Dr. Goschi's Blog

Addiction and Defenses

Many sex addict’s actions confuse those around them. It seems that at times they completely deny that they have a problem instead blaming others for their actions. The addicted individual often places responsibility for his/her behaviors on their spouse, bad marriage, negative feelings, or bad job. Overall, the person finds it difficult to take responsibility for their actions.

It seems obvious to other’s that the sex addict experiences severe problems. In individual therapy a spouse or significant other often discloses their confusion. “Why does it mean so much to them?” or “How can they allow the sex addiction to take priority over me and the kids?” Some sex addicts lose everything to maintain their addictive behavior.

Most sexual addicts have been exposed to early life trauma . Dr. Christine Courtois defines trauma as “… any event or experience that is physically and/or psychologically overwhelming to the exposed individual.” These varied traumatic events set the stage for resorting to destructive behavior later in life. The addict learns poor coping mechanisms and often repeats the trauma by acting out as an adult. However, it is during these very difficult times in their childhood that the addict learns to use primitive defense mechanisms. Sex addict’s use primitive defensive structures to “protect” them from seeing or acknowledging their addictive behavior. The defenses that protected them as a child now are considered destructive.

What are these defense mechanisms? Perhaps the most primitive of all is denial. The sex addict acts as if the painful event (memory or emotion) does not exist. “I’m not feeling anxious because of my addiction rather it’s because my job sucks.” Twelve step programs often deal with breaking through the denial to help the addict take ownership of one’s own behavior. Individual therapy also helps the addict acknowledge their use of denial to continue the destructive life style.

Regression is another primitive defense used by addicts. The regressive behaviors of the addict resemble actions of a much younger person. They become clingy or dependent on others rather than relying on themselves to solve the problem. In contrast, adults rely on themselves and view others as equals. Addicts sometimes find this process difficult as they need so much themselves.

Most of us familiar with addictions understand the defensive acting-out that constantly occurs. The sexual acting out temporarily ends the painful emotions associated with the underlying addiction. However, when the acting out ends the guilt and shame associated with the sexual behavior overwhelm the individual. Individual therapy helps address the underlying issues and the triggers associated with these acting out behaviors.

Individuals who exhibit the strongest history of childhood trauma survive the memories by acting as if they are someone else. As adults they have a disconnected view of themselves. The addict’s “created self” does not suffer from the same problems. This defense mechanism is known as dissociation. The defensive behavior provides them with a temporary escape.

Individual treatment along with a 12 step sex addiction group helps the individual confront their behavior. Rather than engaging in the above mentioned primitive defense mechanisms the individual learns new means of coping with their strong emotions. Ideally, the individual will learn how to identify their feelings and tolerate them while acquiring new ways of expressing themselves. For example, clients learn to become more assertive and replace their negative behaviors with healthier more gratifying means of coping with the complexities of their lives.

If you or someone you love struggles with sex addiction don’t hesitate to call Dr. Goschi for an individual therapy appointment. She can be reached directly at (312)595-1787 or by email at barbara@drgoschi.com

Stages of Sex Addiction

Process addictions, in particular sex addiction, causes much confusion.  People tend to lump those individuals who act out sexually as “sex addicts.”  Or, even put sex offenders and the paraphillias in the same category as sex addicts.  There is a huge difference. Sexual addiction is defined as a loss of control, having a negative impact on your life, developing a tolerance for the behavior, denying it’s a problem, and blaming others for your acting out.  Individual therapy helps define whether the person is struggling with an addiction and if they require the help of therapy to recapture their lives.

According to many expert’s sex addiction/process addictions can be broken down into discrete stages.  The individual struggling with an addiction moves through these various stages one after the other often feeling trapped.  One stage feeds into the next causing a negative spiral of emotions and inappropriate behaviors often leading to self-loathing.

Robert Weiss in his “Sex Addiction 101” book outlines the various stages of sex addiction.  Many addicts share these six stages. The first stage is the triggers. Triggers are those actions, thoughts, places, visual cues, even smells which act as catalysts for the inappropriate behavior.  Emotions, such as anger, sadness, shame, anxiety and loneliness can also be powerful triggers.

The second stage involves fantasizing about past encounters and the enjoyable memories.  These thoughts become obsessional over time growing in strength. Individual therapy helps the person explore the reasons for the fantasies while coming up with strategies to stop them.

Stage three involves ritualizing the sexual acting out.  Fantasy begins to dictate behavior. The addict goes to their favorite bar or begins looking at postings on Craig’s list.  The addict describes this experience as lost in a bubble without concerns for the real world or their action’s consequences.

Acting out occurs in stage four.  The addict perceives this stage as the most desired aspect of the addiction.   The individual consummates the sexual act. But, the addict really desires escape and dissociation.  The sexual enactment ends the fantasy abruptly.

This sudden end leads directly to stage five.  During this phase the addict feels numb attempting to distance themselves from what has just taken place.  Justification or even blame enters the addict’s language. Individual therapy helps the addict stop blaming others or justifying their behavior rather than taking full responsibility for their actions.

The last stage of sex addiction results in self-loathing and other terrible emotions including shame, guilt, anxiety and depression.  At this point they may seek individual treatment given the hopelessness they feel. Or, it may simple foster a repeat of the process all over again.  Individual therapy can help break the cycle for the addict, so they can gain some true insight and alternative ways of coping with the disruptive triggers that begin the cycle.

If you or a loved one are struggling with a sex addiction don’t hesitate to call or email Dr. Goschi at (312)595-1787 or barbara@drgoschi.com.  Your healing can begin today!

Addiction and Motivation

Some clinicians question whether “process addictions,” such as sex addictions, qualify instead as compulsions. The person struggling with sex addiction, for example, needs to find the appropriate motivation to change their compulsive behavior. The individual eventually acknowledges the extreme consequences of their actions. At this point the person wants to change. Individual therapy helps one successfully master these life changes.

Roman Gelperin in his 2017 book, “Addiction Procrastination and Laziness,” states the desire to engage in an inappropriate behavior outweighs the behavior’s negative outcome. The positive outcome of resisting the behavior does not provide enough incentive to stop. Resisting the behavior often leads to mounting sadness, anxiety or anger causing extreme discomfort. The distressed person may choose a new behavior or resort to their “tried and true” maladaptive behavior. Damn the consequences at least for one more time!

Gelperin links the “fundamental human compulsion to an increase in pleasure and decrease in displeasure.” In my opinion this seems a bit simplistic. Soothing a severe negative emotion requires more than increasing pleasure. Perhaps people prone to compulsive behaviors exhibit an inability to tolerate bad feelings for any length of time.

According to the author, appealing to a person’s logical self helps unlock their ability to change behavior. Guilt and remorse often becomes a strong motivating force for change. However, the intensity of the guilt must be large enough to stop the individual from engaging in the negative behavior. Compulsive sexual actions are particularly vulnerable to this process as the pleasure may outweigh the guilt.

What must a person do to change their compulsive behavior? The author outlines various approaches. Each approach provides the individual opportunity for change. A patient must actively engage the following actions to make lasting changes. Each action involves a conscious choice by the individual.

Form new habits by replacing the inappropriate action with a healthier behavior. The new behavior provides a similar outcome with positive consequences. For example, if you suffer from anxiety, engage in physical activity rather than viewing pornography.

Control your environment by making changes. If your compulsive behavior begins with hanging out with coworkers after work, then go directly home or straight to the gym. Look for proactive ways to make sure you avoid those surroundings which increase the likelihood of engaging in your temptations.

Employ social motivation to improve the likelihood of change. Individual therapy can assist by holding you accountable to another person. Maintaining an open and honest demeanor helps you examine what triggers and motivates your inappropriate actions.

Using guided imagery in individual therapy helps practice new behaviors. The power of imagination can help you visualize engaging in more appropriate behaviors while resisting negative ones. It also gives you the opportunity to deal with any powerful emotions which arise during the exercise while in the safety of an individual session.

Struggling with compulsive/addictive behaviors greatly interferes with achieving your potential. If you suffer with addictive behaviors please don’t hesitate to call for help. Individual therapy helps begin the process of change. Call or email Dr. Goschi today at (312)595-1787 or barbara@drgoschi.com.