Compulsive Sexual Behavior

by Patricia Fadem·1 view·Updated Jun 17, 2022

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Hi this is Trish madam presenting a compulsive sexual behavior.
Excuse this line. And you feel like this. I don't know.
Um So
this is my experience of presentation and I talked about
pretty much based on someone in my life and which is why it's a scary subject.
But let me discuss first some of the key issues of compulsive sexual behavior
basically um
Thank you
wow.
It used to be sexual addiction and then it got changed to
impulse compulsive behavior
actual behavior disorder.
But that was with the ball
organization i. c. d. 11
CSM five
no longer has sex addiction
and
wow.
Mhm.
So yeah they have other sexual
disorders
where this would fall under.
Um
But basically the key issues are
a
compulsive
urge.
An impulsive urge
to do repeated sexual behavior but
it can't just be you know because it's socially acceptable
but it's an issue. It's because it's
has creates real distress in the person's life. So
it becomes the focus of their life.
They start to neglect their health and personal care and responsibilities
um you know effects their relationships or jobs
and they have made some
effort to stop these issues
and
to no avail.
So
um
yes so specifically like has to be
issues where
they can't help themselves no matter how they try.
And the behavior isn't just socially unacceptable. It's
funny.
Yeah
not good for their functioning of
their lives.
So some
underlying
shoes I wanted to
add in there
um is from um
the readings that I did
that there are
a lot of um
the main issues have underlying issues and
the underlying issues are trauma attachment ruptures.
This article reference here talks about
how
these attachments and ruptures
causes that anxious attachment
and that anxiety creates that lack of impulse control.
Um
And then
it also creates this
regulation in your emotions
and how sex can be a way to calm that.
Um
But it's not a conscious um
like oh healthy way of motion. Sex can be a very healthy way to mostly regulate,
but in this case it's a compulsive, it's compulsory.
So um
it's not done enough.
No way that's healthy.
Um They also talked about how
um a lot of therapies talked about experiential avoidance. So
in this case we're using sex specifically to avoid
your experience how you feel in the moment
your emotions. Um
So it's like they keep
impulsively
impulsively reaching out
for sex
in order to avoid
feeling their feelings being themselves.
And then they're also talking about potential biological issues.
One of them being a brain injury could actually be a cause of
um compulsive sexual behavior
that there's impulse controls of the brain
that
could get damaged and could lead to
um
that's disorder.
Huh?
So um
there is not much evidence based for treatment. There hasn't been a lot
research done in this area,
but there is evidence that S. S. R. I. S. And um
other there's another type of drug
opioid agnostics, which is what's enough.
Mel trick zone is
um
can reduce symptoms of
yes,
relief from
that impulse
impulsiveness of the sexual behavior.
Um
the article
talked also about the integrated bio psycho social model and
it included mindfulness and mindfulness is
the actual illness but included mindfulness
and then setting boundaries.
So
um what they talked about is not
that's you know,
I think with sex addiction a lot of times we'll have like a stock sex altogether.
Um this is more of a sex positive model where um
it's more about creating boundaries and just being aware when you do
several of the boundaries, what was going on? How was it
actually recognizing that,
you know,
seven boundaries and maybe family is part of
the treatment,
but just being aware this time and being able to communicate with your therapist,
working through that
um group family and family therapy is part of that model.
So,
um
creating a sexual autobiography
including in that family therapy kind of systemic understanding
your
the systemic
causes of your sexual beliefs,
behavior
and
um next will be um
the identity development repairs part of that model.
So they really talked about that um family systems can create
a lack of self esteem and a person.
So depending on how you're raised and the secure nous of your attachment trauma,
it can cause most of esteem and then when you get to a
sexual age
and you start having sex,
it can start to fill that sense of unworthiness or low self esteem
and then you kind of become reliant on sex to fill that gap.
But then it's a self perpetuating cycle because
yeah,
doing sexual behaviors that are
you feel ashamed about
or that are hurting your life, your functioning,
which is going to make yourself seem works which is going to
make you need more sex to fulfill that lack of self esteem.
So part of that model is also in
um
includes
building self esteem and identity repair.
Um And then they also talked about that model building intimacy um
and repairing intimate relationships
as well as um developing positive sexuality and healthy
um
sexual well being of the person.
And then the next training model is mindfulness
which is included in everything that I read.
Mindfulness really stood out. Um
basically it has a large impact on impulse control in general.
Oh,
slows down your awareness the present moment and what that
can do is make you more sensitive and empathetic others.
And
wow,
just start to notice when you're
needs for
that compulsive behavior
um
start to feel what that is and you can more control
over
you know what you want to choose.
This is just following the impulse.
So mindfulness came up a lot in my readings
and as a therapy for this um
there was an article
about psychedelic assisted therapy,
very interested in that. I'm hoping that it will become legal in California.
Um and it's you know been shown to be helpful in
other types of addiction that the compulsive sexual favor is an addiction
it kind of goes back and forth I guess. But
um
deeming
why
also helps in that
experiential avoidance that I was talking about earlier.
So
um
yes it helps kind of embrace life except life those kind of things.
But it's very important that it's done not
just psychedelics that it's done with therapy.
Um
There's also like mindfulness techniques along with it that came up.
They also talked about
that. There's a lot of
basically reprogramming of your behaviors that happens during psychedelics.
Um They called it brain entropy
and they're basically creates more neural plasticity
and you can
train patterns of behavior. So when you have compulsive behavior
you know
your neural pathways are just getting re ingrained all the time.
And then the psychedelic therapy can help
train new neural pathways
and new forms of behavior
and then next is trauma focused therapies that was included
in the interfered by yourself for social models as well.
But um
I some of the examples are the E. M. D. R.
And the one that I'm very interested in is somatic experiencing by daniel Levine.
So um
yeah because of
the
a lot of the roots of this is a trauma trauma of um
like the attachment traumas and
things I thought I can cause this
anxiety and
um wanting to avoid and if you kind of deal with the
root of those factors which is the trauma itself could be,
that's sort of the body that you're trying to avoid,
could help relieve a lot of these symptoms.
Okay. And then next strategies for councilor growth.
So first I put personal therapy, I've
based my scary subject on
my biological father and
I have seen the therapist specifically for that issue and
I continue to work on it all the time.
Um
And yeah, I think that's always for any accounting situation,
it's good to do your own therapy.
Um continue training. So I am very excited to be,
you know, trained in somatic experiencing and I finished this training,
finished going um
I'm also interested in
Ghabra Montana's training on compassion. I think it's called it
compassionate inquiry is his
method.
He's worked very closely with addiction and again, not this addiction,
but it's very similar like impulse control behavior.
And I think a compassionate model just sounds like
it would be very beneficial.
Um So
like integrated psychosocial mild talks about
um
that you're for treatment,
setting boundaries of healthy behavior for each individual.
But as a therapist,
I need to model that I need to have my own
boundaries and I have to feel clear on that and then
able to
um
model and help them my client develop them as well.
So
I think that um
yeah, just for myself, getting stronger in developing
my own healthy boundaries will help my clients,
it will do the same
and then mindfulness yoga. So um
I've been a yoga practitioner for a long time. And when I
I'm very
more disciplined in my practices,
I'm just better capable of
my own ability to
have
impulse control and have
body awareness.
How's empathy has
um
just
full presence with another person. So
those are my
strategies for counselor growth.
So,
so thank you for watching my presentation and
uh that that answered all the questions. Thank you.