Out of Control Sexual Behavior (Sex/Porn Addiction)
There is considerable debate about whether one can be addicted to sex and/or porn. See my blog post for more information re: this.
Difficulties I treat:
Excessive porn use
Making explicit or obscene phone calls to others
Regular use of escorts or prostitutes
Frequent attendance to strip clubs
Engaging in cybersex or phone sex
Purchasing and hiding sexually explicit content from family and friends
Displaying sexually offensive behaviors to others / engaging in sexual harassment
Partaking in risky sexual behaviors
Having anonymous sex with others
Preoccupation with thoughts that are sexual in nature
Obsession with sexual activity
Poor impulse control
Euphoria when anticipating or engaging in sexual activity
Feelings of guilt or shame following sexual encounters
Psychotherapy: Psychotherapy (aka: "talk therapy") can be helpful for individuals struggling with compulsive or out-of-control sexual behaviors. In therapy, I will help you define what healthy sexuality looks like for you, including an exploration of your personal values, consent, disease prevention, non-exploitation, honesty, and pleasure. I will help you work towards your goals utilizing empirically-based treatment from a non-judgmental stance.
Cognitive Behavioral Therapy: CBT is a type of psychotherapy that teaches individuals different ways of thinking, behaving, and reacting to situations. Often times, depression and/or anxiety go hand-in-hand with out of control sexual behaviors. Cognitive behavioral therapy helps the individual learn how to identify, challenge, and neutralize unhelpful/maladaptive thoughts.
Mindfulness: Research supports the use of mindfulness for the treatment of depression, anxiety, and shame by altering stress hormones and inflammatory markers. There are many types of mindfulness techniques that an individual can try including meditation, certain types of yoga, and mantras.
Medications: Medications do not cure out-of-control sexual behavior but can help with impulsivity and/or a co-occuring mood disorder. Medications are especially helpful in conjunction with psychotherapy.