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Six Types of Sex Use DisorderPresented by Douglas Weiss, Ph.D.March 22, 2017

Thomas Durham, PhDDirector of TrainingNAADAC, the Association for Addiction Professionalswww.naadac.orgtdurham@naadac.org

Produced ByNAADAC, the Association for Addiction Professionalswww.naadac.org/webinars

www.naadac.org/webinars

www.naadac.org/six-types-sex-use-disorder-webinar

CE CertificateCost to Watch:FreeCE HoursAvailable:1.5 CEsCE Certificate forNAADACMembers:FreeCE Certificate forNon-members: 20To obtain a CE Certificate for the time you spent watching thiswebinar:1.Watch and listen to this entire webinar.2.Pass the online CE quiz, which is posted r3.If applicable, submit payment for CE certificate or joinNAADAC.4.A CE certificate will be emailed to you within 21 days ofsubmitting the quiz.

Using GoToWebinar – (Live Participants Only) Control Panel Asking Questions Audio (phone preferred) Polling Questions

Webinar PresenterDouglas Weiss, an Association for Sex Addiction Therapy

Webinar Learning Objectives12Identify 6 Types of SexUse DisorderDelineate the Separate6 Types of Sex UseDisorder3Exposure to generaltreatment options for 6Types of Sex Use Disorder

#1 - Biological Sex Use Disorder By far the largest type

#1 - Biological Sex Use Disorder Most sex use disorders have this component

#1 - Biological Sex Use Disorder Starts with sex conditioning

#1 - Biological Sex Use Disorder Usually between 12 and 15 years old

#1 - Biological Sex Use Disorder Sex gives endogenous opiates to the brain

#1 - Biological Sex Use Disorder

#1 - Biological Sex Use Disorder Whatever your eyes see creates attachment

#1 - Biological Sex Use Disorder Real or imaginary

#1 - Biological Sex Use Disorder Most people with sex use disorders will have1,000’s of encounters withfantasy/pornography

#1 - Biological Sex Use Disorder Boot story/one leg story

#1 - Biological Sex Use Disorder This consistent reinforcement hijacks sexualtemplate

#1 - Biological Sex Use Disorder Person attaches and craves whatever theobject is

Polling Question #1Do you generally screen clients for Sex UseDisorder?Yes or No

#2 – Psychological Sex Use Disorder About 70-90% of sex use clients will have someform of psychological pain/disturbance inchildhood/adolescence.

#2 – Psychological Sex Use Disorder Approximately 80% will have experienced sexualtrauma.

#2 – Psychological Sex Use Disorder 90% will experience emotional trauma Emotional Trauma Divorce Death of parent

#2 – Psychological Sex Use Disorder 70% will experience physical abuse

The Sexual Use Disorder Person May: Look to medicate psychological pain Have compensating messages in the fantasyworld Get attached to the voice/message of the fantasyworld That message can be a powerful psychologicalreinforcer of the sex use disorder

Simply put, they medicate thepast or the pain in their soulswith acting out which is theirform of medicine.

Polling Question #2Have you seen clients medicate using asexual behavior?Yes or No

#3 – Spiritual Based Sex Use DisorderThis person with sexual use disorder is looking for a spiritual connection in all thewrong places. In recovery we talk about our spiritual hole. This person puts sexin this hole and finds it doesn't scratch the itch over time.He or she may have a spiritual awakening of some type and the sexual behaviorsthat were out of control cease. They filled their hole and now pursue sex in ahealthy manner.Every person who has a sex use disorder wishes this was their experience. Ihave worked with medicine men, new agers, Muslims, Hindus, Rabbis, Pastorsand Priests, all who had a spiritual experience but still maintained their sex usedisorder. I understand this personally and still had to do the healing work after myspiritual awakening to heal from my own sex use disorder.

#4 – Trauma Based Sex Use DisorderA person with a trauma based sex use disorder has experienced sexual trauma(s) as a childor adolescent. This trauma becomes the major repetitive behavior in his sex use disorder.If the person with this sex use disorder has experienced a particular trauma then this traumabehavior becomes the addict's predominant fantasy, porn selection and reenactment in hissex addiction. The 13 year-old boy who is sexually abused by a 30 year-old married womanwhich continues past high school repeats this behavior by having multiple affairs of aconsistent theme. All of his affairs included women who were 15 years or more older thanhim.For the trauma based sex use disorder the trauma determines the flavor of the sexual usedisorder. Here trauma work will need to be address for the addict to heal.

Polling Question #3I have seen sexual abuse survivorsstruggle with sex use disorder.Yes or No

#5 – Intimacy Anorexia Based Sex UseDisorderIn earlier research we determined 29 percent of those with sex usedisorders fit into the category of Intimacy Anorexia. This subject iscovered in great detail in the Intimacy Anorexia DVD as well as the DVDfor the spouse of the person with sex use disorder called Married andAlone as well as the 30-hour Intimacy Anorexia Training by AASAT.

#5 – Intimacy Anorexia Based Sex UseDisorder1. Staying very busy to avoid partner time

#5 – Intimacy Anorexic Based Sex UseDisorder2. Blaming partner for everything

#5 – Intimacy Anorexia Based Sex UseDisorder3. Withhold love

#5 – Intimacy Anorexia Based Sex UseDisorder4. Withhold praise or appreciation

#5 – Intimacy Anorexia Based Sex UseDisorder5. Withholding sex

#5 – Intimacy Anorexia Based Sex UseDisorder6. Withholding spiritual connection

#5 – Intimacy Anorexia Based Sex UseDisorder7. Unable to share feelings

#5 – Intimacy Anorexia Based Sex UseDisorder8. Criticism causing isolation

#5 – Intimacy Anorexia Based Sex UseDisorder9. Control by silence/anger

#5 – Intimacy Anorexia Based Sex UseDisorder10. Control/Shame with money

Polling Question #4I have heard of Intimacy Anorexia beforethis training.Yes or No

#6 – Depression Based Sex Use DisorderSome with sex use disorder in adolescence or young adulthood have chemical imbalances.This young person finds the sexual release as a way to medicate or alter their chemicalimbalance. He then uses this sexual response quite regularly and over time creates a sexuse disorder. In a journal article I wrote called The Prevalence of Depression in Male SexAddicts Residing in the United States I discovered that 28% of males with sex use disordersuffered from depression.A second common chemical imbalance that I see in my practice with sex use disorder isCyclothymic Disorder. This is a slight up and down in mood usually experienced by theclients as a funky day on a weekly or so basis. A person with this sex use disorder will needto do all of the recovery work in addition to seeing a psychiatrist for possible medication forthe mood disorder.

Assessment Look at your assessment form Start with Mom/Dad questions Addictions Abuse Close/Distant These answers can give possible psychological origins

Assessment Masturbation history Frequency for each decade Ask about porn % of masturbation for each period This can determine biological Ask about primary porn type for trigger information

Assessment Ask depression questions

Assessment Ask Intimacy Anorexia questions Ask if spouse is answering If severely IA ask Schizoid question

Assessment Sex history questions Ask age, other person’s age, length or relationship ormarriages This can reveal abuse/sex use patterns

Treatment: Biological Rubber band 5 Commandments Consequences

Treatment: Psychological Anger/grief/forgiveness work

Treatment: Spiritual Stay connected to their community

Treatment: Trauma Anger/grief/forgiveness work EMDR or other modalities

Treatment: Intimacy Anorexia 3 dailies IA group IA materials Sex Agreement

Treatment: Depression Recovery See psychiatrist

3 Hour Free CEUs – http://bit.ly/freeceusVideos that go deeper into this subjectTrainings Available at http://aasat.orgUse coupon code NAADAC at checkout for 100 off! (Expires March 25!)

Thank You!Douglas Weiss, an Association for Sex Addiction Therapy

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Some with sex use disorder in adolescence or young adulthood have chemical imbalances. This young person finds the sexual release as a way to medicate or alter their chemical imbalance. He then uses this sexual response quite regularly and over time creates a sex use disorder. In a journal article I wrote called The Prevalence of Depression in Male Sex Addicts Residing in the United States I .