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Dr Stefanie Carnes: Complex Trauma in Women With Compulsive and Addictive Sexual Behaviour

Healing the Shame-Based Self in Sexual Recovery By Robert Weiss, LCSW, CAS Self-Nurturing Early recovery requires a clear and well-defined sexual plan that often requires a period of celibacy. Often times though, this leads to unhealthy judgment, sexual anorexia, and fear. Desperate to "recover right", most sex addicts are guarded about their early sexual choices and behaviors. Later in this article, I discuss some treatment approaches that encompass both the similarities and differences of other addictions. The mental health profession still struggles with accepting and working to develop agreed-upon diagnostic criteria for sexual addiction. The fifth edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM-5) does not acknowledge sexual addiction, but it is hoped that the next version of the DSM will acknowledge the congruence between behavioral and chemical addiction and include sexual addiction as a legitimate diagnosis. They don t look for treatment because they feel there is no addiction. The rationalizations and justifications that can come from the brain s survival part are alluring and convincing. When one participates in these behaviors long enough, it is as though they can no longer hear that voice inside of themselves telling them to stop. As an Atlanta counselor specializing in problematic sexual behavior patterns such as chronic pornography use, repeated acts of cheating and infidelity, risky sexual behavior and flat-out sex and porn addiction, I decided to write this brief article to sort out some of the basic concepts for understanding this tricky topic. I firmly believe that true recovery is not even remotely possible until all the cards are face up on the table. Secrecy fuels this addiction. Our therapist once mentioned the idea that it is better to be 100% honest and have integrity even if it means risking the shame and possibility of losing your comfort zone. He has also served as a Bible teacher, pastoral assistant, and music director at his local church. He's now the editor of the Covenant Eyes blog and the author of Allied: Fighting Porn With Accountability, Faith, and Friends. He lives in Hendersonville, North Carolina with his wife Ruby and daughter Winslow. 

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