Dr. Goschi's Blog

Men Don’t Talk About Sexual Abuse

The disturbing documentary about Michael Jackson, “Leaving Neverland,” featured the abuse story of two men now in their thirties.  What I found most tragic was their inability to acknowledge their childhood abuse until later in life. These brave men finally came out and spoke courageously about their abuse.  It took Michael’s death to make it safe for them to finally talk about what they had endured for years.

Believe it or not the above-mentioned scenario is all too common among male victims. Young men think that some how they are to blame for the abuse.  They say, “I should have fought back.” The men believe, even as adults, that they should have stopped the abuse. After all they are “boys!” It sometimes takes many years for a male victim to understand that they were targets of a pedophile.  As children these boys possessed little to no power over their assailant.

Victims in some cases, enjoyed their sexual experiences causing them to feel shame preventing them from telling a parent.  Some male victims believe they would get in trouble from their parents or others if they came forward. Michael Jackson allegedly manipulated his victims into believing they would also end up incarcerated should they disclose the abuse.

Todays “#me too” movement does not include many comments from men.  The statistics point to one in four girls are abused while believed to be one in ten for boys. My belief is that boys are abused in equivalent numbers.   I think that sometimes boys are exposed to equally dangerous sexual situations. Sexual predators count on the fact that “boys don’t tell.”

I have seen a preponderance of men who have been abused as children.  Often their wives bring their husbands in for sex therapy. Sexual abuse has profound effects on the expression of an individual’s sexuality as well as their libido.  The other common response to abuse is hypersexuality expressed either online or with multiple partners.

If you or your partner is struggling with issues due to abuse Dr. Goschi is here to help.  She can be reached by email or by phone at barbara@drgoschi.com or (312)595-1787.  Call today to start your healing.

What the heck‘s a Sexologist?

Well, I’m not exactly sure.  I discovered this word while using google analytics.  People looking for sex therapy search for a “sexologist.”  According to Wikipedia, “Sexology is the study of human sexuality, including human sexual interests, behaviors and functions.   Topics of study include sexual development, sexual orientation, gender identity, sexual relationships, sexual activities, paraphilias, and atypical sexual interests.”  Many of these topics comprise what I treat in my practice. However, people searching under this term may be looking for how they might enjoy better sexual lives rather than the most recent research on human sexuality.

I do believe that in couples counseling talking about your marital sexual interactions should be addressed.  Very often, clients who have previously worked on their marriages have neglected to work on their sexual relationship.   If your marital communication is poor it follows that your sexual life may also suffer.

In general, we view our sexual relationship as separate from other aspects of our marriage.  However, they are intrinsically tied to each other. If, for example, we are always fighting with each other this most likely has a profound impact on the frequency of your sexual expression.  Some couples have great makeup sex while others simply stop having sex when there is too much conflict. Maintaining a healthy sexual life enhances the strength of any marriage.

What does a healthy sexual life look like?  Each partner defines what they believe a healthy sex life would include.  For example, feeling gratified, expressing your needs and desires, talking about what you enjoy and what you don’t enjoy.  These topics define what couples say they require to feel sexually complete. Also, being honest with your partner if there’s something that they do sexually that bothers you tell them, instead,  share with them how they can sexually please you.

If you are looking for a “Sexologist” or more importantly someone who can help you with your sexual relationship don’t hesitate to call Dr. Barbara Goschi.  She’s here to help. You can reach her by phone at (312) 595-1787 or email her at barbara@drgoschi.com.

Seeking Sex Therapy in Chicago

Couples don’t know what to expect when they seek sex therapy. Many couples fear talking about their intimate feelings about their sexual life. They worry that their partner may scorn or reject them. Fears about addressing sexual issues mount when the couple also exhibits communication problems. After all, it takes good communication skills and risk taking to enjoy a fulfilling sexual relationship.

So, what happens in sex therapy? First, the therapist gathers a thorough history of your sexual experiences. The couple offers their sex history together and as individuals. The couple also writes down their sexual preferences and style to be shared later in a session. This method helps ease the couple into talking about their sexual life. The therapist also addresses any fears and anxieties which stand in the way of honest reporting.

Some individuals fear talking about sex will take the mystery out of their sexual relationship. Not so. Understanding what turns your partner on only enhances the sexual relationship. Therapy strives to convert “mystery” into understanding. Let’s not conflate mystery with romance. Romance does not die when you know what excites your partner – you can think of creative ways of incorporating their desires into your sexual repertoire. Think of sex therapy as exploring ideas and wishes about sex and then exploring new ways of sexually interacting at home.

The couples’ expanded sexual knowledge of each other helps move the therapy forward. Sex therapy can augment any couples work you have completed. Sex therapy helps the individual/couple learn more about themselves and their partners in a safe environment. Yes, I said individual as some clients wish to work on dysfunctional sexual behaviors that interfere with establishing a more fulfilling intimate relationship. You and Dr. Goschi talk about sexual issues at your own pace. Dr. Goschi’s treatment style is nonjudgmental.

If you live in the Chicago area and find that you have sexual issues in your relationship Dr. Goschi can help you explore better ways of expressing yourselves. Sex therapy can help couples better their intimate relationships. Sex therapy can also help individual’s who struggle to form sexual bonds while dating. Don’t hesitate to call today I’m here to help and you can reach me by email barbara@drgoschi.com or phone at (312)595-1787.

Compulsion versus Addiction

The debate between professionals today relates to how we identify process addictions.  Many professionals view sexual acting out as part of a broader symptomatology of mental illness or compulsive behaviors.   As we learn more about the processes involved with sexual acting it better fits within the addictions model.

Anxiety, depression, and compulsive thoughts apply to sexual acting out.  The sequence with which the individual experiences these emotions seems relevant to making the distinction between an addiction and a compulsion.  Process addictions such as gambling addictions, sex addictions, and binge eating disorders share a lot of common features.

One clear distinction relates to the onset of the anxiety.   Some individuals feel compelled to engage in an action to diminish their anxiety and nothing else will suffice until they have completed the act.  For these individual’s relief follows the action. Even though they realize the disruptive quality of the action on their lives. For example, if you feel the need to drive back home to make sure you locked the door, even though you did, you will not feel relief until you check.  Perhaps you feel like your preoccupation dictates your life.

Sexual addiction has similar qualities.  The preoccupation controls one’s thoughts and sometimes actions.  Just thinking and planning to engage in the action often lifts the person out of their anxiety or depression.  The mere thought of the act results in elation. However, once the addict engages in the act shame, guilt, anxiety, and depression soon set in.  The addict does not experience relief. Rather, and intense downward spiral occurs.

Once the individual completes the action, they feel worse.  The shame, guilt, and anxiety lead the addict to feel out of control and vulnerable.  Therapy is most likely sought during this part of the addiction process. The addict experiences great highs followed by very low lows.  Compulsive behaviors don’t always fit as nicely into this scenario.

The therapist misses the bigger picture by treating all process addictions as compulsive behaviors.  The addict’s treatment approach must involve family members, especially wives or significant others. Therapists describe addiction as a family disease because it has such a profound effect on individuals within the family.  When working with individuals who have children it isn’t wise to include young children in the treatment. Rather, the kids can learn new ways of interacting with their depressed or anxious parent. The children should understand they did not cause the problems.

I’m not criticizing clinicians who treat sexual addiction as a compulsion.  I simply think the two exhibit adequate differences that warrant a different look at treatment goals. In conjunction with individual treatment, marital therapy and meetings are recommended.

If you or someone you love is struggling with a sexual addiction, please don’t hesitate to call or email Dr. Goschi at (312)595-1787 or barbara@drgoschi.com.  I look forward to hearing from you in order to begin the healing process.

 

 

Conflicts Over Aging Parents

So many individuals in their fifties and early sixties deal with aging parents. By middle age you’ve mastered your careers, parenting, and your relationships. You even enjoy your own parents and their involvement with your children. However, as your parents continue to grow old everything changes.

Life seemed full and manageable just a few years ago. You looked forward to traveling more and enjoying your time as empty nesters. Now it’s as if you have young children all over again. This time caring for someone doesn’t hold the promise it once did. There’s simply no good end to this story.

Many of you find yourselves responsible for aging parents. Either they struggle with a debilitating disease in which they need constant assistance, or they struggle financially and now live with you.

Siblings can complicate caring for your aged parents. Suddenly fighting breaks out over where your parents should live or who cares for them. Family members vying for control over how their parents spend out their last dollar. The conflict gets ugly fast.

You thought you had this all figured out. For example, your parents didn’t want to live in a nursing home, so you want them to live with you, however, your brother doesn’t want to help with the care giving. Or maybe, your sister thinks all the money should be relinquished so that your parents qualify for Medicaid. Just a few of the very complicated scenarios facing “the sandwich generation.”

Family members fight about aging parents. The one common feature in highly conflictual situations is that the conflict usually doesn’t end well. Sometimes, siblings don’t speak to each other after the death of the last parent. The pressures are huge. Interacting with each other in a rational manner without one or all of you becoming extremely upset no longer exists.

How can family consultation help with these issues? Consultation can bring you together to talk about and come to agreements on what needs to happen. Each person comes to an understanding of how things are going to progress. No one individual possesses complete control. Instead, you reach mutually agreed upon decisions. This gets everyone off the hook.

If you would like to set up a consultation with Dr. Goschi don’t hesitate to call her at (312)595-1787 or email her at barbara@drgoschi.com. I look forward to helping the healing process begin.

To Touch or Not to Touch

Sex Addiction Therapy, Chicago and Wilmette. Il.

Individuals no longer seem to understand healthy parameters of a loving, consensual sexual relationship. Someone told me about a disturbing episode on Vice news. The couple on the show discussed sexual interactions between husband and wife. According to this couple, an individual must “always” ask permission to touch their partner. This meant that if a wife wanted to grab her husband’s butt she needed explicit permission from him first. The conversation went from confusing to more confusing.

Common sense has flown out the window when it comes to rules of sexual interaction. Therapists encourage couples to engage in playful, spontaneous sexual expression during sex therapy. In the above-mentioned conversation, the couple described sexual playfulness and spontaneity as bordering on abusive. This commentary is completely ridiculous.

Your sexual intimacies as a couple should not be dictated by what reporters, television shows, or what culture defines as politically correct. Your sexual relationship with your partner should include mutually agreed upon loving interactions between the two of you. Romantic exchanges between the two of you may include spontaneous, erotic, and romantic sexual expressions.

What makes good sex? Good sex results from shutting off our big brains, while engaging in good communication, and focusing on pleasure. When a couple feels comfortable and safe with each other they can ask for what turns them on without fear of scorn or rejection. When you communicate well with your partner it’s very difficult for either one or the other to feel misunderstood or threatened by touching. If you don’t like it if your husband grabs your breasts while you’re doing some chore tell him. Most often couples want to please each other.

If you find that you are struggling with communication or sexual issues either as an individual or in your marriage don’t hesitate to call Dr. Goschi to schedule your appointment. Dr. Goschi can be reached at (312)595-1787 or by email at barbara@drgoschi.com

Sex Addiction not just for Men

Dr Goschi Sexual Addiction CounsellingWhen we talk about sex addiction pictures arise in our mind of men, especially, with the #me too movement. However, women also struggle with sexual addiction. We do not think of the female sexual addict because cultural stereotypes portray women as not liking sex. Sexual issues in women tend to present as related to other conflicts. Therapists traditionally view female’s sexual acting out as a symptom of their diagnosis rather than a problem itself.

While a diagnosis of Bipolar will include inappropriate sexual behavior, the disorder can mask
the sexual addiction. Women often deny sexual addiction issues. They frame their conflict
exclusively as related to relationship problems. Thus, as a group female sexual addicts tend to
be more difficult to recognize and treat. Not many women seek individual therapy for “sexual
addictions.”

While female sexual addicts seek treatment for other issues it is only during individual therapy
that the sexual addiction becomes apparent. Comorbid issues such as; eating disorders,
alcoholism, drug addiction, depression or anxiety also mask the sex addiction. However, the
above mentions problems intricately connect to the woman’s sex addiction.

Females don’t admit their sexual addictions also because of the societal shame associated with
sexual acting out in women. These individuals are described by others as “whores,” “sluts,” or
“nymphomaniacs” who then hide their behavior rather than dealing with the negative labels.

Both married and single women exhibit sexual addictions. The two groups demonstrate some
similar reasons for engaging in sexual addictive behaviors but also some divergent ones. Single
women may long for a relationship while simultaneously being relationship avoidant. They may
find themselves unable to tolerate being alone instead always seeking a partner. Lastly, some
single women use sex as a means of self-medication to help with their intense emotional
turmoil.

Married women at risk for acting out sexually complain about feeling underappreciated,
rejected, or ignored by their partners. They exhibit terrible relationships with their husbands
and search outside the marriage for intimacy and sexual fulfillment. Both groups of female
addicts use sex to remedy their loneliness, boredom or sense of emptiness.

The reasons single or married women become addicted to sex are very complicated. Individual
treatment can help you find your way back to a more fulfilling existence with true intimacy and
better self-esteem. If you think you may be a sexual addict, please call to schedule your
individual therapy appointment today. Dr. Goschi can be reached at (312)595-1787 or by email
at barbara@drgoschi.com

Sex Addiction and Pornography

The authors Ogas and Gaddam of the 2011 book, “A Billion Wicked Thoughts,” outline some alarming facts. This book highlights not only the explosion of pornography sites but an alarming rise in pornography addiction. The sharp increase in sexual addiction/pornography addiction interferes with healthy sexual functioning. According to the authors, only 90 porn magazines were available for purchase in 1991. By 1997 the web introduced some 900 porn sites. Today, the number of porn sites has exploded to over 2.5 million. This disturbing trend has profound implications for children, adults of every age, relationships, and marriages.

Couples of all ages often seek therapy due to a sexless relationship/marriage. It’s alarming to have a couple in their 30’s complain they haven’t had sex in 2 years. When the therapist digs a little deeper they find out that one of the partners obsessively uses pornography while masturbating each time (even several times a day). The partner simply doesn’t understand, instead, he or she perceives the excessive porn usage as infidelity.

Women are not exempt from engaging in on line pornography. They may be sexually acting out on line by hooking up with someone they meet on a virtual site. However, it seems more common for women to be “addicted” to the online sex chat rooms or the gaming sights including sexually explicit avatars. These women seek romance or to express an alternate self.

Overall, men and women have become susceptible to the seductive nature of online pornography. The implications for their lives is profound. Young men spend hours surfing the web for the perfect sexual fantasy isolating themselves from friends and family. Some men lose their jobs as they cannot stop themselves from engaging in pornographic searches at the office. Women run off with men that they’ve met online only to be disappointed and disenfranchised from their families afterward. They sometimes find themselves in dangerous situations from which they find it impossible to escape. Their family and friends disown them making it impossible to “get their old life back.” We tend to judge women more harshly than their male counterparts.

Individual or couples therapy as well as a 12 step support group is very helpful in pulling these individuals out of their addictive behavior. If you or a loved one struggles with pornography addiction call for help today. You can reach Dr. Goschi at (312) 595-1787 or barbara@drgoschi.com

 

Let’s not conflate pedophilia with sex addiction

Wilmette, Chicago Sex Addiction Counseling Once again the Catholic Church and the sexual abuse allegations brings
discussions of homosexuality, pedophilia and sexual addiction to the forefront.
The public tends to conflate these three terms when talking about the accused
Catholic priests. Just want to make sure that people understand the differences
in sexual classifications when the general public reads about all the awful charges
about to hit the news.

The Priests (alleged) actions against young boys, young girls and seminarians
should receive the highest scrutiny and punishment. “Sexual abuse” either
perpetrated by a homosexual male, heterosexual male, pedophile or female
abuser deserve the same punishment. We should attend to the victims while
isolating the abusers from having access to others. Victims do not easily recover
from such childhood trauma without help. Denying that the abuse happened by
calling it “sex addiction, poor judgment or compulsive behaviors” only makes
recovery worse.

This discussion in no way serves as a criticism of Catholicism or any organized
faith. Rather, we must refer to these Priests by their rightful categorization:
sexual predators. Both homosexual men and individuals struggling with sex
addiction do not belong in the same category as the abusers. Frequently,
common folk mistakenly categorize all pedophiles as homosexual. To the
contrary, heterosexual men (married with children) also exhibit pedophilia. The
acting out perpetrated by the accused Archbishop McCarrick with seminarians
was homosexual in nature. It still doesn’t mean it was consensual as the young
Seminarians felt they had no choice but to comply. Alleged pedophile Priests
abused the prepubescent boys and girls in Pittsburg.

The DSMV defines pedophilia as “involving intense and recurrent sexual urges
towards and fantasies about prepubescent children that have either been acted
upon or which cause the person with the attraction distress or interpersonal
difficulty.” Prepubescence refers to boys younger than thirteen years old and
girls before the age of ten. The definition does not describe this disorder as an
addiction or restricted to one sexual orientation.

Sadly, each time an event of this nature occurs the press sometimes conflates the
meaning of pedophilia with other issues like sex addiction. Professionals need to
start educating the public about the many sexual issues with which individuals
struggle, the symptoms associated with these disorders and how to implement
preventative measures.

If you need help struggling with a sexual addiction, please call Dr. Goschi to set up
an individual therapy appointment. She treats individuals in Chicago and
Wilmette. Call today at (312)595-1787 or email her at barbara@drgoschi.com

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