Unlike for alcohol or drug addiction, there is no formal diagnosis for Sex Addiction in the American Psychiatric Association’s Diagnostic Statistic Manual (DSM IV). According to Chester Schmidt, chair of the DSM-IV Sexual Disorder Work Group, there is “no scientific data to support a concept of sexual behavior that can be considered addictive. (1)” Schmidt believed that what is called sex addiction is more likely a symptom of other psychological problems like depression, obsessive-compulsive disorder, or bipolar disorder.
According to Benoit Denizet-Lewis (2), "Believers in a sex-addiction diagnosis point out that for many years, doctors and psychiatrists similarly dismissed alcoholism, refusing to accept that it was a serious problem in itself, not merely a symptom of something else." Many of practitioners in the sexual addiction field are hopeful that the DSM V, which is due out in 2012, will include expanded diagnostic choices for process addictions, including sex, gambling, spending, eating, and/or religion addictions. According to Elizabeth Hartney, "a working group of professionals has recently suggested diagnostic criteria which may be considered for the next edition of the manual, due to be published in 2012."
According to John M. Grohol, Psy.D. (3) "What is both amazing and a little disturbing, however, is to see entire professional societies, such as the Society for the Advancement of Sexual Health, spring up around a disorder that isn’t even officially recognized as such. And despite no clinical agreed-upon criteria for sex addiction, the Society estimates that 3 to 5% of Americans have it." According to the Mayo clinic, sex addiction is estimated to affect 3 to 6 percent of adults in the United States.
Because sex is a part of normal human functioning, it is difficult and at times a scientific challenge to compare sexual addictions to chemical addictions. Both "normal" or pathological (addictive) sexual patters are open to diverse and often controversial definitions. Clearly, factors such as personality, psychopathology, gender differences, sexual preferences, cultural differences, socio-economic status, and other "filters" have made a clear consensus for a definition of sexual addiction that much more challenging. Making matters even more complicated is the fact that topic of sexual deviance and/or sexual pathology remains as one of the most taboo topic in our society. Individuals with a sexual addiction are often the subject of ridicule and harsh judgment, whereas others suffering from drug/alcohol or other more accepted process addictions, ie gambling, spending, elicit more social acceptance.
Another ironic twist is that the co-founder Alcoholics Anonymous, Bill Wilson, was considered a sex addict. According to biographers and Alcohol Anonymous historians, Bill Wilson not only was an alcoholic, but was also a sex addict. Wilson was flirtatious, had multiple affairs, and according to biographer, Susan Cheever (4), "had an inability to regulate his behavior with women” and was “often accused of groping and unwelcome fondling,” However, he was married to the same woman for 53 years.
Until sex addiction is formally included in the DSM V, we currently derive a "diagnosis" through assessments protocols specifically designed for this addiction. Such protocols are provided by specially trained qualified mental health practitioners. Clinicians, such as myself, utilize uniquely designed instruments that are designed to collect relevant information necessary for a diagnostic conclusion. Information collected during the assessment includes: sexual history, drug/alcohol history, psychosocial assessment, mental health history, and other relevant information. Additionally, an assessment involves interviews with the client, affected partners, i.e. spouse or partner, and if possible, mental health providers who have or who are providing services to person being evaluated.
According to data collected by Patrick Carnes, many sex addicts also have other addictions. For example, in Carnes' research, of the individuals who were diagnosed with a sex addiction, 42% were chemically dependent, 38% had an eating disorder, 28% were compulsive workers (workaholics), 26% were compulsive spenders, and 5% were compulsive gamblers. Ruling out cross addictions is an important component of the assessment. Because of the high prevalence of cross addictions, the sex addiction evaluator must have a background in the general field of addictions.
When a cross addiction is present, it is important to identify which addiction requires attention first. This is crucial when it is determined that the sex addict is also addicted to a drug/alcohol. In these cases, detoxification (detoxing) of the drug may require medical services in order to ensure that the client physical health is not compromised. The experience of physical withdrawals can potentially create medical risks.
As many practitioners and sex addicts know, that despite a formal recognition of this disorder, it is indeed very real. Lets the intellectuals battle out what is and what is not a diagnosis. In the meantime, lets provide the much needed services to those who are suffering from this disorder.
(1) (http://psychcentral.com/blog/archives/2008/09/30/is-sexual-addiction-real/)
(2) www.americaanonymous.com
(3) psychcentral.com/blog/archives/2008/09/30/is-sexual-addiction-real
(4) http://nymag.com/nymetro/arts/books/reviews/n_9880/
(5) http://edition.cnn.com/2008/HEALTH/09/05/sex.addiction/index.html
(6) http://addictions.about.com/od/sexaddiction/a/sexaddiction.htm
Ross Rosenberg, M.Ed., LCPC, CADC
Clinical Care Consultants
3325 N. Arlington Heights Rd., Ste 400B
Arlington Heights, IL 60004
Phone:(847) 749-0514
Fax (847) 749-2995
Rossr61@comcast.net
www.Rossr61.snappages.com
www.RossRosenbergTherapist.com
Since 1988, Ross has been an administrator, professional trainer, counselor/psychotherapist, and an administrator in the mental health, social service and/or child welfare fields.
Ross is an established Illinois based professional trainer. Some of Ross’s trainings include
Sex Addiction: from A to Z
Caught in the Web: Cybersex, Romance and Fantasy Addiction
The Continuum of Self: The Attraction between Codependents and Narcissists
Therapy in the 21st Century: Technology’s Influence on Clinical Practice
Over the span of his career, Ross has worked with individuals who struggle with substance abuse, addictions, and co-addictions (Codependency). Ross’s addiction work includes chemical addictions (drugs/alcohol) and process or behavior addictions (sexual addiction, Internet addictions, gambling addictions, and spending addictions. Ross’s addiction services include counseling or all types, assessments, and professional consultation and training. Ross in considered an expert in the field of Sex Addictions and Internet Addictions, for which he provides comprehensive counseling services, training, and consultation.
Ross is well known in the local community for his work with hard to reach and oppositional adolescents. Typical issues with his adolescent clients include ADD / ADHD, drugs/alcohol, school challenges, anger control, eating disorders, self-mutilation, communication problems, and family struggles. Ross's work with teens also includes a family/parent focus, whether it is coaching, counseling / psychotherapy, or support.
Ross's work spans problem type, culture, ethnicity, gender, socio economic status, and sexual orientation. Some areas that Ross specializes in include: Marriage/Marital Counseling, Addictions, Codependency (Co-Addictions), Depression, Anxiety, ADD (Attention Deficit Disorder), Challenging Teens, Grief and Bereavement, Trauma Survivors (PTSD), Marital and Family Conflict, and LGBTQ issues
Ross's counseling / psychotherapy work with Codependency has enabled his clients to achieve balance, mutuality, and feelings of respect and appreciation in their lives. Balancing the care of others with the equally important ability to care for oneself is the cornerstone of codependency counseling / psychotherapy. Ross’s Codependency services includes individual, family, couples and/or marital therapies.
Ross's work with adult survivors of trauma and abuse enables his clients to break free from lifelong self-destructive patterns. His healing approach addresses "original wounds" (trauma of the past) which, without resolution, perpetuate emotional pain, suffering, and unsatisfying and dysfunctional relationships. This type of trauma counseling / psychotherapy promotes positive/healthy relationships, a heightened sense of well-being, and feelings of safety, control and happiness.
Another service provided is counseling and coaching for clients with ADD/ADHD. Ross provides assessment, diagnostic and a full range of ADD/ADHD psychotherapeutic services. Ross's collaboration with family members, medical, school, and employment personnel, creates a greater opportunity for success in the treatment of this disorder. Other ADD/ADHD services include coaching that addresses the following challenges unique to this disorder: communication, organization and follow-through, relationship and family challenges, work demands, and school demands.
Grief, loss, and death and dying are difficult issues that Ross helps his clients work through. Whether it is the loss of a loved one, job, lifestyle, or one’s health, vitality and even life, Ross guides his clients through difficult and often heart-wrenching times. Embracing diversity / cultural competence has been a cornerstone of Ross's practice
Ross's counseling / psychotherapy style has been described as solution focused, analytical, and educational while also being warm, intuitive, healing, spiritual, and compassionate. Ross's spirituality and metaphysical understanding enables him to reach people with diverse religious and spiritual beliefs. According to Ross, "for every problem, there is a solution; and within a warm and respectful therapeutic relationship lies the power to overcome the most seemingly overwhelming obstacles."
I provide psychotherapy, evaluations (ADD, addictions/substance abuse), supervision, consultation, training, and business coaching. Some of my specialties include: challenging teens, parenting issues, substance abuse, addictions, codependency or co-addictions, ADD, adult survivors of childhood abuse or neglect, trauma survivors, depression and/or anxiety, and grief and bereavement. As an expert in the field of sex addiction and sex co-addiction, I provide a variety of professional services.