OutoftheShadows

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Out of the Shadows : 

Out of the Shadows Patrick Carnes

Sexual Addiction : 

Sexual Addiction Recurrent Failure to Control Sexual Behavior Despite Negative Consequences

Comorbid Conditions : 

Comorbid Conditions Suicide 17%-72%, (Carnes, 2001) ETOH & Drug Dependence 42%-70%, (Washton, 1989) Eating Disorders 38%, (Carnes, 1992) Shoplifting, Gambling, Overspending Physical Violence Other Mental Illnesses Depression Obsessive-Compulsive Behavior

Addiction System : 

Addiction System

Addiction Cycle : 

Addiction Cycle

Levels of Addiction : 

Levels of Addiction

Cybersex : 

Cybersex Level I: Download Pornography Level II: Enter a Chat Room Level III: Child Molestation

Addiction & The Family : 

Addiction & The Family Role Behavior Mascot Clowning & Hyperactivity Hero Overachiever Scapegoat Delinquency Lost Child Loneliness Enabler Powerlessness Wegscheider Cruse, 1989

Twelve Step Program : 

Twelve Step Program I am unworthy No One Would Love Me My Needs are Never Going to Be Met Sex is My Most Important Need, or Sex is a Sign of Love (Coaddicts) I am worthwhile I am loved My Needs Can be Met By Others Sex is But One Expression of My Need and Care for Others

Therapy Process : 

Therapy Process Early Sessions Assessment Comorbidity Impact on Marriage and Family Time Spent Degree of Discomfort Hear Stories Express Reassurance

Therapy Process : 

Therapy Process Define the Cycle Identify Where in Cycle Externalize the Problem Support Healthy Coping Mechanism Middle Sessions Relationship Healing Facilitate Emotional Expression Forgiveness

Therapy Process : 

Therapy Process Relationship Healing Trust Managing Disclosures Setting Boundaries Closing Sessions Relapse Prevention External Barriers Guided Imagery Daily Reminders

Resources : 

Resources www.sexhelp.com www.gentlepath.com www.addictionresearch.com www.recoveryzone.com www.ncsac.org