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Since I began my professional practice in the 1980s, I‘ve been treating men with Out-of-Control Sexual Behavior (OCSB). How this is named and treated has changed over time – sexual compulsivity, sex addiction, etc. But whatever it’s called, the men who come to me feel that sex is not in a balanced place in their lives and often has disruptive consequences. They haven’t been able to make changes on their own and keep slipping back into the same patterns, in spite of repeated efforts.
My treatment approach always has a dual focus: (1) teaching direct tools and skills that clients can use in managing and changing the problematic patterns in their thinking and behavior, and (2) understanding the underlying issues and needs that drive the OCSB. I’ve been trained in Somatic Experiencing, EMDR and Clinical Hypnosis, all of which can help clients better regulate the feelings, urges and fantasies that feel out of control. These become part of the skill set clients use to make changes in their sexual patterns. They also are helpful in working through early traumas or sexual conflicts that can play an underlying role.
Over the past six years, I’ve been working within the new OCSB model, which is based on sexual health principles and is also sex-positive. I directly trained and continue to consult with the developers of this model, which is increasingly recognized by both the sex addiction and sex therapy communities as one that incorporates a broader understanding of sexual behavior and takes an individualized rather than a “one size fits all” approach.
I currently provide individual, couple and group therapy for OCSB. The group I lead is co-led with Wendy Miller, PhD, a sex therapist who also has many years of working with addiction, using a harm reduction approach. Further information is available at my website.
I am a licensed psychotherapist with a specialty in trauma. Learning from clients led me to recognize that addiction is so often a by-product of trauma and that sex addiction, in particular, can be a deeply held and insidious secret that often emerges from trauma with a devasting impact on life.
It is important to differentiate advice from compulsivity and compulsivity from life style. There are many people who have a very active sex life with multiple partners. What makes this a life style and not compulsivity or addiction is the lack of shame and negative impact on life. Shame is an important point here in that therapy for sex addiction must include a focus on shame reduction. That shame is often compounded by previous trauma where clients so often blame themselves for deeply painful experiences in their lives. Thus, shame reduction is multi-faceted.
Therapy for sex addiction is often positively complimented by client attendance at 12 Step meetings. It’s not surprising, however, that 12 Step meeting don’t speak to everyone. Group therapy can sometimes be a replacement for 12 Step meetings but certainly also helpful in any case.
Recovery is possible from substance addiction, process addiction, including sex addiction, gambling, eating disorders. Hard work, willingness, diligence are going to be keys to recovery...and an independent life.
As an out therapist who has worked extensively with gay men for over thirty years, I bring cultural awareness, compassion and empathy to the therapeutic relationship. As a graduate of one of the earliest LGBT psychodynamic training programs designed for LGBT therapists, I operate from an informed theoretical perspective as well. I am flexible and eclectic in approach. I am committed to providing the individualized course of treatment you are entitled to, maximizing your unique strengths while shoring up areas of deficit.
Working through and altering OCSB requires commitment and tenacity. Developing insight, working through shame and anger, exploring the effects of childhood sexual abuse or developmentally pre-mature sexual acting out are pivotal. So is recognizing that lasting change requires action. Together, we will formulate a treatment plan utilizing external resources when appropriate, as well as in depth therapy. Progress towards meeting treatment goals will be re-assessed and reformulated on a regular basis. We will work together to achieve maximum contentment and authenticity
I offer individually tailored sex addiction therapy and counseling, in a discreet and supportive environment to accommodate every patients' unique needs and life circumstances. Understanding the person and their unique presentation of symptoms and issues is the single best way to ensure that treatment will target and address the presenting cluster of problems. We skillfully treat your addictive acting-out behavior as well as address the roots of your sex, love or porn addiction.
This comprehensive treatment approach provides a deeper, more integrated healing and recovery.
I’ve worked with hundreds of individuals attempting to regain control over problematic sexual behavior. Although I can recognize similar patterns across the board, every individual is unique and requires personalized treatment. Some of my aims are to help people cultivate a sense of curiosity and acceptance toward themselves, teach people how to survive urges without acting on them and to help people identify and pursue goals that are meaningful. I use a collaborative approach, integrating an array of theories and techniques, to provide customized treatment.
I worked at a sex addiction treatment center for more than four years, where I provided individual, couples and group therapy. I served on the committee for psychoanalysis and addictions treatment (COPAT) and have presented on the topic of problematic sexual behavior at conferences and universities. Currently, I am completing the last year of an 8-year training program in psychoanalysis and psychoanalytic therapy. My ongoing interests include therapeutic mechanisms of change, the role of emotional intelligence in healing and the latest developments in the field of psychoanalysis and neighboring disciplines.
I started my professional career as a secondary teacher, working in schools for over twenty years. I have also been a psychologist for over twenty years. I have thus have thus spent over forty years working with the issues of individuals and their families.
After retraining as a psychologist, I worked in the Salvation Army Bridge Program, Taskforce, Odyssey House, Inner South Community Health Centre, Genesis Medical Centre, Meadows Medical Centre, and at the Albert Road Clinic. I commenced my private practice in Prahran in 1996, and then moved to my Rooms in South Yarra in 2008.
I was diagnosed with a rare form of leukemia in early 2017, and took the rest of the year off work to focus on my health. I have made a good recovery from my stem cell transplant and began working in Windsor in January, 2018.
I have also run a variety of groups –
-for problematic cannabis users,
-for Naltrexone users,
-for parents and partners of the addicted, offering training and supervision for telephone counsellors dealing with calls involving life-threatening illnesses made by the diagnosed or their carers, and
-for partners of women with post-natal depression
I am an active, engaging and curious clinician who helps my clients develop their own curiosity and emotional literacy, which results in change.
I am a certified individual and group psychotherapist who works with individuals who struggle with behaviors that they feel have gotten out of control which can include sex, eating, substance use as well as gambling and other money-related difficulties. I believe that behaviors that feel out of control are related to feelings that are often unidentified and then turned into actions, often outside of our awareness. I believe that the affect of shame is highly related to many out of control behaviors. Shame can be conscious and/or unconscious. I help my clients to develop an awareness of their shame, as well as other feelings, in order for them to use the feeling states in the service of directing their actions consciously and purposefully. Many feeling states that are turned into action are blends of feelings such as shame mixed with fear or shame mixed with anger. I help my clients to understand the complexity of these emotional states. I purposely collaborate with my clients to study their behaviors and decode what underlies these actions. In doing so, we are able to create the opportunity for choice and volition. This in turn enhances self-esteem and allows my clients to find for the first time or, in some cases, re-find, their connection to creativity, play and relational connectivity.
I am an empathic, engaged and challenging therapist with certification in Advanced Schema Therapy and CBT, working to heal sexuality, intimacy and attachment issues.
The ability to attach, be close, become sexual and attain real intimacy begins to develop from deep within our own vulnerable child selves at a young age and is reinforced throughout childhood development. This is true of all animals. We learn how to be close, how to share, be in community and to love from people around us and our circumstances. There are times when these people or circumstances end up creating coping modes that, although got us through some difficult times, no longer work to get us what we truly need. Emotional pain, shame and difficulty with relationships of all kinds results. Schema Therapy heals the core unmet needs and reinforces healthy adult coping modes (creating or reinforcing neural pathways) that will help you attain what you deeply want for yourself.
I am a psychotherapist with over 20 years of experience. I work with adults, adolescents, couples and groups on a broad range of issues, and specialize in treating codependency.
Therapy can help you uncover and remove obstacles that may be keeping you from enjoying your life. We can work together to identify solutions that will reduce anxiety, lift depression, improve your self-esteem and relationships.
I specialize in helping patients recover from codependency in relationships.
Codependency can manifest as a pattern of enmeshed or abusive relationships, preoccupation with the needs of others, self-neglect and obsessive thinking. Partners of addicts or alcoholics and people raised in families affected by alcoholism or addiction often develop codependent habits. Identifying and transforming these potentially self-destructive patterns of thinking and behaving is extremely difficult to do alone. I can offer my empathy and experience to guide my patients to insight and relief from the distress associated with these experiences.
We will develop strategies to help you cope and better manage your symptoms and problematic behaviors, as well as focus on underlying issues to help resolve deeper problems.
My approach to treating OCSB (out of control sexual behavior) or “sex addiction” is through an integration of psychoanalysis and addiction treatment. Addiction treatment helps to develop strategies to address and manage problematic sexual behavior. Psychoanalysis offers an opportunity to explore thoughts and feelings as they relate to present day stressors, as well as look back to childhood family relationships and experiences to better understand any underlying patterns or connections.
I treat a variety of difficulties, including anxiety, depression, addiction, relationship problems, traumatic experiences and more.
One area of specialization is addiction – this include problems with alcohol and other substances, as well as sex addictions, gambling and other compulsive behaviors.
I also specialize in relationship problems, both for individuals and couples. This can include chronic fighting, problems with communication, issues around commitment, intimacy, infidelity and a wide variety of sexual concerns and problems.
I work with both heterosexual couples and the LGBTQ community. I’m also comfortable working with non-traditional relationships, including consensual non-monogamy, polyamory, as well as individuals and couples active in the kink community.
I provide individual psychotherapy, addiction treatment, couples and marriage counseling, family therapy and sex therapy.
I believe that each person’s therapy is a unique process and is best implemented through an individualized approach. My goal is to establish an accepting and comfortable space for you to talk about and explore your concerns. We will work toward developing strategies to help you cope and better manage your symptoms, as well as focus on underlying issues to help resolve deeper problems.
I provide a warm, comforting, safe and non-judgmental environment in which to explore whatever may be troubling you, though I'm particularly interested in - and experienced in working with - shame.
I find it helpful to think of addiction as a symptom, not just a problem. The problems that cause addiction are what I seek to treat.
I find it helpful to think of addictive behavior as compulsive, behavior in which we engage to relieve intolerable discomfort.
If you are engaged in compulsive, out-of-control, addictive behavior, I am eager to understand not just how you act out, but why – what it is in the moment that triggers the irresistible impulse, and what it is in your past that left you unable to tolerate your feelings without acting out.
Together, we will work to understand not just why you can’t stop, but also, what it is that you get out of your addiction.
No one wants to be an addict. Our challenge, together, is to understand your addiction as a coping strategy, and to develop alternative, less destructive coping strategies.
I am a certified sex and relationship therapist
Dr. Joe Kort is a licensed sex and relationship therapist. He specializes in sex therapy, LGBTQ
issues and Imago Relationship Therapy. He is the author of four books: 10 Smart Things Gay Men Can Do To Improve Their Lives: Revised and Updated, 10 Smart Things Gay Men Can Do To Find Real Love, LGBTQ Clients in Therapy: Clinical Issues and Treatment Strategies, and Is My Husband Gay, Straight, or Bi?: A Guide for Women Concerned about Their Men. A regular
blogger for Psychology Today and The Huffington Post, he’s on the teaching faculty of the University of Michigan’s Sexual Health Certificate Program and runs the LGBTQIA Certification Online Program with Modern Sex Therapy Institutes www.ModernSexTherapyInstitutes.com
My many years of work with people who feel out of control about some of their behaviors have taught me that a therapeutic relationship - by helping people gain awareness of what they avoid by their behavior, and by developing a new type of attachment - with the therapist, and then, with other humans, can help them gain fuller and deeper kinds of satisfaction and meaning and this, in turn, can help them make the changes they're motivated to make.
As the years go on, I’ve realized that I have become a good deal more ‘myself’ as a therapist – meaning I present more of who I am, though only when appropriate to benefit the particular individual I’m working with. So I might talk about something that happened in my own past if it relates to what the client is discussing; I will generally answer questions about my own life; and generally I much more prize and focus on the actual relationship between me and my client. This has gone along with my own growth, as a person and as a therapist, in which I’ve realized clearly that what matters in the therapy is what works with the given person I’m with, and what is far less important is my trying to follow a given theoretical paradigm that I was taught years ago.
My training in Somatic Experiencing, EMDR and Group Therapy has helped many clients struggling with trauma, Out of Control Sexual Behavior or alcohol/drug linked sexual behavior.
For over 20 years I’ve worked with many clients struggling with the residual effects of various traumas, Out of Control Sexual Behavior (OSCB) or alcohol/drug linked sexual behavior. I’ve found that my training in Somatic Experiencing, EMDR and Group Therapy has helped clients expand their capacity to be present with themselves while experiencing emotional/physical discomfort which helps increase connections with other people.
While we might long for changes in life, making change can be painful and scary. Therapy is a collaborative process, and I will partner with you on this journey. My practice focuses on treating intimacy/relationship problems, out-of-control sexual behavior (OCSB), alcohol/substance abuse, codependency/co-addiction, personality issues, trauma, anxiety/depression and career/workplace concerns. In addition, I work extensively in the LGBT community and specialize in gay men’s health and wellbeing.
I began my career with an MBA working on Wall Street. It was during that time I became interested in the human experience and how it’s possible to learn to live with discomfort while working through problems and heal from traumatic symptoms holding someone back. By helping people work on building resources needed in the present, we can uncover or get reacquainted with our own best selves. Since 1995 I’ve been practicing psychotherapy as a licensed clinical social worker (LCSW) and received my MSW from Columbia University.
I am a Somatic Experiencing Practitioner (SEP) and I’m also trained in all 3 levels of EMDR. Both approaches focus on trauma resolution but can also be effective with many issues people face in life. In addition, I’m a Certified Group Psychotherapist, certified in Emotionally Focused Couples Therapy (EFT) which is based on attachment theory. And, I’m also a Certified Sex Addiction Therapist (CSAT. The treatment modalities I utilize include individual, couples & group psychotherapy.
I lead a weekly Gay Men’s Psychotherapy group which focuses on members practicing having new experiences relating to one another on a weekly basis in the here and now.
I also run a weekly group for Gay Men in recovery from OCSB and/or alcohol / drug linked sexual behavior. This group offers members an opportunity to practice relating to one another in a weekly group in the here and now while defining and working towards sexual health in their lives.
My goal as a psychotherapist is to help you access your true self, free from out-of-control sexual behavior/sex addiction and other self destructive behaviors.
For over 35 years, I have been treating people with out-of-control sexual behavior (OCSB)/sex addiction, alcoholism, substance abuse, love addiction and co-dependency. I provide individual, couples and group therapy. As we work together, in your most personal moments, when its just you and me, there is freedom to share your most vulnerable concerns. I provide a safe, therapeutic space, with caring, humor and respect where you can explore your deepest issues.
Initially, we may be working on attempting to reduce or eliminate out-of-control behavior. Often as we do that, intense feelings emerge. We will explore these emotions together. Childhood trauma often underlies addictive/out-of-control behaviors. I am trained in doing EMDR, which is very effective in treating childhood trauma.
There is something profoundly healing about sharing your most personal truths with a trusted witness. I would feel privileged if you allow me to go through this healing process with you.
For 20 years I have had healing therapeutic relationships with both women and men who were suffering from their unwanted sexual behaviors and the shame it causes them.
I work with all types of people; many of them are perfect… or so it appears. But, we all have challenges. How we choose to deal with them is what varies. So, if you’re looking to make a change I offer my expertise and support. Together, we’ll explore why things are, or are not happening for you, how to apply coping mechanisms to everyday living, and what it takes to experience a more loving relationship, a satisfying job, to heal from trauma, or control your impulses.
Carol A. Butler
I want to help people understand why they feel and act the way they do, and I want to help them change behavior that they feel is a problem.
I feel my role as a therapist has two components; I want to help people understand why they feel and act the way they do, and I want to help them modify problem behaviors that they haven’t been able to change. People frequently come to therapy in a great deal of psychic pain, and focusing only on exploration and insight or only on change may overlook or invalidate the intensity of their pain. Learning to stay calm and focused makes it possible to take in new information that can lead to positive changes.
I try to communicate to individuals and couples that their behavior and feelings are relevant and meaningful, perhaps in terms of their past experiences if not clearly related to their present life situation. I want to help clients increase their self-esteem, learn to predict how they will feel after taking an action, increase their ability to enjoy life, and make every effort to attain their goals.
Specialty areas in which I have advanced training and experience are sexual dysfunctions, out of control sexual behavior, substance abuse, process addictions (compulsive gambling, eating disorders), anxiety disorders, and surviving childhood sexual abuse. My work with couples led me to train and qualify as a mediator of divorces and of family and business disputes. I am the co-author of The Divorce Mediation Answer Book.
My style is marked by a deep openness to experience and a revisiting of emotions and memories in a nonjudgemental and collaborative environment to foster long-lasting change.
We all are attached to our stories. I try really hard to listen to everything you tell me, but to stay clear about what’s real and what’s fantasy, what’s contemporary and what’s historical. This is something that can be really hard to do for yourself; I’m an ally in helping you figure out the difference between the past and the present, fantasy and reality.
My goal is to work with you, so you can discern what’s actually happening, and so you can understand what, in your current circumstances, is a result of things that have happened previously; what’s a result of things you’re doing today; and what’s actually happening.
My work is very experiential. Somehow the present, past and future collapse into a moment and becomes what we’re experiencing in the moment. I work with many people where other therapies have failed or only gotten mediocre results, and am skilled at working with people who have a diffuse sense of self or experience holes in their sense of self and experience.
I often times work with individuals who are struggling with out-of-control sexual behaviors, have sexual desires, fantasies and behaviors that bring them intense feelings of shame, guilt and feelings of isolation, and those struggling generally around understanding their sexuality.
I work with individuals for varying lengths of time depending on whether we choose to focus on an immediate problem or undertake a more open-ended process. In whatever capacity, we’ll work together toward possible goals such as: stopping repetitive destructive behaviors, achieving satisfying relationships, and reaching your creative, emotional and professional potential.
I use the gender pronouns he/him/his.
Brian A. Lathrop
Trained in numerous techniques and approaches and with over 25 years of experience , I work with those seeking hope and help through interactive therapy for increased joy and decreased stress in human relationships and redefined sexual gratification.
The medical model of ‘pathologized’ sexual feelings and behavior is rife with judgemental attitudes and self loathing that can often keep one far from coming into a fulfilling sense of sexuality.
Working within a psychodynamic model focused on the renewal of the ‘human’ spirit , I have spent the last 25 years of my life working with people who deep down have not accepted themselves or their impulses and are caught in behavioral loops of acting out and self disgust. My working approach is a behaviorally informed analytic approach focused on learning to tell one’s truth and truly becoming conscious of the repercussions of one’s actions. I am a firm believer and advocate of both group therapy and couples therapy as formats for learning how to enrich relating with others with your sexual self awareness increasingly intact !
Sexual behaviors, beliefs, and feelings can feel ‘fixed’ or ‘stuck’…. but they can grow and change . This is the shocking and simple truth many clients have come to reflect back to me with their hard work . Sex is more then you believe or you currently know….its life’s real adventure!
I approach therapy as a collaborative process in which no two individuals/couples/groups are identical; each houses its own narrative and set of complexities to be examined.
I hold a doctorate degree in clinical psychology. I am a psychologist . . . a clinician, freelance writer and media consultant where I am a frequent contributor to media sites on the topics of sex, love, relationships and general mental health issues. I have a private practice in Boca Raton, Florida, where I have specialized for over 30 years in issues related to sexuality, relationships, infidelity, divorce, addiction, trauma, and general psychiatric concerns. I provide individual, couples and group psychotherapy and hold certifications in sex therapy, therapy for sex and process addictions, group therapy, EMDR, and hypnosis as well have taken specialized training in trauma, couples therapy, discernment counseling and parenting coordination/mediation.
The main focus of my practice is the integration of sex and couples therapy. I completed training in Sexology in 1995 with the American Academy of Clinical Sexology and earned the status of fellow. I trained with Dr. Sue Johnson, the originator of Emotionally Focused Therapy for Couples (EFT) as well as other master trainers; I have training in the Gottman Method as well.
I am trained in and practice conventional psychotherapeutic methods (psychoanalytic psychotherapy, CBT, systems therapy, hypnosis) as well as state-of-the-art methods (EMDR, EFT) with a basis from object relations and relational psychotherapy.
With a certification in group psychotherapy, I facilitate process groups, including a general process group, a group for men with infidelity and a partners group for those who experienced a sexual/emotional betrayal, as well as a 10-week program for partners struggling with post-discovery of a sexual/emotional affair(s).
I hold sessions in my office in Boca Raton and consultations via Zoom.
I am a sensitive, empathetic, licensed psychotherapist who has been working with problematic, shame-inducing sexual behaviors for over 20 years.
Good mental health is a precious commodity. It is also essential if you’re to have a fair shot at living a fulfilling and satisfying life. The type of life, I believe, is every human being’s natural birthright.
The kind of psychodynamic psychotherapy I provide is collaborative, interactive and timed & tailored to your specific needs.
Drawing upon a foundation of postgraduate psychoanalytic education & clinical training, along with over 20 years of treatment experience, I feel truly privileged to “join” with my patients on their individualized paths of self discovery, recovery from out of control sexual behaviors and psychological growth.
The working alliance we build together in our therapeutic relationship is what becomes the tool for healing old traumas, negative core-self beliefs, and problematic behaviors. Beliefs and behaviors that might be holding you back in life, in your career and in your close and intimate relationships.
In addition to my general practice, I specialize in the treatment of those struggling with out of control, compulsive, shame-based and often secretive sexual activities. At first we work to contain and reduce the painful behaviors. As healing and recovery grow deeper, the work grows deeper with it. Treatment may focus on recognizing one’s unconscious motivations, attachment patterns and increasing the capacity to identify, tolerate and regulate one’s varying emotional states.
In conjunction with psychotherapy, I have found that many patients accelerate their healing by attending 12-Step recovery programs for sex & love addiction, substance abuse and codependency. While attendance is definitely encouraged, it is by no means mandatory–the meetings work extraordinarily well for many, but not necessarily for everyone.
I also work with the partners of those with sexually compulsive behavior. If you have recently discovered that your partner has been compulsively unfaithful, then you have experienced a disorienting, relational trauma–a rupture in your perception of what you thought was your reality. Psychotherapy can help you regain your emotional “footing” and improve upon your existing and future relationships, including the most important one of all–the relationship you have with yourself.
I strive to create a strong collaborative bond with clients to support growth via self-understanding, and to aid them in identifying and addressing beliefs, behavioral patterns, and difficult emotions that may disrupt their capacity for satisfying relationships, for pleasure, for freedom of choice, for love.
Drawing on principles and techniques from relational psychotherapy and mindfulness practices, I aim to strengthen my client’s self-understanding and sense of control over their choices and their lives. My first objective is to create a space where people may feel safe to speak about experiences, thoughts, and feelings that may feel dangerous, shameful, or unacceptable. When we can access the personal meaning of problematic behaviors, then we can work with limiting beliefs about the self and the world that may keep people locked into patterns of behavior that disrupt their capacity to seek and maintain fulfilling, sustainable relationships and lifestyles.
At the root of much of my work is a sense of urgency about the primacy of relationships, self-compassion, and self-understanding for psychological health. But life experiences can lead to conflicts that stifle our capacity to be truthful with ourselves about who we are and what we want. This can result in great confusion, because we may act in ways that damage ourselves and the commitments that matter most to us. Therapy is unique in that it provides a nonjudgmental yet honest relationship in which an individual can engage in careful observation of their thoughts, feelings, and habitual ways of relating to others that may help them step outside of these painful patterns and experience relief.