Author Archives: Michael

Cybersex Addiction Screening Test

The Cybersex Addiction Screening Test is designed to assist the assessment of sexually compulsive or “addictive” behavior. The test provides a profile of responses which help to identify men and women with sexually addictive disorders.

Instructions

Check each “Yes” response as appropriate. Count your answers at the end

Questions

  1. Do you spend increasing amounts of online time focused on sexual or romantic intrigue or involvement?
     YES
  2. Are you involved in multiple romantic or sexual affairs in chat rooms, Internet or BBS?
     YES
  3. Do you not consider online sexual or romantic “affairs” to be a possible violation of spousal/partnership commitments?
     YES
  4. Have you failed in attempts to cut back on frequency of online or Internet sexual and romantic involvement or interaction?
     YES
  5. Does online use interfere with work (tired or late due to previous night’s use, online while at work etc.)?
     YES
  6. Does online use interfere with primary relationships (e.g. minimizing or lying to partners about online activities, spending less time with family or partners)?
     YES
  7. Are you intensely engaged in collecting Internet pornography?
     YES
  8. Do you engage in fantasy online acts or experiences which would be illegal if carried out (e.g. rape, child molestation)?
     YES
  9. Has your social or family interactive time decreased due to online fantasy involvement?
     YES
  10. Are you secretive, or do you lie about the amount of time spent online or type of sexual/romantic fantasy activities carried out online?
     YES
  11. Do you engage with sexual or romantic partners met online, while being involved in marital or other primary relationship?
     YES
  12. Are there increasing numbers of complaints or concerns from family or friends about the amount of time spent online?
     YES
  13. Do you frequently become angry or extremely irritable when asked to give up online involvement to engage with partners, family or friends?
     YES
  14. Has the primary focus of sexual or romantic life becomes increasingly related to computer activity (including pornographic CD ROM use)?
     YES

 

 If you scored seven yes’s or more, cybersex and sex addiction may truly be a concern for you, and should be openly discussed with a counselor, friend or family member. I strongly encourage you to attend a 12 step support program like SLAA, SAA or SCA, the links are listed below. You may consider a consultation with a certified sex addiction (CSAT) counselor or professional. You may also want to read or consider purchasing one of the books listed below.

 12 Step Support Programs

Love Addicts Anonymous
Love Addicts Anonymous is a 12 step community that provides a safe place where love addicts can come together and recover from love addiction. Face to face meetings in larger metropolitan areas, international on line and telephone meetings. LGBTG friendly

 Sexaholics Anonymous (SA)
National: (615) 331-6230
A national 12 step program for sexual addicts and sexual offenders. Mostly males in attendance. A guideline of sexual relations outside of the bond of marriage is defined by SA. International on line and telephone meetings

Sexual Addicts Anonymous (SAA)
National: (713) 869-4902
A national 12 step program for sexual addicts and some sexual offenders. Each member to define his or her own abstinence. Scattered meetings have female attendance. International on line and telephone meetings.

Sexual Compulsives Anonymous (SCA)
National: (800) 977-4325                                                                                    Mostly urban 12 step program, primarily for sexual addicts. Scattered meetings have female attendance. International on line  meetings

Sex and Love Addicts Anonymous (SLAA)
National: (781) 255-8825
National 12 step program for sexual addicts and those with patterns of unhealthy sex, love or romantic relationships. Each member is to define his or her own abstinence. Greater female attendance, some “women only” meetings, and sexual or social anorexia meetings, LGBTG friendly. Meetings for offenders in larger metropolitan areas. International on line and telephone meetings including meetings dealing with cross addictions (sex addition and other addictions)

Sexual Recovery Anonymous (SRA)
National: (212) 340-4650
12 step programs similar to SA except “committed relationship” is used instead of “marriage”. These meetings are limited in number but open to everyone in sexual recovery.

 

Suggested Reading:

In the Shadows of the Net: Breaking Free of Compulsive Online Sexual Behavior [Paperback], Patrick Carnes Ph.D. (Author), David L. Delmonico Ph.D. (Author), Elizabeth Griffin M.A. (Author), Joseph Moriarity (Author)

 Cybersex Exposed: Simple Fantasy or Obsession? by Jennifer Schneider; and Robert Weiss [paperback]

 Untangling the Web: Sex, Porn, and Fantasy Obsession in the Internet Age [Paperback] Robert Weiss (Author), Jennifer P. Schneider (Author)

More than Desire: Hope for Women in the Shadows of Pornography by Ashley Weis [paperback]

 

There are several residential treatment programs throughout the United States that specialize in sexual addiction treatment. Please go the right hand column on this web page and scroll down to the Sex Addiction links . Or visit the links page on this web site: https://www.mkrecoverycoaching.com/?page_id=162

This test was reprinted from http://www.sexualrecovery.com/resources/self-tests/csat.php . The Sexual Recovery Institute, since 1995 has been helping people from all over the world overcome sexual addiction. SRI offers a number of options for sex addiction treatment, porn addiction treatment, and treatment for other related sexual issues.

 

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Coaching Toward Better Family Relationships

This week’s guest blog is by Ronald B Cohen, MD, a Psychiatrist and Marriage and Family Therapist from Great Neck, NY. Dr. Cohen is a Fellow of the American Psychiatric Association and an Affiliate Member of the American Academy of Marital and Family Therapy.

In 2001, Betty Carter & Monica McGoldrick two of the most-respected authors, teachers, and clinicians in the field of family therapy, published Advances in Coaching: Family Therapy with One Person, detailing 25 years of research into the theory and techniques of “coaching” individuals to change themselves in the context of their family of origin. The technical term “coaching” refers to preparing and acting for change in the individual’s natural system of relationships.

In contradistinction to traditional individual therapy, coaching focuses on real world behavior with significant others rather than the in-session therapeutic relationship. It is not the interaction with the therapist but rather the individual’s relationships with their family of origin that is of utmost value. Although this approach is regarded as one of the major modes of intervention in family therapy, the actual methods and techniques are not widely understood nor often implemented effectively. Techniques for helping individuals deal with difficult family relationships are not widely known by most individual therapists.

The goal of coaching is to help individuals proactively define themselves in relationship to others in their families without emotionally cutting off or giving in. The process of change is built upon ownership of one’s emotional reactions to old triggers and interactions. Coaching, or family therapy with one person, offers individuals a process for making change in their relationships even without the participation of other family members.

As a therapeutic coach, I help people plan and strategize. I begin by training individuals to become observers and researchers of their role in their family‘s patterns of behavior, what the anthropologists refer to as being a “participant observer”. The information and interactions are then reviewed and we talk about what kind of responses they got, what worked and what didn’t, and where they got stuck. Then we plan what they might do different next time in order to get a response that is more in line with what they are looking for.

The process then moves to helping individuals bring their behavior more in line with their deepest beliefs, even if this means upsetting family members by disobeying family “rules.” An important part of the coaching process is to help people develop realistic expectations when moving toward changing their part in the family dance. This includes being prepared to respond productively even if unfortunately the other person reacts unfavorably.

Coaching teaches the possibility of dealing with differences without losing connection, which is one of the primary developmental tasks for a young adult. If you are tied up with all of the stuff and rules and roles of your family of origin, it is really hard to figure out who you are and what you want to do with your life.

Coaching is “differentiation in action,” guiding people through a process of changing their own participation in unsatisfying family relationship patterns. It is a conscientiously thought through approach to establishing a unique one-to-one relationship with every individual in the family system.

This post was written by Ronald B Cohen, MD, a Psychiatrist and Marriage and Family Therapist from Great Neck, NY. Dr. Cohen is a Fellow of the American Psychiatric Association and an Affiliate Member of the American Academy of Marital and Family Therapy. As a consultant specialist, Dr. Cohen provides clinical supervision, and confers with individual therapists and other health care professionals and organizations to help them consider how adding family therapy sessions to the treatment program is both restorative and proactive as improvement is long lasting. 

 Dr. Ronald B. Cohen graduated summa cum laude, from Brandeis University and The Albert Einstein College of Medicine. In addition to his psychiatric residency training, Dr. Cohen was educated at the Psychiatric Epidemiology Program of the Columbia University Joseph L. Mailman School of Public Health. Subsequently Dr. Cohen completed the four-year core postgraduate training program in Family Systems Theory and Therapy at The Family Institute of Westchester

Please feel free to comment, request more information and/or schedule an initial consultation contact Dr Cohen at: http://www.familyfocusedsolutions.com/contact/

Or email him at:

RBCohenMD@FamilyFocusedSolutions.com

 

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Strengthen Your Internal Boundaries

Our guest blogger this week is Elisabeth Davies. Elisabeth is a professional counselor and coach, from Arizona. She believes in helping clients become skilled in overcoming their obstacles, so they can live emotionally healthy lives. In 2008, she began writing a self-help series called “Good Things Emotional Healing Journals” with the goal to offer effective strategies and resources that empower people to live an emotionally healthy lifestyle.

 

Do you ever tell yourself you’re going to stop a bad habit or start doing something new that will improve your life, then within a short period of time you realize you have been unsuccessful at maintaining your goal? Well join the club! Why is it so difficult to maintain changes that we really desire to make? Well sure it’s work and it takes commitment, perseverance and self-discipline, but there may be something else you have not factored in that significantly influences our ability to maintain desired changes; internal boundaries.

An internal boundary is a limit we set with our self, regarding our own rules. What we think is right or wrong. What we allow or don’t allow regarding our personal thoughts, words and behaviors. If we set limits for our self and do not follow through with them consistently, it is an indication that our internal boundaries are damaged.

Some examples of damaged boundaries are:

  • Failing to keep the promises we make to our self about limiting our intake of food, alcohol or drugs.
  • Failing to follow through with the goals we set for our self.
  • Failing to keep the promises we make to others, regarding our behavior.
  • Continued choices that are causing negative consequences to our health, personal relationships or finances.

Damaged internal boundaries can come from being raised in an environment where we were not treated with value, and our boundaries were not respected. If our parents or caretakers abused us verbally, physically, sexually, spiritually, or neglected us and did not honor our boundaries, we will have difficulty honoring our boundaries.

Some examples of our boundaries not being honored include:

  • Saying, ‘Don’t hit me’ and the hitting continued (physical abuse).
  • Saying ‘Stop yelling at me’ or ‘don’t call me that’ and the yelling and name calling continued (verbal abuse).
  • Saying ‘’I don’t like it when you touch me there’ or ‘I don’t want to do that’ and the inappropriate touching and sexual misconduct continued (sexual abuse).
  • Our parents or caretakers making promises to be there for us and not following through with their promises (neglect).

If our words and needs were frequently dishonored, then our boundaries become damaged. The great news is internal boundaries can be reestablished, by forgiving and healing our past and relearning how to respect and unconditionally love our self. It is important if we are healing past abuse or neglect to know that the people who have disrespected our boundaries do NOT define our value as a human being. We are born valuable. Our value is inherent. Recognizing the things we naturally do well can remind us of our value. Forgiving people who have abused or neglected us is key to healing our past. Forgiveness is not forgetting what happened, it is releasing all hurt, pain and resentment from what happened, so that our negative emotions caused by the abuse become ‘neutral.’ Forgiveness moves us from remaining a victim to our past to being powerful co-creators of our future!

Here is an effective forgiveness exercise: Each time your mind recalls a memory where you are being abused or devalued as a human being, say to that memory,

 ‘I unconditionally forgive _____________________ (person, perpetrator) for saying or doing ________________________ (act that was committed against you).’

Repeat this forgiveness exercise, each time you have an abuse or neglect memory. When your mind responds to hurt with unconditionally forgiveness, it will release the hurt. When you can recall the memory, and there is no longer negative emotion attached to it, you have healed that experience!

Strengthening our internal boundary is something that takes consistent work. When we catch our self participating with a behavior or choice that we told ourselves we would no longer do, it lets us know we still have unhealed parts in our self which we need to love, forgive, and accept, rather than look for something outside of our self to medicate or distract us from our inner mental hurt.

Here is an effective exercise to strengthen our internal boundary:

Each day take five to fifteen minutes and go sit somewhere that is quiet, with no distractions. Close your eyes. Take in several slow deep breaths. As you breathe in, say in your mind’ breathing in peace and calm.’ As you exhale, say in your mind, ‘breathing out all negativity and stress in my being.’ Then for the next couple of minutes, let your body breathe all on its own, without any assistance from you.

I call this ‘sleep breathing,’ because this is how our body breathes for us when we are asleep. This type of breathing allows our thoughts to become less dominant and creates mind, body, spirit balancing and wellbeing. Allow your imagination to come out and visualize yourself saying ‘No’ to the behavior or choice you no longer want to participate with. It is your imagination, so feel free to bring in characters, props, or anything that strengthens your ability to steady yourself in the choice that is for your highest good. Release everything in your being that is blocking you from making choices that are for your highest good, by breathing out old beliefs, thoughts, or maladapted programming.

Do these exercises many times, to reinforce new thoughts, beliefs and behavior patterns that strengthen your internal boundary with your unwanted habit or choice. Open your eyes breathe out and steady yourself in the right choice.

Hold the visualization of yourself with a strong internal boundary and use it each time you are tempted, or exposed to a choice that is not for your highest good. We are healable. We are reprogrammable and we can make choices that are for our highest good.  

 This is a guest blog written by Elisabeth Davies, MC

Elisabeth Davies is a professional counselor and coach, helping clients become skilled in overcoming their obstacles, so they can live emotionally healthy lives. In 2008, she began writing a self-help series called “Good Things Emotional Healing Journals” with the goal to offer effective strategies and resources that empower people to live an emotionally healthy lifestyle.

 These workbooks offer effective strategies, motivational interviewing questions and progress inventories, which reinforce emotionally healthy living. Elisabeth’s first published book, GOOD THINGS EMOTIONAL HEALING JOURNAL-ADDICTION, offers effective strategies to manage unwanted habits and compulsive behaviors. It is currently available on her websites:  www.BrightAlternatives.com and  www.GoodThingsEmotionalHealing.com, Amazon  & Barnes & Noble.

 You can email Elisabeth at: brightalternatives@cox.net

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