from an earlier post, a friend of mine, Brian, has been struggling to get some control over his sex addiction.
I had referred him to a number of clinics that treat sex-addiction specifically, and to Sex Addicts Anonymous (sometimes known as sexaholics anonymous) as a starting point. I’m not at all surprised that he hasn’t followed up with either of these for now, since his addiction has only recently become an issue he recognizes and though the costs are obvious, they’re not staggering, yet.
The concept of addiction to sex is relatively recent (see 1st citation, in 1991). Still, it’s relationship to substance-use and dependence in terms of predictors, determinants, and progression have been mentioned from the very beginning and are still being examined today.
The issue for most people here is the absence of any drug that’s being taken in, which makes them doubt the validity of looking at the two conditions as one.
In my earlier posts on the pharmacological actions of cocaine and meth, I talked about how it is that those drugs activate that neural systems that control rewards in ways that are unnatural. There is little doubt that the “help” provided by these chemicals makes the link between their initial use and later, compulsive use, easy to follow.
Still, repeated exposures to a rewarding stimulus (like sex) can themselves set up behaviors that seem reinforced, but that are maladaptive (as in bad for them). The search for internal reinforcement through repeated sexual encounters, pursuits, and preoccupation would be the pattern common to many sex addicts.
By consistently making them feel better (sexual release results in more dopamine in the brain as well), a pattern develops that may lead certain individuals to seek the reward whenever they need reinforcement. Once such a pattern develops, the road to compulsion, is not too long. This is especially true for those who already have low impulse control, for whatever reason, as I discussed earlier.
Brian’s issue is certainly his need for ego reinforcement, and his brain has learned that the attention of a woman provides that in bulk. The problem is, as I’d pointed earlier, that many areas of his life, including his ego when he ends up not keeping up with other responsibilities, end up being damaged in the process.
This sets up the all too familiar cycle of ups and down common to many addicts. To those who know him, the fact that Brian’s priorities are “screwed-up” is no secret.
Brian at least recognizes his pattern now and perhaps, if the roller-coaster ride become too extreme, he may decide that it really is time to do something about it. One thing is certain, he recognizes that he is likely a sex addict.
In the meantime, the age of the internet has provided immediate access to sexual content, which makes relapse all to easy for sex addicts. I recommend putting a lock on your own computer that is controlled by someone else if that is part of your sexual addiction. Having someone to talk to that you feel comfortable enough to share urges when they do come up can be of great help too. This is where 12-step groups come in handy for most people. It’s hard to talk to most people about things we find shameful unless they too have had the same problems…
Question of the day:
If sex-addiction is your problem, what have you found can help you in best resisting the compulsive urges?
Schneider, J. P. (1991). How to recognize the signs of sexual addiction. Asking the right questions may uncover serious problems. Postgraduate Medicine – Sexual Addiction, VOL 90 (6).
|Posted in: Addiction Stories, Cocaine, Education, For addicts, Sex, Sex, Tips
Tags: 12 step, love addicted, love addiction, love addicts, porn addiction, porn addiction help, pornography, Sex, sex addiction, sex addiction help, sex addicts anonymous, sexaholic, sexaholics