CBT

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Birchard, Thaddeus. CBT for Compulsive Sexual Behaviour (pp. 54-55). Taylor and Francis. Kindle Edition:

  • Primary interventions: Teaching about sexual addiction; Teaching about neuroscience; Teaching about shame.
  • Principal interventions Consideration of values; Understanding supernormal stimuli; Formulation; Harmful consequences; Sex plan; Family of origin; Cycle of addiction; Trigger identification; Behavioural substitution; Cognitive distortions; Assertiveness training; Hot seat; Personal presentation.
  • Ancillary interventions: Relapse prevention; Health sexuality; Sexual health.
  • A short summary of the book can be found in Birchard, T., & Benfield, J. (Eds.). (2017). Routledge International Handbook of Sexual Addiction. Routledge International Handbooks, Ch. 4.3.

Hall et al., 2020, UK[1]:

  • Psycho-educational/multimodal program based on the CHOICE Recovery Model (Hall, 2018):  
  • C - Challenge core beliefs
    • Highlight actual & potential harmful consequences
    • Challenge cognitive distortions
    • Empathise with loss
    • Psycho-educate
    • Motivational Interviewing techniques
    • Identify negative self statements
    • Reduce shame
  • H – Have a vision
    • Identify values
    • Teach to dream
    • Create vision
    • Set goals
  • O – Overcome compulsive behaviours
    • Identify and avoid triggers
    • Establish relapse prevention strategies
    • Establish recovery routines
    • Explore underlying trauma/attachment issues
    • Identify unmet needs
  • I – Identify positive sexuality
    • In line with personal values
    • Confidence and esteem building
    • Respectful of self and others
  • C – Connect with others
    • Friends
    • Family
    • Partnered relationships
    • Recovery group
    • 12-step fellowship
  • E - Establish confident recovery
    • Establish emotional stability
    • Develop assertiveness
    • Daily recovery disciplines
    • Healthy pursuits & pastimes
  • The objective is for participants to leave the program with:
    • greater insight into the root causes of their compulsive behavior
    • practical skills for preventing relapse
    • positive goals for the future and motivation to change
    • a long-term support network.
  • This model is explained in depth in Hall, Paula. Understanding and Treating Sex and Pornography Addiction (p. 51). Taylor and Francis. Kindle Edition.
  1. The Effectiveness of Psycho-Educational Group Work in Treating Compulsive Sexual Behavior Disorder (CSBD): Clinical Outcomes Using CORE OM and Supplement at Three-Month and Six- Month Follow up