Crystal Meth and Sex Addiction

Transcription

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2 Crystal Meth and Sex Addiction Robert Weiss LCSW, CSAT Founding Director The Sexual Recovery Institute

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4 Sex Addiction is Not

5 Sex Addiction is Not A Moral or Religious Stance

6 Sex Addiction is Not A Moral or Religious Stance Fun

7 Sex Addiction is Not A Moral or Religious Stance Fun Same Sex Interest or Activity

8 Sex Addiction is Not A Moral or Religious Stance Fun Same Sex Interest or Activity Fetish

9 Sex Addiction is Not A Moral or Religious Stance Fun Same Sex Interest or Activity Fetish Crystal Meth Addiction

10 Sex Addiction is Not A Moral or Religious Stance Fun Same Sex Interest or Activity Fetish Crystal Meth Addiction Sexual Offending

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12 The Diagnosis Follows the Characteristics of All Addictions

13 The Diagnosis Follows the Characteristics of All Addictions Criteria for assessing Sex Addiction closely parallels guidelines for assessing Substance Dependency, Alcoholism, and Compulsive Gambling:

14 The Diagnosis Follows the Characteristics of All Addictions Criteria for assessing Sex Addiction closely parallels guidelines for assessing Substance Dependency, Alcoholism, and Compulsive Gambling: Loss of control

15 The Diagnosis Follows the Characteristics of All Addictions Criteria for assessing Sex Addiction closely parallels guidelines for assessing Substance Dependency, Alcoholism, and Compulsive Gambling: Loss of control Continuation despite adverse consequences

16 The Diagnosis Follows the Characteristics of All Addictions Criteria for assessing Sex Addiction closely parallels guidelines for assessing Substance Dependency, Alcoholism, and Compulsive Gambling: Loss of control Continuation despite adverse consequences Obsession or preoccupation

17 The Diagnosis Follows the Characteristics of All Addictions Criteria for assessing Sex Addiction closely parallels guidelines for assessing Substance Dependency, Alcoholism, and Compulsive Gambling: Loss of control Continuation despite adverse consequences Obsession or preoccupation

18 The Diagnosis Follows the Characteristics of All Addictions Criteria for assessing Sex Addiction closely parallels guidelines for assessing Substance Dependency, Alcoholism, and Compulsive Gambling: Loss of control Continuation despite adverse consequences Obsession or preoccupation The presence of all three criteria operationally defines addiction to any drug or behavior

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20 Typical Sex Addict Behaviors

21 Typical Sex Addict Behaviors Compulsive Use of Porn (with or without masturbation)

22 Typical Sex Addict Behaviors Compulsive Use of Porn (with or without masturbation) Anonymous Sex (met online or in sex clubs etc.)

23 Typical Sex Addict Behaviors Compulsive Use of Porn (with or without masturbation) Anonymous Sex (met online or in sex clubs etc.) Adult Bookstores and Strip Clubs

24 Typical Sex Addict Behaviors Compulsive Use of Porn (with or without masturbation) Anonymous Sex (met online or in sex clubs etc.) Adult Bookstores and Strip Clubs Sexual Exchange (i.e. Drugs or Favors for Sex)

25 Typical Sex Addict Behaviors Compulsive Use of Porn (with or without masturbation) Anonymous Sex (met online or in sex clubs etc.) Adult Bookstores and Strip Clubs Sexual Exchange (i.e. Drugs or Favors for Sex) Prostitutes and Sensual Massage

26 Typical Sex Addict Behaviors Compulsive Use of Porn (with or without masturbation) Anonymous Sex (met online or in sex clubs etc.) Adult Bookstores and Strip Clubs Sexual Exchange (i.e. Drugs or Favors for Sex) Prostitutes and Sensual Massage Fusing Sex and Drugs - Cocaine, Meth, Alcohol etc.

27 Typical Sex Addict Behaviors Compulsive Use of Porn (with or without masturbation) Anonymous Sex (met online or in sex clubs etc.) Adult Bookstores and Strip Clubs Sexual Exchange (i.e. Drugs or Favors for Sex) Prostitutes and Sensual Massage Fusing Sex and Drugs - Cocaine, Meth, Alcohol etc. Constant Cruising, Intriguing, Objectifying, Seduction

28 Typical Sex Addict Behaviors Compulsive Use of Porn (with or without masturbation) Anonymous Sex (met online or in sex clubs etc.) Adult Bookstores and Strip Clubs Sexual Exchange (i.e. Drugs or Favors for Sex) Prostitutes and Sensual Massage Fusing Sex and Drugs - Cocaine, Meth, Alcohol etc. Constant Cruising, Intriguing, Objectifying, Seduction Multiple Affairs / Anonymous Infidelity

29 Typical Sex Addict Behaviors Compulsive Use of Porn (with or without masturbation) Anonymous Sex (met online or in sex clubs etc.) Adult Bookstores and Strip Clubs Sexual Exchange (i.e. Drugs or Favors for Sex) Prostitutes and Sensual Massage Fusing Sex and Drugs - Cocaine, Meth, Alcohol etc. Constant Cruising, Intriguing, Objectifying, Seduction Multiple Affairs / Anonymous Infidelity Abusing Power Relationships for Sex - Predatory

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31 Addicted to sex?

32 Addicted to sex? Increased Heart Rate

33 Addicted to sex? Increased Heart Rate Shallow Breathing

34 Addicted to sex? Increased Heart Rate Shallow Breathing Perspiration- palms, underarms, etc.

35 Addicted to sex? Increased Heart Rate Shallow Breathing Perspiration- palms, underarms, etc. Rush or Intensity Feeling

36 Addicted to sex? Increased Heart Rate Shallow Breathing Perspiration- palms, underarms, etc. Rush or Intensity Feeling Reduced Intellectual Functioning

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38 ADDICTS CALL IT The Bubble The Trance Spaced Out Therapists think... Dissociative State Mood Alteration Trauma

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40 In 12-Step Language...

41 In 12-Step Language... POWERLESS!

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44 Substances of Mood

45 Substances of Mood Serotonin

46 Substances of Mood Serotonin Dopamine (meth pleasure machine)

47 Substances of Mood Serotonin Dopamine (meth pleasure machine) Adrenaline

48 Substances of Mood Serotonin Dopamine (meth pleasure machine) Adrenaline Endorphins

49 Substances of Mood Serotonin Dopamine (meth pleasure machine) Adrenaline Endorphins Oxytocin the cuddle chemical

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51 Sex Addiction is not about orgasm, it s about the search for sex and desire for orgasm. It s a Process Addiction.

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53 Process Addictions

54 Process Addictions Gambling Internet Gaming Workaholism Binge Eating Sex Exercise Spending High Risk Behaviors

55 Challenges Specific to Gay Male Sex Addicts

56 Challenges Specific to Gay Male Sex Addicts Cultural: Differing Cultural Sexual Behavior Norms

57 Challenges Specific to Gay Male Sex Addicts Cultural: Differing Cultural Sexual Behavior Norms Cultural: History of HIV / AIDS

58 Challenges Specific to Gay Male Sex Addicts Cultural: Differing Cultural Sexual Behavior Norms Cultural: History of HIV / AIDS Childhood: History of social isolation and/or hiding self, homophobia

59 Challenges Specific to Gay Male Sex Addicts Cultural: Differing Cultural Sexual Behavior Norms Cultural: History of HIV / AIDS Childhood: History of social isolation and/or hiding self, homophobia Childhood: Double life/self is learned coping mechanism

60 Challenges Specific to Gay Male Sex Addicts Cultural: Differing Cultural Sexual Behavior Norms Cultural: History of HIV / AIDS Childhood: History of social isolation and/or hiding self, homophobia Childhood: Double life/self is learned coping mechanism Adult: Lack of cultural boundaries for potentially problematic excess- extended adolescence

61 Challenges Specific to Gay Male Sex Addicts Cultural: Differing Cultural Sexual Behavior Norms Cultural: History of HIV / AIDS Childhood: History of social isolation and/or hiding self, homophobia Childhood: Double life/self is learned coping mechanism Adult: Lack of cultural boundaries for potentially problematic excess- extended adolescence Adult: Lack of Cultural Validation for Intimacy Building

62 Challenges Specific to Gay Male Sex Addicts Cultural: Differing Cultural Sexual Behavior Norms Cultural: History of HIV / AIDS Childhood: History of social isolation and/or hiding self, homophobia Childhood: Double life/self is learned coping mechanism Adult: Lack of cultural boundaries for potentially problematic excess- extended adolescence Adult: Lack of Cultural Validation for Intimacy Building Adult: Male to Male relationships are harder to maintain as intimate, because we re men

63 The problems that show up when meth is added to this mix are a relapse waiting to happen

64 The problems that show up when meth is added to this mix are a relapse waiting to happen 1.Fusion - how I went to find sex involves many of the same situations and triggers for where I went for drugs and vice/versa (relapse prevention problem)

65 The problems that show up when meth is added to this mix are a relapse waiting to happen 1.Fusion - how I went to find sex involves many of the same situations and triggers for where I went for drugs and vice/versa (relapse prevention problem) 2.Intensity - the sex I had when high was so intense that sober sex seems boring & vanilla now (relapse prevention problem)

66 The problems that show up when meth is added to this mix are a relapse waiting to happen 1.Fusion - how I went to find sex involves many of the same situations and triggers for where I went for drugs and vice/versa (relapse prevention problem) 2.Intensity - the sex I had when high was so intense that sober sex seems boring & vanilla now (relapse prevention problem) 3. Emotional Needs -I don t know how to love and be loved by a man and have that be enough

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70 What makes online sex so popular and so exciting?

71 What makes online sex so popular and so exciting? ACCESSIBILITY

72 What makes online sex so popular and so exciting? ACCESSIBILITY AFFORDABILITY

73 What makes online sex so popular and so exciting? ACCESSIBILITY AFFORDABILITY ANONYMITY Adapted from the Triple-A Engine Al Cooper PhD. 1998

74 Adapted from the Triple-A Engine Al Cooper PhD. 1998

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79 Consequences of Compulsive Sex

80 Consequences of Compulsive Sex Loss of time for work, community, recreation

81 Consequences of Compulsive Sex Loss of time for work, community, recreation Relationship loss

82 Consequences of Compulsive Sex Loss of time for work, community, recreation Relationship loss HIV and STD transmission

83 Consequences of Compulsive Sex Loss of time for work, community, recreation Relationship loss HIV and STD transmission Loss of job because I leave work to have sex

84 Consequences of Compulsive Sex Loss of time for work, community, recreation Relationship loss HIV and STD transmission Loss of job because I leave work to have sex Loss of job because I have sex at work

85 Consequences of Compulsive Sex Loss of time for work, community, recreation Relationship loss HIV and STD transmission Loss of job because I leave work to have sex Loss of job because I have sex at work Guilt and shame due to keeping secrets

86 Consequences of Compulsive Sex Loss of time for work, community, recreation Relationship loss HIV and STD transmission Loss of job because I leave work to have sex Loss of job because I have sex at work Guilt and shame due to keeping secrets Decreased interest in sex with same partner

87 Consequences of Compulsive Sex Loss of time for work, community, recreation Relationship loss HIV and STD transmission Loss of job because I leave work to have sex Loss of job because I have sex at work Guilt and shame due to keeping secrets Decreased interest in sex with same partner Increased preoccupation with sex and objectification

88 Consequences of Compulsive Sex Loss of time for work, community, recreation Relationship loss HIV and STD transmission Loss of job because I leave work to have sex Loss of job because I have sex at work Guilt and shame due to keeping secrets Decreased interest in sex with same partner Increased preoccupation with sex and objectification Increased isolation, substance abuse

89 Consequences of Compulsive Sex Loss of time for work, community, recreation Relationship loss HIV and STD transmission Loss of job because I leave work to have sex Loss of job because I have sex at work Guilt and shame due to keeping secrets Decreased interest in sex with same partner Increased preoccupation with sex and objectification Increased isolation, substance abuse Can t create a relationship

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91 Treatment is the Reclaiming of Reality

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93 And Sexual Sobriety is

94 And Sexual Sobriety is A clear and well defined written plan

95 And Sexual Sobriety is A clear and well defined written plan Based on your personal goals

96 And Sexual Sobriety is A clear and well defined written plan Based on your personal goals Mutually agreed upon with another sexually sober person

97 And Sexual Sobriety is A clear and well defined written plan Based on your personal goals Mutually agreed upon with another sexually sober person Signed

98 And Sexual Sobriety is A clear and well defined written plan Based on your personal goals Mutually agreed upon with another sexually sober person Signed Doesn t change without prior agreement

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100 Simple Sexual Sobriety Plan

101 List of Behaviors I Want to Stop A B C D E F Simple Sexual Sobriety Plan

102 Simple Sexual Sobriety Plan List of Behaviors I Want to Stop A B C D E F List of Behaviors I Want to Add A B C D E F

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104 Initial Work of Sex Addiction Recovery

105 Initial Work of Sex Addiction Recovery Take a fearless personal sexual inventory

106 Initial Work of Sex Addiction Recovery Take a fearless personal sexual inventory Read it to another person and ask their honest response

107 Initial Work of Sex Addiction Recovery Take a fearless personal sexual inventory Read it to another person and ask their honest response Stop having sex with with the same people, in the same places or any situation that mirrors your sex life when you were using

108 Initial Work of Sex Addiction Recovery Take a fearless personal sexual inventory Read it to another person and ask their honest response Stop having sex with with the same people, in the same places or any situation that mirrors your sex life when you were using Take 30 days abstinence - no sex w/self or others

109 Initial Work of Sex Addiction Recovery Take a fearless personal sexual inventory Read it to another person and ask their honest response Stop having sex with with the same people, in the same places or any situation that mirrors your sex life when you were using Take 30 days abstinence - no sex w/self or others Define a sexual sobriety plan during this time

110 Initial Work of Sex Addiction Recovery Take a fearless personal sexual inventory Read it to another person and ask their honest response Stop having sex with with the same people, in the same places or any situation that mirrors your sex life when you were using Take 30 days abstinence - no sex w/self or others Define a sexual sobriety plan during this time Start following your plan and being accountable

111 Initial Work of Sex Addiction Recovery Take a fearless personal sexual inventory Read it to another person and ask their honest response Stop having sex with with the same people, in the same places or any situation that mirrors your sex life when you were using Take 30 days abstinence - no sex w/self or others Define a sexual sobriety plan during this time Start following your plan and being accountable Go to S Meetings or at least Meth and Sex Meetings

112 Initial Work of Sex Addiction Recovery Take a fearless personal sexual inventory Read it to another person and ask their honest response Stop having sex with with the same people, in the same places or any situation that mirrors your sex life when you were using Take 30 days abstinence - no sex w/self or others Define a sexual sobriety plan during this time Start following your plan and being accountable Go to S Meetings or at least Meth and Sex Meetings Get clean with your intimate relationships

113 Initial Work of Sex Addiction Recovery Take a fearless personal sexual inventory Read it to another person and ask their honest response Stop having sex with with the same people, in the same places or any situation that mirrors your sex life when you were using Take 30 days abstinence - no sex w/self or others Define a sexual sobriety plan during this time Start following your plan and being accountable Go to S Meetings or at least Meth and Sex Meetings Get clean with your intimate relationships Define how you want to be loved (outside of sex)

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115 12-step Groups for Sexual Addicts and Partners

116 12-step Groups for Sexual Addicts and Partners Sex Addict Support SAA SCA SLAA-Women SRA

117 12-step Groups for Sexual Addicts and Partners Sex Addict Support SAA SCA SLAA-Women SRA Partner Support S-Anon Alanon COSA CODA RCA - Couples

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119 Treatment Information

120 Treatment Information The Sexual Recovery Institute

121 Treatment Information The Sexual Recovery Institute The Ranch - Nashville

122 Treatment Information The Sexual Recovery Institute The Ranch - Nashville

123 Treatment Information The Sexual Recovery Institute The Ranch - Nashville

124 Treatment Information The Sexual Recovery Institute The Ranch - Nashville

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126 Crystal Meth and Sex Addiction Robert Weiss LCSW, CSAT Founding Director The Sexual Recovery Institute