Wednesday 8 March 2017

Sex Addiction Therapy Training, Module 2 and the Magic of Dr Stefanie Carnes

This March the International Institute of Trauma and Addiction Professionals came back to town hosted by South Pacific Private, for the certified Sex Addiction Therapy Training. Presenting was Dr Stefanie Carnes, the President of the organisation herself and bestselling author of Mending a Shattered Heart, and Facing Heartbreak. Resources that assist partners of Sex Addicts work through the shock and overwhelming life change that happens when you become aware of the addiction in your life, which is usually through the painful awakening that someone you love has had a secret life. Bringing the world as you knew it to a sharp and shocking end.
Sex Addiction is still a hotly debated topic, especially in the Psychiatric world, while therapists have been building expertise at the coalface. Patrick Carnes took bold steps to introduce into the therapy bookshelves his text Out of the Shadows in the 80’s, addressing sexual acting out under the criteria of addiction. He was targeted and abused, ridiculed and even received death threats.  Sex, Politics and Religion, we are warned about raising them at dinner parties for a reason. They bring for contesting views.
Sex Addicts though now have several 12 step fellowships they can attend and a wealth of literature that is world class. Writers such as Robert Weiss and Alexandra Katehakis have firmly taken the baton and run with it I  educating and introducing to Addicts, families and professionals skills on how to deal with this addiction. Partners though, had been a causality of this awful family destroying disease (yes, I said it, it’s a disease), of the reward system of the brain, and it will be in the DSM6, it is simply a matter of time. To give you a reference point, Gambling has only made it into the last edition and we have been calling that an addiction for years.
Well the Module Two’s focus is the partners, and how to help them, either as an individual, or as part of a family system process and deal with the trauma and impact of the addiction. It was noticed early on  within this field, that there was a benefit to treating partners of other addictions by getting them curious and explorative regarding their own histories and possible Co-dependencies. How ever it was quickly noted by Stefanie Carnes and others that specialised with partners, that the Trauma Model was a much better starting point in treating partners and their children and broader family and friends. This was due to the secretive nature of this addiction, the powerful impact it has on the addict’s rewards system, and the compartmentalized nature of the disease that can create in partners Post Traumatic Stress Reactions. The realisation of this fact was so confronting for Stefanie that the second edition which leant towards the Co-dependency Model was revised to include and use the Trauma Model and the feedback has been highly complementary.
5 days of training was an amazing opportunity to be able to learn how to help the whole family. Addiction rarely only effects the addict. The whole system suffers, and when the addiction gets exposed it can have devastating effects on wives and Husbands, Children and the adult children, as well as parents and extended family.
If you can think back it was that long ago that the Alcoholic was seen as a morally weak person, and should just pull their socks up, try harder and put the drink down. Sex Addiction is commonly misunderstood. People either joke about if you’re going to have an addiction, that’s the one to have, or ridicule sex addicts as stigmatised perverts or sluts. I heard on a talk show once from Britain, a famous personality was commenting on an addict that was famous and caught acting out to say  “That’s what they all say when they get caught!” (That they are Sex Addicts)
 Alexandra Katehakis points out in her book Sex Addiction and Affect Regulation, that it’s not really a common thing that people want to identify as a sex addict. It’s the last of the addictions that is highly stigmatised. Now if the addict feels this way, then put yourself in the shoes of the family member, especially children. The shame, humiliation, and devastation is tenfold. It is common for addict’s family members especially partners to say, this is your addiction, go sort yourself out. The shame  and pain gets internalised, turns into resentment and then depression, anxiety and PTSD get a hold. The addict can even get help and change their life and move on, but the family still stays in pain and shame sickness.
Like all the Gentle Path Press literature, Mending the Shattered Heart and  Facing Heartbreak are extraordinary in their meticulous breakdown and understanding of the issue. Not just informing you about the addiction and how to work through getting a full disclosure and getting to share and impact statement. Its more the deep understanding of how to improve communication, intimacy and head toward the goal of establishing trust and intimacy, including a healthy sexuality.
So often I hear horror stories of clients, and their families, going to therapist that simply do not understand Sex Addiction and its impact on the family system. This is a life-threatening disease, that is generational in its progression, and will continue to progress until it is properly arrested.
Carnes was captivating with her expertise and knowledge on the subject, the presentation reflected the book resources, practical, engaging, real and honest and full of hope. She knows the subject intimately and brings the passion of the saved to the quest, to educate and inspire Therapists around the world to be able to really arrest this addiction, and heal ,truly heal.
Please look at the resources online, and purchase them as a resource and look up International Institute of Trauma and Addiction Professionals and CSAT training the at www.recoveryzone.com . It’s the world premier sex addiction and general addiction treatment program, and the books are my all-time favourites. Stefanie is also a co-author of Facing Addiction for general addiction and I have simply not found a better book to take addictions with clients.
Partners do not have to suffer in isolation and silence any longer. Please if you are reading this and your are a partner, reach out for the help you deserve.



Wednesday 1 March 2017

Cruise Control:Robert Weiss-Book Review
























Robert Weiss is a prolific voice in the global education on Sex Addiction, its perils and the pathways out of hell. 
Cruise Control speaks both to addicts, and is essential for practitioners. It's focus is the unique challenges that Gay men can find in the addictive process , and the treatment pathways. 
When I first started in my career as a therapist, I knew that you had to have more than just your own experience. Roberts book is a clear example of this. Some clients find their landscape so challenging that if you do not know the personal aspects to their experience not only will therapy be ineffective but potentially harmful. 
Robert explains clearly the different nature of relationships, sexual expression and co-occurring addictions within this community that would help addicts identify and inform therapists deeply.
The book covers the impact of cultural changes and depending on the generation and age of the client you are treating, a radically different inner world will need to be empathised with. 
An example of this was some of the testimonies shared by men from the beginning of the HIV epidemic, pre- modern treatment and preventions advances. The incredible
loss of peers and loved ones brings a depth of grief that if you were not aware as a clinician, you would be doing your clients a disservice.
Cruise Control will leave your more confident as a health professional, whether you are a doctor identifying the addiction in a health check up , an inpatient service needing to make sure you  program caters for GLBTG communities authentic and individual treatment needs or a Psychologist offering  therapeutic interventions.