Drug and Alcohol Treatments for Women with Trauma

January 1, 2023April 19, 2023

Drug and Alcohol Treatments for Women with Trauma

Childhood sexual trauma Transform Your Mind podcast

Childhood Abuse, has continually been linked to substance abuse for women. In this Episode we look at, Drug and Alcohol treatments, for women with trauma, who were abused by men and parents during childhood.

I interview Dr Tra Ahia who is the author of “Call me an Addict, War on Women”

She has been recognized as a champion of woman’s issues. Particularly women who have struggled to maintain a positive balance in their lives despite addiction. As the Therapist for women in Rehab for over 30 years, Dr Ahia was responsible for the, drug and alcohol treatments for women with trauma, who turned to substance abuse to as a means to cope with trauma.

Her work in, addiction and recovery, began some thirty years ago and has empowered thousands of women as they transitioned to a healthy place in their lives. Dr Ahia’s research has been a motivating force in moving many broken women away from the men in their lives that lead them down the path of destruction, confusion, and addiction to a place where they are whole mentally, physically and emotionally with, drug and alcohol treatments.

In the book “Call me an Addict” Dr Ahia tells the brutal stories of 3 women. We will look at one of these women on the blog and podcast on the, Transform Your Mind radio and Podcast with Life Coach Myrna Young.

Transform Your Mind iHeart Radio — iHeart Radio

This is a summary Kelly’s story in the Book “Call me an Addict”

Kelly’s first memory at 2 years old was her father punching her in the face for not eating her food. Then she remembered at 5 years old taking her father’s fingers as she sat on his lap with his friends and sticking them in her vagina!

That was the start of her life that included sex with her father, an alcoholic and abusive mother, promiscuity with men at age 14.

At age 15 her parents gave her away to her boyfriend and moved to another city. She had her first child soon after and was homeless because the boyfriend also moved away to another city and left her to look after a child with no home and no income.

Another man gave her a place to live in return for sex. He ended up marrying her and they had 3 more kids.

Her abuse resulted in her abuse of alcohol and rehab. Her, drug and alcohol treatments for women with trauma, was not successful. She continued to relapse.

Kelly started drinking heavily at 14 years old and used it for escape. It was drinking, sex, and prostitution.

Her story ended with her kids being placed in the custody of child protective services and she being placed in rehab for the 3rd time.

What was so sobering to me hearing this story was how 3 generations were ruined from addictions. Kelly’s father and mother were both addicts. She hated them both. She became an addict and then her eldest daughter followed her lifestyle. One of the most profound statements in the story to me was when Kelly said she and her daughter would fight all the time about who was the bigger whore!

As a Life Coach and survivor of child sexual abuse, I can say that the reason my life didn’t spin out of control like Kelly’s was because even before I knew anything about mindset and the power of intention, I wanted respect. I did not want to be known as a Bad Girl or whore. A girl who is free with sex and all the boys talk about her.

Transform your Mind TuneIn Radio — TuneIn Radio

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In my book “Out of the Snares, a story of Hope and Encouragement”, I share a similar story about my molester fingering me in his car as he drove me to school. I had the mindset to become a player in this game of life and not become a victim. You see victims have no power. Like Kelly she was powerless to stop her father from molesting her. In fact, another sobering part of her story was when she told her father “No” and he returned with the handle of a mop and stuck it up her ass. He told her with that move that she was nothing more than his bitch and he could do with her anything he wanted.

But we as women always have power!

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Drug and Alcohol Treatment for Women with Trauma

Women are placed in Rehab facilities either by the Police, their families or sometimes they walk in on their own accord

Rehab facilities are an intensive in house process

As the in house Therapist my job was to administer, drug and alcohol treatments to these women with trauma, by helping them to learn from their addictions.

These Therapy sessions were conducted one on one and their, drug and alcohol treatments, were first understanding how they got to that point in their lives.

They first had to accept that they were addicts

These, drug and alcohol treatments for women with trauma, were 30 days to 6 months and sometimes even years

Most people including families do not understand that, drug and alcohol treatments for women with trauma, were not miracle drugs, these women were trying to get over abuse from their childhood. They can’t be cured in 6 months when they had these traumas for 10, 20 even 30 years.

After the intensive in house, addiction and recovery, treatments these women continue their, drug and alcohol treatments for women with trauma, in an half way house for about one year. In this house they are expected to remain clean, get jobs, practice self love and self care and become contributing members to their community.

For more information on Dr Tra Ahia’s work and to pick up a copy of her book visit her on the web at www.forlifeservices-cc-com

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Here are some of the Symptoms from Childhood Sexual Trauma Resulting in Addiction.

PTSD is a mental health condition triggered by a traumatic event. Symptoms can emerge months or even years after the sexual trauma. Some common symptoms of PTSD include flashbacks, nightmares, intense distress when exposed to sights, sounds, or smells that trigger memories of the trauma, and bodily reactions when reminded of the trauma.

Dissociation

Dissociation, often associated with PTSD, is feeling disconnected or dissociated from one’s body. It can affect a person’s ability to focus, concentrate and function for periods of time. In an effort to detach from the sexual trauma, people learn to numb themselves from the pain. Dissociation is often referred to as avoidance coping, because survivors use it as a mechanism to escape and pull away from their past.

The Road to Recovery

The recovery from sexual trauma is a healing journey that takes time. Children who have been traumatized by sexual abuse often report feelings such as shame, terror, depression, and guilt. They often blame themselves for the abuse. Although drugs and alcohol can give survivors a moment of reprieve, there are dangerous risks and high costs to that emotional escape.

Sexual abuse not only leaves emotional and psychological scars, but it can lead to dangerous risk-taking behaviors, like using drugs. Substances are only a temporary fix and they can’t erase the past. Fortunately, dark moments don’t have to last, and drugs don’t have to cover unhealed wounds. Survivors can learn healthy coping skills and become a beacon of encouragement and hope to other youth who travel a similar path toward healing.

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Additional Resources for Drug and Alcohol Treatments for Women with Trauma

https://launchcenters.com/treatment/

https://americanaddictioncenters.org/blog/the-link-between-child-abuse-and-substance-abuse

https://www.therecoveryvillage.com/drug-addiction/related-topics/connection-child-abuse/#gref

http://blog.myhelps.us/10-ways-childhood-trauma-impact-adults-in-love/

http://blog.myhelps.us/protecting-your-child-from-sexual-abuse-at-home/

http://blog.myhelps.us/surviving-r-kelly-mindset-sexual-predator/

September 22, 2022October 25, 2022

What is the Connection between Sexual Abuse and Addiction?

Child Abuse, and, sexual abuse, Statistics, show a connection between, child abuse, Mental Health, addiction, and depression.

In her book “Call me an addict, war on Women” By Dr Tra Ahia. shares Kreta’s story of, child abuse, and sexual abuse, that started with her biological mother. I think this is very rare. Kreta said her mother was a sick person. Her, child abuse, was by her mother. Her mother used to make her kids do sexual acts on her boyfriend and her. Her mother and boyfriend also had sex in front of her and her brothers and sisters. This, abuse, started when she was about 4 years old.

Listen to the full interview here:

Kreta’s story of, sexual abuse

Kreta was raped by an older boy around the age of 7.

Kreta’s, child abuse, started when she was only 8 or 9 years old when she started smoking weed, crack and sniffing blow. As she got older when she didn’t have money, she would perform sexual acts for coke.

Even though she was a good student in school she started ditching school to sleep with older men and eventually dropped out of school.

She started working for a pimp who continued her, sexual abuse, he beat her all the time and had other men rape her and pie on her. After a string of, sexually abusive, relationships She got pregnant several times while still doing drugs. She had two abortions; but decided to keep her third pregnancy – a baby girl.

She went in and out of rehab several times trying to stay clean but always relapsed.

Kreta’s story ended the saddest of all 3 stories from the book “Call me an Addict, war Her, strange addiction, was out of control. She got so high one night that she stabbed her baby to death. She got life in prison.

Child Abuse Statistics

Risk for intimate partner violence
Alcoholism and alcohol abuse
Illicit drug abuse
Smoking & drinking at an early age
Depression
Suicide attempts

I want to say that Kreta’s mother surprised me; but I have heard, sexual abuse, stories like this one before. I had a coaching client who told me that her mother stopped having sex with her husband and when she was 4 years old gave her to her husband to have sex with. Tyler Perry tried to bring attention to this, child abuse, and, sexual abuse, in his movie Madea Family Reunion .

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This is how it works.
1) Parents create a list of tasks. It could be as simple as “feed your pet”, “brush your teeth”, “water the plants”, “do the dishes”, etc.

Why this AP useful for PARENTS: Because it will help to give Kids a sense of responsibility and prepare them for the things they need to do when they become older.

Parents, this AP will teach your children responsibility and reward them in the process. To download this AP head over to Google Aps

Here are 5 Statistics about sexual abuse offenders

Ages 12 to 14 are the peak ages for child offenders.
70 percent of perpetrators have between 1 and 9 victims.
Child abuse, statistics, show as many as 40 percent of children who are, sexually abused, are abused by older or more powerful children.
Sex offenses are the crimes least likely to involve strangers as perpetrators. Although a smaller percentage of, sex offenders, are women, the majority are male. Sex offenders, are generally NOT “dirty old men” or strangers lurking in alleys. They are typically not obviously mentally ill or retarded. In fact, sex offenders, are usually well known and trusted by the children they victimize, and frequently are members of the family, including fathers and stepfathers, brothers, aunts and uncles, grandparents, and cousins. There is no clear-cut description or profile of a, sex offender. Thus, there is no way to recognize a potential, sex offender, and abuser; and it’s often hard to believe that a trusted individual would be capable of abusing children.
Children who disclose their abuse within one month are at a reduced risk for, depression, or substance abuse and, addiction. Believe your kids when they talk to you and LISTEN.

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Why, Addiction and Depression are by products of Child Abuse

Although any type of, addiction, can trigger violence, those most likely to impair judgment, like drug and alcohol, addiction, are most often linked to addiction-related violence. Drug and alcohol use can weaken self-control, it’s not uncommon to see people who are under the influence engaging in behavior they usually wouldn’t if they were sober.

People living with, strange addictions, who commit violent crimes, is usually as a result of intoxication or as a means of obtaining money to finance their habits. According to an article published in Journal of Substance Abuse Treatment, more than 75 percent of people who seek treatment for, drug addiction, report having performed acts of violence, including mugging, physical assault and using a weapon to attack another person.

People who suppress negative feelings like anger or, depression, are more likely to drink or use, drugs, to the point of intoxication and exhibit violent behaviors. If you have Pent-up rage and you are using drugs, you are more likely to act violently because loss of self-control can increase your chances to act on your anger.

Cognitive Behavioral Therapy to help sexual abuse survivors

Dr Tra Ahia How does CBT help , sexual abuse survivors, to love themselves? What is Cognitive Behavioral Therapy?

Evidence is growing that, cognitive-behavioral therapy, (CBT) is an effective treatment for, child abuse, and, sexual abuse, including those who have experienced physical, child abuse, and other traumatic events.

Most of the studies that have evaluated Trauma focused-CBT have been well designed. This treatment model represents a synthesis of trauma-sensitive interventions and well-established CBT principles treatment-outcome studies for, child abuse, and, sexual abuse, and otherwise traumatized children. The therapy was developed to resolve, post-traumatic stress disorder, and, depression, and anxiety symptoms, as well as to address underlying distortions about self-blame, safety, the trustworthiness of others, and the world. The treatment also fits, child abuse, and, sexual abuse, and other traumatic experiences into a broader context of children’s lives so that their primary identity is not that of a victim.

Child abuse, statistics, show that CBT therapy allows, sexual abuse, victims to learn self-love.

Drug and Alcohol Treatments for Women with Trauma

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Arifah What does, Child abuse, statistics, show about self love?

It shows that if, child abuse, and sexual abuse, victims do the following, They begin to heal.

Take your time
Recognize that your needs matter
Forgive yourself and knowledge of self through therapy
Find a support group
Learn to practice self-compassion, to rid yourself of shame-based beliefs, such as you are worthless, defective, bad, or unlovable
Find time for self care activities (journaling, exercise, mediation, art, hanging out with people that care about you).
Gain new experiences (i.e. get involved in the community)

Dr Tra I am curious after listening to 100 stories like the ones you told in your book and from all the data you have collected over your 30 years in this space. Why do you think fathers and stepfathers, brothers, uncles, grandfathers, and cousins, abuse, little girls?

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I want to comment on one of the, child abuse, statistics, the one that says 70% of perpetrators have between 1 to 9 victims. I remember my, sexual abuse, It was from a man who I called grandfather, even though he was no relation. He used to tell me to bring my friends, and he would do the same thing to them as he did me. In fact he had a reputation of liking little girls. I never told anyone!

That’s another thing, child abuse, and, sexual abuse, statistics, show, victims never tell.

Here are 5 tips for loving yourself after, child abuse, and, sexual abuse,

Read Positive affirmations
Heal the mind through the body (ie. Boxing, Running, Martial Arts)
Mindful breathing exercises and meditation (stop, breathe and think app)
Channel your pain into creativity ( i.e.journaling)
Ask for help when you need it

Conclusion, Child Abuse, and, Sexual Abuse

Dr Tra, Do you support the, child abuse statistic, that says that if kids who are experiencing trauma of any kind tells someone who offers support, it has a direct and positive effect on the, sexual abuse and addiction connection?

Totally, when you tell someone what is being done to you, you release the shame of thinking you are to blame. You will also get help to cope with the emotions. When you stay silent it eats away at you all your life and then you self-medicate with, drugs, and alcohol and your, sexual abuse, continues into your adult relationships.

Additional Resources on Child Abuse and Sexual Abuse

Drug and Alcohol Treatments for Women with Trauma

http://blog.myhelps.us/whats-your-story-breakthesilence/

http://blog.myhelps.us/10-ways-childhood-trauma-impact-adults-in-love/

https://www.masterproblems.com/2017/02/what-can-be-done-about-child-abuse.html

When Your Child Can’t Speak

https://www.childwelfare.gov/pubPDFs/subabuse_childmal.pdf

March 16, 2021March 22, 2021

Dealing with Anxiety Disorder after Addiction

Addiction and recovery side effects can include, anxiety disorder, and panic attacks. In this episode Dr Tra Ahia, Psychologist offers treatment options for dealing with, anxiety disorder.

I was listening to a podcast last week and the guest was talking about her, anxiety disorder, and her story triggered a memory of a personal acquaintance who was a heroin addict and developed, anxiety disorder.

My first introduction to Anxiety Disorder

In the late 80’s I was working in sales and my boss’s daughter was an, Heroin addict. We were close enough that she would tell me what it was like being addicted to Heroin. She told me how she would cook the heroin until it became a liquid and then she would shoot it into her neck because she got a more immediate high. She showed me the holes in her neck which she covered up with scarves. Her father who was wealthy gave her a car and she sold that car for peanuts to get money to buy Heroin.

She attempted to go to rehab several times; but always walked out because she said they just left you in a room to scream in pain. She said the pain of withdrawal was unbearable. She then started a methadone treatment which is a synthetic version of Heroin. They reduced the dose of the methadone gradually to wean your body off Heroin. But what I want to get to was her, anxiety disorder. She got such bad, panic attacks, her gut was always in knots, that she couldn’t leave the house without her safe person, her boyfriend. I don’t remember if he used drugs; but when the relationship ended she was unable to leave to leave the house for weeks, not even to buy groceries. Then she was too anxious to start dating. She stressed about some man asking “Can I touch your boobs” I don’t know what became of her; but I think of her often.

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What happens to the brain with Anxiety Disorder

If you have an, anxiety disorder – Your brain raises ahead to predict the future. The guest on the podcast had, anxiety disorder, and she described it as “life fright” or , agoraphobia, She said to think about Stage fright. You feel nervous, you think you are going to freeze up or faint, you start to sweat, you think people are going to laugh at you etc. well people with, anxiety disorder, or, agoraphobia, feel like that all the time.

They have, agoraphobia, talking to strangers, checking out at the grocery store, at the bank, going for an interview, at a cocktail party, almost any conversation with a stranger, that’s why the guest called it “life fright.”

How does Anxiety lead to Life Fright

Dr Tra as the author of the book “Call me an Addict, war on women” How does my story regarding anxiety being called “Life Fright” relates to your experience?

I think for that young lady or whoever coined that term, for her that helped her manage her, anxiety disorder. That term helped her understand for herself this thing that she was feeling, so for her that was a good term to use, this, Life Fright. My thoughts when I think about, life fright, is that I’m afraid of living period. The entire gamut of life, so for me I would not use that term as a replicator to, anxiety disorder; but I can see why she did.

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I understand there are 3 types of, Anxiety Disorders,

Situational anxiety
social anxiety and
high functioning anxiety

Can you explain the difference of these forms of, anxiety, and which is most common with substance abuse?

There are more than just three types of, anxiety disorder, way more. I think it’s important also for the audience to understand that when we talk about, anxiety disorder, we’re talking about an irrational fear or, agoraphobia, of something that someone is experiencing. It’s irrational, it’s not logical that you are excessively fearful over this specific situation or you’re apprehensive about something or you have difficulty managing daily tasks. So when we think about, agoraphobia, or, anxiety disorder, I want them to know that it’s irrational to know your heart is racing, and you feel like you’re going to die.

There are six main categories of, anxiety disorders, like I said there are more than three!

Phobias
Panic attacks, with or without, agoraphobia, you have
Generalized, anxiety disorder,
Obsessive compulsive disorder or, OCD,
Acute stress disorder and
Post-traumatic stress disorder, or PTSD

The American Psychological Association lists research on how, anxiety disorder, is diagnosed.

This disorder called, anxiety disorder, the Diagnostic and Statistical Manual

It’s normal to become anxious and at one time or another. A car almost hit you, you are going for an interview, you sense danger etc. Anxiety is normal under certain conditions, what we are talking about here is the irrational fear or, agoraphobia, that is a disorder.

Something who’s unable to leave their home. This is, agoraphobia, they have a fear of leaving surroundings that they’re familiar with.

This a serious affliction.

There are three systems of functioning that need to change in, Anxiety Disorder

Cognitive
Physical and
Behavioral

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How would, high-functioning anxiety, work?

An addict could develop a, panic attack, because perhaps they’re they don’t have the substance anymore, or it could be someone who gains, agoraphobia, as a result of some interaction they’ve had with a place they frequented to attain their substance.

An addict with, high-functioning anxiety, usually is on a treatment plan in conjunction with medication to control their, anxiety disorder.

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Anxiety disorder is a form of mental illness. Dr Tra outside of substance abuse, what are some other contributing factors to, Anxiety Disorder?

I understand that mental illness presents itself in many forms:

Schizophrenia
Anxiety disorder
Anorexia
Depression

My research shows that these disorders present themselves as early as 14 years old and can be treated successfully by mental health professionals if treatment is started early; but because people feel that mental illness equals crazy, they don’t talk about it or seek help.

Research show that 90% of suicides results from mental illness like, anxiety disorder, and depression. How does talk therapy from a Life Coach, social worker or Psychologist such as yourself help patients?

Talk therapy allows the client to feel listened to and understood. It allows them to download and get advise. It can save many from suicide.

How would you help someone suffering from, anxiety disorder?

Mental illness is something that keeps a lot of people up at night but nobody wants to talk about during the day

It is the visitor who enters without knocking

1 in 20 become disabled by mental illness i.e. Can’t function in society

So let’s start talking.

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Additional Resources

Drug and Alcohol Treatments for Women with Trauma

http://blog.myhelps.us/understanding-and-managing-compulsive-behaviors/

http://blog.myhelps.us/call-me-an-addict-child-abuse-statistics-p3/

https://adaa.org/understanding-anxiety/suicide

https://www.medicalnewstoday.com/kc/suicidal-thoughts-ideation-193026

October 29, 2020December 29, 2020

How to Manage Compulsive Behaviors

Millions of people suffer from at least one of the, compulsive behaviors, Compulsive shopping, Compulsive eating, Hoarding, Compulsive sexual behavior.

—often, even when the individual wishes they could stop—despite the fact that the act triggers negative outcomes, leads to interpersonal conflicts, or damages mental health.

Listen to full interview here:

Introduction to Compulsive Behaviors

Common activities that can develop into compulsions include, compulsive shopping, hoarding, eating, gambling, sex, and exercise. Though some behaviors are easier to over-indulge in than others, in reality, nearly any behavior has the potential of becoming a, compulsive behavior. Some people even talk compulsively, for instance.

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There are also obsessive compulsive disorder, in which a compulsive person performs certain behaviors to relieve underlying anxiety or other negative emotions. A well-known example is a person who checks and rechecks everything—if the stove is turned off, for instance, or if the door is locked.

These behaviors rarely decrease anxiety in the long run; in most cases, they only provide temporary relief. In extreme cases, compulsive behaviors start to take over the person’s work, home, and social life, at the expense of normal activities.

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How are, Compulsive Behaviors, and addictions connected?

Compulsive behaviors, have a genetic effect and are often seen in identical twins. I know 17 year old identical twin girls who came into the foster care system at 4 years old and have had trauma. I attributed their, compulsive behaviors, to genes from their biological parents and environment from their early years in foster care. They started, compulsive behaviors, like stealing from about 5 years old, as they grew older that transformed into, compulsive shoplifting, then they started running away and couldn’t stop, now they are compulsively, hoarding.

Compulsion behaviors, often arise after stressful events, trauma, or abuse as we have seen in our study of addictions. When people engage in, compulsive behaviors, they become trapped in a pattern of repetitive actions or senseless thinking from which it can be difficult to break free.

Treatment is often key for overcoming, compulsive behaviors.

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How does normal behavior turn into, Compulsive Behaviors?

As far as the brain is concerned our rewards are reward important, so regardless of whether it comes from a chemical or an experience and you know that there’s a

reward and people who indulge in , compulsive behaviors, like gambling, eating, sex, and shopping, become trapped in the reward system of dopamine.

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Types of, Compulsive Behaviors

Compulsive behaviors come in many forms, all of which can be quite debilitating or even dangerous.

Hoarding, for instance, are those who are unable to part with even the most worthless possessions. Many hoarders find the act of purging so distressful that they live under extremely crowded and potentially harmful conditions.

Compulsive shopping,
Compulsive eating
Over exercising
Hoarding
Compulsive cleaning

Compulsive Hoarding, is a psychiatric disorder which involves the accumulation of personal possessions to the point at which these accumulations interfere with your quality of life to a significant degree. The acquisition of “things” and failure to throw away unneeded objects can result in only mild symptoms of a cluttered home to a home which is too unsanitary for healthy living. At the current time, it’s thought that between two and six percent of the population is living with some degree of hoarding disorder.

Compulsively taking selfies and posting on social media
Compulsive sexual behavior or sexual addiction

What negative triggers enable, Compulsive Behaviors like, Hoarding.

The brain tricks us into thinking that we need the reward so we perform the, compulsive behavior, to re up the Dopamine

I know that as humans we move towards pleasure and away from pain. In my role as parent with kids who have, compulsive behaviors. These behaviors are cemented because they engage the reward centers of the brain.

Podbean

How does one break that reward system for, Compulsive Behaviors?

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Sex Addiction Treatment

Let’s look at compulsive sexual behavior, or sexual addiction. Sexual addiction, is represented by, compulsive behavior, in commonly available sexual practices, such as

Attending strip clubs,
Compulsive masturbation,
Paying for sex through prostitution,
Excessive use of pornography,
and repeated engagement in extramarital affairs.

Compulsive sexual behavior, otherwise known as sexual addiction, is an emerging psychiatric disorder that has significant medical and psychiatric consequences. Until recently, very little empirical data existed to explain the biological, psychological, and social risk factors that contribute to this condition. In addition, clinical issues, such as the natural course and best practices on treating sexual addictions, have not been formalized. Despite this absence, the number of patients and communities requesting assistance with this problem remains significant. This article will review the clinical features of compulsive sexual behavior and will summarize the current evidence for psychological and pharmacological treatment.

https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2945841/

Dr Ahia What forms of, Sex Addiction Treatment, would you administer to someone suffering from, compulsive sexual addiction?

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How would you treat a youth that had the compulsion for taking selfies or even shoplifting?

Additional Resources for, Compulsive Behaviors

http://blog.myhelps.us/childhood-sexual-trauma-and-addiction/

Drug and Alcohol Treatments for Women with Trauma

http://blog.myhelps.us/call-me-an-addict-child-abuse-statistics-p3/

https://www.cdc.gov/violenceprevention/childabuseandneglect/acestudy/index.html

You’re not imagining it: the rich really are hoarding economic growth

https://www.vox.com/policy-and-politics/2017/8/8/16112368/piketty-saez-zucman-income-growth-inequality-stagnation-chart

https://www.verywellmind.com/all-about-hoarding-and-connection-to-ocd-2510518#targetText=Pathological%20or%20compulsive%20hoarding%20is,%2C%20flyers%2C%20newspapers%2C%20or%20clothes

Category: addiction and recovery