SRI Blog

A look inside sex rehab

May 6th, 2010

Before taking a look at what goes on behind closed doors in sex rehab, it is important to understand what defines a sex addict. Sex addicts are like drug addicts, they have trouble controlling their urges and derive a certain “high” or form of pleasure from acting out on their impulses to have sex, masturbate to porn, etc. Usually these urges take control of their lives and ultimate ruin them and their marriages or relationships.

Just like with any addiction, sex addiction requires treatment and can come in many forms–including entering sex rehab. According to a recent piece on sex rehab in Chicago Now:

“Rehab staffers say treatment centers don’t look like psych hospitals, but they’re far from fun vacations as some might think based on media coverage. Patients have full schedules starting as early as 6 a.m. and ending at 10 p.m. Most of the day is spent in various types of individual and group therapy sessions. Other activities include programs such as 12-step meetings and recreation time.”

Sex rehab can be costly.  Inpatient programs can range anywhere from $30,000-50,000 or more.  An alternative to inpatient treatment is the Intensive Outpatient Program such as the one offered at SRI. The two week long intensive costs $7,500 and includes 8-9 hours per day of lectures and therapy.

CLICK HERE to read more.

Rob Weiss to Speak on Serial Infidelity at BFI Summit

March 2nd, 2010

Rob Weiss has been confirmed to speak at the BFI Summit on “Advanced Clinical Training for Therapists and Counselors” held in Savannah, Georgia from March 4-6, 2010.  His Saturday morning keynote will be titled, “Lettermans and Tigers and Sanfords, Oh my: Understanding the Treatment of Serial Infidelity, Sex, Porn and Love Addiction.”  The following is a description:

In this age of electronic infidelity, smart phones and webcams it has become increasingly more difficult to agree upon exactly what constitutes a violation of an intimate relationship. How can it be cheating if you are chatting online with someone you’ve never even met?  And after all, isn’t online porn just another version of your dad’s Playboy?  As the upcoming DSM V  (release 2012) purports to offer a diagnosis of Hypersexuality (one we have not had previously) now is a good time for therapists to come together to evaluate the reality of sex and love addiction and its affect on intimate relationships. But how can the professionals identify and eradicate sexual acting out in this era of endlessly available casual sex?  How can we support and help intervene on relationships where a spouse claims perceived infidelity and emotional abandonment?  These questions will be tackled in this entertaining discussion of sex addiction today, with concrete assessment and treatment information made available for further training and referral.

Rob Weiss to Speak at L.A.’s CAMFT Networking Event

February 23rd, 2010

Los Angeles, CA (February 23, 2010) – Rob Weiss, founder and director of the Sexual Recovery Institute, will be speaking at the Los Angeles chapter of CAMFT’s networking event held at the Beverly Hills Country Club on Saturday, February 27, 2010.

The presentation, titled “Cybersex, Relationship Betrayal, and Addiction: What Therapists Need to Know,” will offer direction on how to identify and differentiate healthy online sexual experimentation from addictive sexual pathology as well as how to recognize and begin to address, cybersex, relationship betrayal, and online porn addiction in the person addicted and/or the affected spouse and family.

“Addiction in its various forms is a hot topic right now in the media and has been for a while,” stated Weiss. “As professionals in the field, it’s our duty to be well informed and help those suffering from addiction. I’m looking forward to the presentation and sharing my knowledge and experience with others at the event.”

The networking event will be open to licensed therapists, interns and students. Reservations can be made online at http://www.lacamft.org. The cost of the event is $30 for non members and $25 for members of CAMFT.

Dealing with Shame and Guilt As a Result of Addiction

February 22nd, 2010

When clients first come in for treatment, they initially have some confusion over the concepts of SHAME and GUILT.  They report having feelings of both but are unclear on just how they differ.

“Guilt says I’ve done something wrong; shame says there is something wrong with me.  Guilt says I’ve made a mistake; shame says I am a mistake.  Guilt says what I did was not good; shame says I am no good.”  (Bradshaw, 1988)

Guilt is a feeling that everyone is familiar with.  It can be described as “a bothered conscience” or “a feeling of culpability for offenses.”  We feel guilty when we feel responsible for an action that we regret.

Shame can be defined as “a painful emotion caused by consciousness of guilt, shortcoming, or impropriety.”  Others have distinguished between the two by indicating that “we feel guilty for what we do.  We feel shame for who we are.”

Although shame is an emotion that is closely related to guilt, it is important to understand the differences.  Shame is often a much stronger and more profound emotion than guilt.  “Shame is when we feel disappointed about something inside of us, our basic nature.”

Both shame and guilt can have intensive implications on our perceptions of self and our behavior toward other people, particularly in situations of conflict.   An essential part of recovery is identifying and working through both of these deep-seeded feelings.

Sex addiction expert Robert Weiss applauds Tiger Woods, notes the five things he did right

February 19th, 2010

LOS ANGELES, Calif., Feb. 19, 2010 — Following Tiger Woods’ statement this morning that he is returning to treatment for sexual addiction, Robert Weiss, a leading sex addiction expert and founding director of the Sexual Recovery Institute, issued this statement praising the golf legend for placing recovery over fame, and noting the “five things Tiger did right.”

“Those who struggle with sex and love addiction, like Tiger, should not return to work or the situations that were problematic so soon after treatment. It’s an invitation to return to the clandestine life of addiction and break the promises he made during therapy. I applaud Tiger for making the difficult decision to eschew handlers who want him to return to the game of golf and instead focus on treatment for him and his family.”

Weiss, who has been providing commentary on Tiger Woods’ sex addiction treatment since the scandal broke in November 2010, also commended the superstar by calling out the five things he did right:

1. Listened to the recommendations made by experts with whom he worked with while in treatment.

2. Learned that healing and trust-building with a spouse involves what he does, and not what he says.

3. Decided not to go back to work right away, and possibly not any time soon.

4. Committed to additional aftercare and therapy.

5. Let others know where he stands and does not expect forgiveness, but rather is simply telling his truth and letting the chips fall where they may.

“Sometimes good things do happen. Sick people get better, painful relationship problems are worked out; and an addict goes into rehab and learns his lessons. While it’s easy to be cynical when money, fame and power are involved, it is also important to consider the possibility we all share for healing and grace. This may just be Tiger’s tale.”

A Look at Childhood Narcissism and Consensual Incest Through Mackenzie Phillips

January 20th, 2010

Mackenzi Phillips, daughter of The Mamas & the Papas’ John Phillips, recently published her own personal story of sex, drugs and rock & roll. Like many, it’s a sad one, filled with addiction and even a sexual relationship with her own father.

SRI director and sex addiction expert, Robert Weiss, recently went on Behavioral Health Central Radio for an interview on “a clinical look at childhood narcissism and ‘consensual incest’ revealed in actress Mackenzie Phillips Book High on Arrival.”  During the interview, Weiss discussed the issue of incest with regards to sexual recovery in addition to the idea of “consensual incest” and childhood narcissism:

“Any social worker knows that if you’re working with an abused child who has a file an inch thick of physical abuse and they come into the clinic with bruises, they’re going to say they fell down. Part of our development in childhood narcissism is the protection of our parents; we have to protect our caretakers emotionally, that’s part of our survival. We don’t survive as a species if we believe and live in the fear at 6 or 5 that our parents are unavailable or they might harm us. We don’t have the ability to think that way. So that’s part of our development is the ability to see others as good even in the worst of circumstances because we need to see them as good.”

Many are questioning Mackenzie Phillips’ motives in writing and releasing her revealing book.  Some argue that this can be a very “therapeutic” experience–to finally “get it all out.” Despite her family’s objections, Mackenzie has been very open and even appeared on Oprah and made several public announcements about her past:

“I don’t know her; I don’t know this woman, so I can’t say what her motivations were. We live in a world where, let’s face it, people will put their kids up in balloons to get them on TV, or say they did, so if that’s the criteria, ‘I slept with Tiger Woods’ in order to get myself on television, if that’s their criteria to get into public rather then earning it through some skill in the public mind, then it’s hard for me to say whether she’s someone who needed to up the sales of her book. I mean, it could be a very personal issue about success and Hollywood; it could also be something very personal. Maybe one too many people had idealized her parents to her and she had to tell the truth in a public way so that this illusion of who her parents were in the public eye would change. There any many reasons why someone would choose to do that at some point. Does going public with your most personal violations help you? I don’t know how that would help anyone. In some ways, it creates a public conversation, but I cannot imagine that could be healing for anyone. I don’t know that being so public with such private and such hurtful matters really can help anyone.”

In regards to childhood abuse and trauma, Rob paraphrased psychologist John Briere:

“…it isn’t really any specific trauma that causes the long term outcome of a child’s adult life, it isn’t whether they were rapped or violated or snatched or whatever happened to them. The real long-term outcome of how that child is going to develop into an adult has to do with how that trauma was handled. If someone is abused or violated in an environment where they can then stand up and talk about it and get help at that time, and they can be believed and accepted and supported and what they’re going through normalized, not what happened to them but their emotional life, then they’re going to have a lot better opportunity to be able to deal with what happened to them as an adult.”

CLICK HERE to read the full interview transcript and learn more about child abuse and Mackenzie Phillips.

Tiger Woods Seeks Sexual Addiction Recovery

January 12th, 2010

The media is buzzing with the latest news on Tiger Woods allegedly checking himself into “sex rehab.” People Magazine called our Clinical Director, Sharon O’Hara, to ask for her expert opinion on whether or not therapy is right for Woods and if he’s even a sex addict at all:

“Sharon O’Hara, clinical director of the Sexual Recovery Institute of Los Angeles, says she doesn’t know where Woods is, but thinks it’s more likely that he’d have a therapist come to him privately rather than check into a clinic. Still, she adds, he could benefit from being ‘with other guys with the same problem.’

She and Dr. Drew Pinsky, host of Sex Rehab with Dr. Drew, think the fact that the golfer supposedly had months-long affairs with some of his mistresses is evidence of a “love addiction” more than sex obsession.

‘The feature here that has caught everyone’s attention is that he seems to be maintaining relationships with all these people – not just have sex with them,’ says Pinsky. ‘Exactly what’s behind that, that’s the part that hasn’t come out yet … We’re speculating sex and love are the primary issues. They may not be.’

O’Hara agrees, saying, ‘Apparently he also has a need to be adored, to see himself reflected in their eyes and have it mean something.’”

CLICK HERE to read the full article at People.com.

A Professional Take On Cybersex and Porn Addiction

January 11th, 2010

I have spent the past 15 years of my professional life treating sexual addiction. Back when I started this work, those of us working with sex addicts were more often challenged in the media and in professional communities to “prove” that the diagnosis of sexual addiction actually existed, rather than encouraged to discuss how the problem is diagnosed or solved. The Internet has changed all of that. There are now so many men and women simply checked out day after day from their work, families and social lives from hours spent online – viewing porn, researching and hooking up with prostitutes or finding anonymous sex partners, so many lives are now affected, that question has moved from “is there really such a thing as sex addiction?” to “ok there is a problem, what can we do about it?”

Many in the more conservative and religious communities might consider pornography itself or increased access to sexual interaction to be the problem, but to me that is like saying that alcohol is such a problem that it shouldn’t be widely available because some people get drunk or ruin their lives with drink (recall Prohibition). Human beings are innately pleasure seeking and pain avoiding and will pursue substances and activities to distract us and make us feel good. Some weave these pleasures into the fabric of their lives, getting drunk in college, sexual experimentation in early adulthood, occasional gambling when on holiday. However there are some, who lacking healthier ways of coping with the stressors of day-to-day life, learn to abuse pleasure and distraction in an attempt to tolerate their intolerable emotions.  People who obsessively seek relationships with images and strangers because they can’t or don’t know how to get their needs met from those they love are in pain and in need of help.

Cybersex and porn addicts tend to be very isolated, living double lives and often hating themselves for what they feel driven to do. Though some would say that being a sex addict sounds kind of fun, the reality of sneaking around your wife’s sleep schedule several days a week so that you can catch a few hours of porn alone at 3 AM or shoving your kids off to bed as quickly as possible so that you can be alone to enter a sexual chat room, are hardly what anyone would call fun. Sex addiction is not about the pleasures of healthy sexuality and not about orgasm, though for some there are both pleasure and completion. Sex addicts are lost for hours at a time in cruising, chatting, looking and masturbating. Their addiction is to the neurochemical high achieved by focusing on these hyper-stimulating images and experiences for hours at a time and become, lost in the adrenaline, dopamine and endorphin high that the body produces while the are in this activity. While doing this, nothing else matters to the sex addict, no thought, problem or anxiety interfere and that in itself can be a reinforcement to keep doing it.

Those addicted to cybersex and online sexual intensity can get better. They can learn to stop their problem sexual behaviors by incorporating healthier ways of coping and reintroduce themselves to their own lives. But they cannot do this alone. Healing from sex addiction involves professional help, 12-step or other spiritually based support and a commitment to a long-term solution. Unfortunately most sex addicts I have worked with only seek help when they finally begin to have trouble with their families, spouses, in the workplace or with the law due to their sexual behaviors. That is the way it seems to be for nearly all addicts I have known. Only when the pain of the consequences of their actions can no longer be erased by more addictive behavior do they seek help. For those who are ready, I am glad to have something to offer.

Five Signs of Pornography Addiction (Online or Video/Magazines)
1) ESCALATION IN TIME SPENT IN THE BEHAVIOR AND/OR INTENSITY OF THE CONTENT
2) LIFE PROBLEMS IN MULTIPLE AREAS CAUSED BY THE SEXUAL BEHAVIOR
3) LOSS OF TIME RESERVED FOR OTHER THINGS TO PORN USE AND SEXUAL ACTING OUT
4) IRRITABILITY IF ASKED TO STOP OR LOOK AT THE SEXUAL ISSUE AS A PRIMARY PROBLEM
5) PREVIOUS FAILED ATTEMPTS TO STOP

Five Steps Towards Healing From Sexual Addiction
1) ACKNOWLEDGING THE PROBLEM FULLY
2) ELIMINATING PORN ACCESS (SOME CAN’T ACCESS THE INTERNET AT ALL FOR A TIME)
3) BEING HONEST WITH YOURSELF AND LOVED ONES
4) EDUCATING YOURSELF (AND SPOUSE)
5) GETTING HELP (12-step, church groups, addiction-based therapy)

About the Author
Robert Weiss LCSW, CAS is founder and Clinical Director of The Sexual Recovery Institute: Los Angeles, an outpatient sexual addiction treatment center. He is the author of two books on sexual addiction, Cybersex Exposed (2001) and Cruise Control (2005). He has this year appeared on PBS, Oprah and The Discovery Channel speaking about sexual addiction. www.sexualrecovery.com

Intensive Outpatient Programs for Sex and Porn Addiction

January 7th, 2010

At SRI, 2010 is in full swing with our Intensive Outpatient Programs for Sex and Porn Addicts. January has already sold out, February is one space away, and we are already filling dates in March and April. The low cost, highly effective, 10-day intensive provides a personalized program of daily individual therapy, group education and structured support.

SRI’s IOP is open to those who are dealing with:

  • Cybersex and porn problems
  • Multiple infidelities and affairs
  • Sexual harassment and arrest
  • Compulsive masturbation
  • Online hook-ups
  • Workplace boundary violations
  • Prostitutes and erotic massage
  • Anonymous sex
  • Exhibitionism and voyeurism

Because space is limited, beginning March 1st of this year we will be offering 2 IOP’s monthly.  Our current two week program will run at the beginning of each month. We  have also added a 1-week basics program in the third week of each month.

CLICK HERE to learn more about the IOP program and view the calendar (January 2010 – April 2010).

Sex Addiction: Why Men in Power Act Out

December 30th, 2009

Sexual addiction has affected some of the most notable figures in television, politics, and entertainment. David Duchovny’s public admission of being a sex addict, followed swiftly on the heels of a series of political controversies involving, Elliot Spitzer, Larry Craig and of course, Bill Clinton, are just a few examples of sexual addiction problems manifesting in men of power.

The source of sex and love addiction is frequently a lack of connection, genuine intimacy and emotional support, says renowned sex addiction expert Robert Weiss, LCSW, CSAT, Founding Director of The Sexual Recovery Institute in Los Angeles, a treatment center for individuals suffering from sexual addiction and compulsive relationship problems. In many cases, people who addictively seek out intensely pleasurable experiences to distract or stimulate them are attending to their emotional needs in dysfunctional ways.

Juggling the Pressures of Stardom

“People in positions of power often work 16- to 18-hour days, travel the world at a far distance from those close to them, while having to manage intense stress and pressure.” says Weiss. “They don’t make it a priority to take care of themselves or create and enjoy down time, and as a result, they are missing out on the relaxation, self-care and emotional intimacy all human beings require for a healthy life.”

The less a person’s emotional needs are being met, the more likely he or she is to look for a quick fix to get by, explains Weiss. Instead of slowing down and taking care of themselves or even recognizing the need to do so, some individuals, particularly celebrities and politicians in positions of power, end up feeling empty and entitled to indulge in a guilty pleasure or two.

“Those prominent celebrities and politicians who are in the constantly in the public eye are forced to be ‘on’ nearly all the time,” states Weiss. Because they are often surrounded by adoring fans, gossip-hunting media, and the paparazzi, they actually have fewer opportunities than most of us to connect with people in a real, authentic, and fulfilling way. And being healthy and non-addictive requires making it a practice to do just that.

Shielded from Consequences

People with money, power and fame often have poor feedback networks, says Weiss. They are surrounded by people who are dependent on them for employment or security, which makes them reluctant to tell their “boss” the truth.

For example, if a famous person gets stopped for drunk driving, their drinking problem may never be revealed or addressed because his lawyer bails him out, his publicist puts a spin on the incident in the news, and the celeb walks away with their image “unscathed”, but also with a feeling of invincibility.

“What might be ‘rock bottom’ for most people may be just a slip-up for a celebrity,” says Weiss. “Public figures can exhibit warning signs of a serious problem for years but fail to see them clearly because the consequences have been minimized or someone else took responsibility.”

An Excuse for Bad Behavior?

“If most days you feel fatigued and thirsty and your solution has been to drink a six-pack of coke daily, no one would blame you for trying to use caffeine and sugar to get more energy and quench your thirst. But if you get a diagnosis of Diabetes, which turns out to have been the cause of your symptoms all along and that drinking Coke contributes to those symptoms, ignorance can no longer be an excuse for drinking all that sugary soda. Once a problem is identified – you have to take responsibly for managing it.”

The same is true of sex addiction. “If you know you’re a sex addict, you have the responsibility to attend to the problem with treatment,” states Weiss.

How Treatment Works

The media tells us stars like actors David Duchovny, Michael Douglas and actress Halle Berry’s ex-husband, Eric Benet, were admitted to treatment programs for sex addiction. What is treatment for sex and love addiction like?

Weiss, who has presented on the topic for the American Association of Sex Educators and Therapists, the National Association of Social Work, the National Institutes of Health (NIH), and the U.S. Military, believes the most important function of treatment is stopping the behavior and identifying it for what it is: a maladaptive coping mechanism or means of escape. Since sexual acting out doesn’t meet the individual’s underlying emotional needs but serves more as a distraction, good treatment can help identify and alievate the painful emptiness that drives the cyclic nature of addiction.