Sex Addiction Overview 5 19 2016
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1. Sex Addiction Treatment: An Introduction Instructor: Dr. Dawn-Elise Snipes PhD, LPC-MHSP, NCC Executive Director, AllCEUs
2. Define Sex Addiction Discuss Similarities and Differences Between Drug Addiction and Sex Addiction Explore Interventions for Sex Addiction
3. A person, activity or substance used to escape from negative feelings (physical or emotional) despite experiencing negative consequences
4. Similar to Other Addictions ◦ Dopamine surge/High ◦ Cravings ◦ Triggers/Conditioned Stimuli ◦ Brain changes (Worse with younger age) ◦ May start as recreational ◦ Relationship, Financial, Emotional Problems
5. Differs from other addictions ◦ Biologically driven urge Eat, Sleep, Procreate Survive Coolidge Effect ◦ Cannot abstain forever ◦ “Socially sanctioned”
6. Needing more of the same substance to get the same high ◦ Tolerance Dopamine system self-regulating Coolidge Effect ◦ In response to worsening problems
7. Using more or for longer than intended ◦ Online porn sites, dating apps Novelty Unsuccessful efforts to cut down ◦ Biologically driven urge for stimulation as well as procreation
8. Spending significant time and/or resources (i.e. money) thinking about, preparing for, acquiring, using and/or recovering from use
9. Continued use despite negative consequences in one or more areas of life due to the addiction ◦ Relationship ◦ Financial ◦ Work ◦ Emotional (Anxiety, Motivation, Depression)
10. Driven by survival mechanisms ◦ Reduce pain (emotional, physical) ◦ Safety (Eliminate threats) ◦ Food/water Maintained by positive and negative reinforcement
11. ◦ Give your brain a rest from the rush ◦ Take care of yourself to allow your brain to recover Sleep Nutrition Exercise ◦ Consider pharmacological interventions ◦ Identify other things that make you (or used to make you) happy ◦ Find activities to occupy your time
12. Identify and eliminate or recondition things that trigger your cravings ◦ People, places, things (including TV shows), emotions, times of day ◦ Engage in competing behaviors Identify the function of your behavior and develop alternatives.
13. Only allow yourself to experience sexual pleasure with a single other person in a monogamous relationship. Understand that during the rewire, there may be a period when you cannot get aroused. Procreation is genetically programmed, once your brain recovers, arousal will be possible again.
14. Address loss of motivation through ◦ Goal setting ◦ Decisional balance exercises ◦ Rewards Remember that as the dopamine system recovers motivation will return
15. Live in the present instead of the past /future Observing/Awareness ◦ External and Internal ◦ Vulnerabilities and Assets Describing Accept without judgment Act with Awareness / Purposeful Action
16. Cope with crisis situations/urges in healthier, less self-destructive ways Examples: ◦ Urge Surfing ◦ Alternate activities Less problematic (ice) Active Distraction (Do 15)
17. Manage and tolerate your emotions Accept that sometimes your can’t change them or reduce their intensity Learn what makes your negative emotions worse Get support See the silver lining
18. Maintain healthy relationships Act assertively Take good care of yourself Don’t forget about karma