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La durée de 00:19:29 secondes et le titre Diagnosing Porn Addiction & Compulsive Sexual Behavior Disorder sont à prendre en compte, ainsi que les informations de l’auteur et la description qui suit :« Le Dr Dawn-Elise Snipes enseigne comment diagnostiquer la dépendance au porno et le trouble compulsif du comportement sexuel en utilisant la CIM-11 pour améliorer les services à ceux qui luttent avec la dépendance à la pornographie *** Inscrivez-vous à mon programme d’auto-assistance en 14 parties pour vous remettre de la dépendance porno à DoCSnipes.com/pornhelp Si vous avez lutté avec la dépendance porno ou tout autre comportement sexuel compulsif, cette vidéo est pour vous. Nous discuterons des symptômes de la dépendance porno et de la façon de le diagnostiquer, en utilisant la dernière édition de la CIM-11. Nous espérons que cette vidéo vous aidera à obtenir l’aide dont vous avez besoin et à surmonter votre dépendance! Primer pour les conseillers sur le diagnostic de la dépendance porno et le trouble compulsif du comportement sexuel. Le Dr Dawn-Elise Snipes est un conseiller professionnel agréé et un superviseur clinique qualifié. Elle a obtenu son doctorat en conseils en santé mentale de l’Université de Floride en 2002. En plus d’être clinicienne en exercice, elle a fourni une formation aux conseillers, aux travailleurs sociaux, aux infirmières et aux gestionnaires de cas à l’international depuis 2006 via Allceus.com SubScript et cliquez sur la cloche pour être informé lorsque de nouvelles vidéos seront téléchargées. Si cette vidéo vous a aidé, veuillez envisager de faire un don pour prendre en charge la chaîne CashApp: Docsnipes PayPal: https://docsnipes.com/donate YouTube: docsnipes.com/join Cours en ligne basé sur cette vidéo peut être trouvée sur https://allceus.com Cadre de la gestion de la poursuite de l’éducation et de la gestion de l’éducation des études de la CaUSE AT AT 59 Programmes de certificat spécial pourtiné à l’éducation de la base AT AT 59 Programmes de certificat detité spéciaux AT CONSUSOOR AT CONSUSOIRE AT CONSUSEUR DE CONSUSORE AT AT 59 Programmes de certificats spéciaux pour intégration spéciale AT CONSUSOOR AT CONSUSOIR AT CONSUSE 89 $ https://allceus.com/certificate-tracks #porn #diagnosis #AddictionRecovery #Selfhelp #CognitiveBehavioraltherapy #Counseling #Counseling Note: toutes les vidéos sont à des fins éducatives et ne remplacent pas les conseils médicaux ou les conseils d’un professionnel agréé. Vidéo par le Dr Dawn Elise Snipes sur les approches intégratives de santé comportementale, y compris les techniques de conseil et les compétences pour améliorer la santé mentale et réduire la maladie mentale. Allceus.com fournit une éducation au conseiller multimédia et des CEU pour les LPC, les LMHC, les LMFT et les LCSW ainsi que la formation de précertification des conseillers en toxicomanie et la formation continue sur de nombreuses vidéos sur cette chaîne. Contrairement à d’autres fournisseurs comme Ce4less, Allceus comprend un webinaire hebdomadaire en direct avec votre éducation continue et votre abonnement professionnel illimité. Chapitres: 00:00:00 – Chemins vers l’utilisation du porno 00:02:14 – Influence des médias sur les comportements sexuels et l’utilisation du porno 00:04:13 – Association sexuelle inquiet 00:06:33 – Comportement sexuel compulsif 00:08:32 – Problèmes de détresse personnelle et relationnels 00:10:39 – Comportement sexuel compulsif et plaisir diminant 00:12:54 00:14:59 – Hypersexualité et troubles paraphiliques 00:17:13 – La dynamique de puissance dans BDSM 00:19:23 – Merci d’avoir regardé et de vous voir la prochaine fois (Tagstotranslate) Dawn Elise Snipes ».

En tant que plateforme ouverte, YouTube permet à chaque utilisateur de découvrir des vidéos abordant une multitude de sujets, tout en garantissant des interactions sécurisées et respectueuses des normes communautaires. Cela en fait un espace de dialogue enrichissant pour explorer divers intérêts personnels.

Décrypter les enjeux de la dépendance à la pornographie

Décrypter les rouages psychologiques en action

L’addiction au porno est liée à la stimulation excessive du système de récompense, provoquant une libération de dopamine qui consolide les comportements répétitifs et le sentiment de dépendance.

Repérer les signaux d’alerte de dépendance

Une dépendance au porno se manifeste par une recherche constante de contenu, malgré les effets négatifs sur la vie quotidienne et les relations.

Analyser les effets de la consommation de porno sur le quotidien

L’addiction affecte les relations personnelles, réduit l’estime de soi et freine les interactions émotionnelles authentiques. Une consommation abusive de porno peut renforcer une dépendance émotionnelle axée sur ces supports

Développer un plan méthodique pour surmonter l’addiction

Fixer des intentions claires et accessibles

Le succès du sevrage passe par des objectifs clairs, par exemple réduire le temps passé devant des contenus pornographiques. Cette démarche doit également comprendre une réflexion sur les origines de la dépendance et les avantages durables de l’arrêt.

Instaurer un cadre propice à la relaxation

Le recours aux extensions de navigateur ou aux applications de contrôle parental permet de limiter l’accès aux contenus pornographiques. Parallèlement, organiser son emploi du temps pour intégrer des activités constructives peut aussi diminuer les envies compulsives.

Instaurer des tactiques pour gérer les tentations

Il est essentiel de comprendre les facteurs déclencheurs et d’adopter des stratégies comme la TCC, la pratique d’activités saines et l’implication dans une communauté soutenante.

Adopter une nouvelle façon de vivre sans se tourner vers la pornographie

Des liens sincères favorisent l’épanouissement personnel

L’intimité authentique permet de se libérer des fantasmes et de vivre une sexualité plus épanouie avec un partenaire

S’engager dans des activités bénéfiques et équilibrées au quotidien

Cultiver des habitudes enrichissantes, comme la méditation ou le yoga, soutient l’équilibre entre le corps et l’esprit et diminue les pulsions irréfléchies

Adopter une approche éthique de la sexualité

Privilégier une approche éthique de la sexualité aide à construire des relations solides et respectueuses L’arrêt de la pornographie demande une réflexion approfondie, des ressources adéquates et un accompagnement continu. Grâce à la compréhension de la dépendance et à une démarche planifiée, on peut surmonter cette dépendance et vivre une sexualité plus saine. Un suivi constant et l’engagement personnel sont cruciaux pour réussir (voir ce service pour la pratique de la chasteté masculine contrôlée).

Se renseigner sur les possibilités de soutien disponibles

Se diriger vers un professionnel pour un suivi en santé mentale

Prendre contact avec un psychologue spécialisé dans les dépendances comportementales, en particulier ceux utilisant la TCC, permet d’explorer les origines profondes et d’obtenir un accompagnement ciblé.

Faire appel à des applications et outils numériques pour suivre ses objectifs

Certaines applications et outils numériques aident à suivre les progrès, en envoyant des rappels motivants et en favorisant l’adoption d’habitudes positives pour réduire l’exposition à des contenus pornographiques.

Prendre part à des sessions de soutien collectif

Les groupes de soutien permettent aux individus de se confier, de découvrir des stratégies de rétablissement efficaces et de s’entraider dans leur processus de guérison.

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#Diagnostic #dépendance #porno #trouble #compulsif #comportement #sexuel

Retranscription des paroles de la vidéo: hey there everybody and welcome back to this series on pornography addiction and compulsive sexual behavior disorder I’m your host Dr Donal Snipes and in this video we’re going to talk about the diagnosis itself we’ll start out by talking about common paths to porn use not necessarily abuse or addiction and then explore the Continuum from use to abuse to addiction how do people start watching porn it’s not something you just wake up one day and go hey I’m going to go online and search for porn something triggers it in your mind it could be early use or curiosity when youth start developing their secondary sex characteristics they may start getting curious when they learn about some of it from friends from peers from whatever they may get curious unfortunately I found out when my son was a teenager um they may also when they play certain video games be bombarded with or exposed to ads of a relatively sexually explicit nature which may lead them to exploring and it may not be exploring with the intention of masturbation it may be exploring with the intention of learning peer pressure is another reason people use whether it is you know high school or college or in relationships there may be some people who are watching and other people who are there along for the ride encouraged to watch and may succumb to that peer pressure social learning is another path the porn use I know stories of a lot lot of people who are my age whose parents subscribe to Playboy or play girl and those magazines were hidden away under their parents’ bed and they remember going and stealing their parents’ magazines or stealing uh borrowing them in order to look at them out of curiosity but they learned my parents do it you know it must be okay uh um we also have a lot of social learning from the media and when my daughter was younger I remember watching some shows that were on network TV that were on mainstream TV that made me blush and I’m like okay changing the channel now um it’s becoming increasingly difficult to find what used to be referred to is familyfriendly uh programming so there is a lot more sexual uality and overt sexuality on in the media tension release is another path to porn use some people especially if they’ve are older they’ve experienced orgasm they recognize the benefits of sex and orgasm they may start using it as a method for tension release when they’re really stressed out some people start using porn when they’re out of a relationship but they’ve got that sexual tension and they either don’t have time to find a relationship they are afraid to try to find a new one because they have low self-esteem they’re just assuming they’re going to be rejected or they feel like they’re social skills are really low or they’ve tried and they keep getting rejected so they’ve just given up um there’s a lot of reasons people aren’t in relationships these days uh and that doesn’t change the fact that they have a libido they have a sexual aspect to themselves and some people end up finding porn or beginning to watch porn because of mismatched sexual appetites or Desires in relationships and we talked about this a little bit in part one but in a lot of relationships Partners may not have the exact same sexual appetites and one compromise [Music] is being okay with the partner with the higher sexual appetite watching porn and relieving their sexual tension through that as opposed to feeling um sexually deprived or as opposed to engaging in some sort of uh nefarious affair not everybody’s good with that and that’s between partners but it is important to recognize that that is one of the reasons that many people site in couples counseling many people site that they actually started to use porn was because they weren’t getting it enough and having an open discussion about what enough means and if there are alternatives to satisfying the partner with the high high sexual um appetite so let’s talk about pornography addiction which the official label for it is compulsive sexual behavior disorder and csbd is actually a diagnosis in the icd1 now which is the World Health organization’s version of the DSM um so it is a official documented diagnosis however it is really important to not overuse or over pathologize it as a clinician if you don’t like pornography if you don’t agree with pornography use okay that is those are your beliefs but it just because somebody is watching porn even if they’re watching porn and their partner doesn’t know about it that doesn’t necessarily mean it is a diagnosable problem so let’s look at the diagnostic criteria pretty straightforward a persistent pattern or failure to control intense repetitive sexual impulses or urges resulting in a repetitive sexual behavior over at least a six-month period manifested in one or more of the following so this isn’t just a fleeting idea this is an intense desire this is what we we might call a compulsion or a craving if we’re talking about um if we were talking about addiction and drugs so it needs to be manifested by one or more of the following problems the person neglects their health personal care or other interests activities and responsibilities in order to engage in the sexual behavior or in order to recover from the sexual behavior or they have unsuccessful efforts to control or significantly reduce the Behavior when they try to do it and that is one that gets a little hinky sometimes because the person who is watching porn for example or engaging in the compulsive sexual behavior may not have any desire to cut down or quit so they’re not really trying that hard but what the other people see who are telling them they have to cut down is that they’re unable so we need to look at unable or willing when we’re making this particular um part of the diagnosis if the person’s unable to control or significantly reduce the behavior that’s one thing okay meets the criteria if they’re unwilling that doesn’t meet the criteria marked distress or significant impairment in personal Family Social educ educational occupational or other important areas of functioning now this is one of those catchalls that if they come in and they say this is causing me major problems in my relationship okay meets the criteria one thing it does note in the icd1 is that personal distress guilt and shame about watching porn or masturbating or engaging in particular sexual behaviors that is entirely related to a personal moral judgment about the sexual impulses urges or behaviors is not sufficient so if the only distress you’re experiencing as a result of pornography use or compulsive sexual behaviors is shame and guilt then according to the icd1 it would not meet the criteria for diagnosis if that was your only symptom I will add the caveat that just because someone may not meet the full criteria for diagnosis doesn’t mean there’s not a problem if somebody is presenting with in your office they’re there for a reason there’s some problem somewhere and even if they don’t neatly fit into the criteria we don’t send them away we address the problem that is keeping them from achieving their definition of a rich and meaningful life the individual continues to engage in the repetitive sexual behavior despite adverse consequences they start having relationship problems the relationship is important to them now if the relationship’s not important to them that’s a whole different ball game if the relationship’s important to them and they are having problems in that relationship because of the porn use and they keep using porn then okay then we’re squarely in the diagnostic area the person continues to engage in repetitive sexual behavior even when they derive little or no satisfaction from it now I thought that one was interesting and it’s not better accounted for by another mental disorder or other medical condition and is not due to the effects of a substance or medication one of the things that we see in people that engage in compulsive sexual behaviors whether it’s porn or something else is over time the intensity of the release the intensity of the orgasm the feelings afterwards and even sometimes the anticipation leading up to it it starts to become blunted as the HP AIS and the rest of the nervous system and changes as a result of excessive use then the pleasure from it is going to become increasingly less just like people who abuse drugs they develop tolerance and they need more in order to get the same high now there’s only so much you can do with sex in order to get that same High um one of the things that we do see is people increasing the shock value if you will of the pornography that they’re watching or they increase the risk in what they’re doing in order to increase the Endor endorphins and the adrenaline and the rush associated with it so they have their own way of responding to tolerance but when we see that when we see them having to engage in increasingly risky or shocking behaviors then that kind of um falls under this criteria of not receiving the same level of satisfaction from the same level of activity let’s talk about differential diagnosis hypersexuality as they call it um is prevalent in a lot of different things and the first first thing that I will say is different people have different sexual appetites and some people have a very strong sex drive and have a lot of sexual drive we don’t want to pathologize that if it’s not causing them problems in their life if they don’t meet the criteria where it’s causing them to neglect certain areas of their life or whatever then it’s not a problem they just have a high six Drive okay we want to make sure that we’re clear on that however for some people who have a history of trauma or personality disorders they may use sex as a means of emotional regulation as a means of stabilizing their sense of self or as a method for avoidance or numbing and it’s important to rule out uh both trauma complex post-traumatic stress disorder as well as what the dsm5 TR labels as personality disorders before we necessarily assign a diagnos of diagnosis of compulsive sexual behavior disorder if the reason the person is engaging in the sexual behavior is simply to manage their emotions or stabilize their sense of self um as a result of trying to cope with personality disorder then or their trauma history then compulsive sexual behavior disorder would not be additionally diagnosed we don’t want to give them a laundry list of diagnoses bipolar disorder is another one that we really need to be aware of because it’s a very prevalent disorder in throughout the world and in North America and one of the signs of a hypomanic or a manic episode is a dramatic increase in sexual drive where some people will again we’ll call it hypersexuality but it’s different than the person’s normal or typical level of sexual drive so when a person starts to evidence this increase in uh sexual behavior often times that’s an early warning sign of an impending hypomanic or man manic episode and there again you would not give the diagnosis of compulsive sexual behavior disorder if the hypersexuality is caused as or is a symptom of the manic episode in terms of paraphilic disorders the core feature of paraphilia is an intense pattern of atypical sexual arousal manifested by sexual thoughts fantasies urges or behaviors and have resulted in actions toward non-consent ing individuals or are associated with marked distress or significant risk of injury and this is another one that I think we really need to have an open and honest discussion about because for example voyerism and exhibitionism when done between consenting adults is not a paraphilic disorder um when that’s just what some people like to do and so it needs to be in order to be a paraphilia it needs to be done toward non-consenting individuals so if the people are consenting and they’re adults then it’s probably not a paraphilic disorder BDSM is different as I mentioned earlier than diagnosis 6D 33 which is coercive sexual sadism disorder coercive sexual sadum sadism disorder is done to someone who is non-consenting you’re coercing them you’re forcing them you’re manipulating them BDSM the Hallmark again I’ll say it safe sane and consensual yes in some of the scenes the sub may seem like they are powerless but in reality in BDSM the sub actually has a lot of power in designing this the scene and it is the Dom’s responsibility to try to play out the scene in a way that helps meet the sub’s needs but again that’s a lot of stuff that we’ll cover in the BDSM video pornography is everywhere and it’s becoming even more mainstream like other addictions use exists along a continuum problematic use or diagnosis of porn addiction or what they call compulsive sexual behavior disorder requires neglecting health or other important activities or problems in one or more important areas of life or unsuccessful efforts to control the behavior so the person’s unable to not unwilling but unable shame and stigma about porn use and problematic porn use or PPU are keeping people from talking about it and seeking help so we really need to start talking about it and helping people see that there are uh tools that can help them if this is a problem for them and start helping them understand all right yeah porn doesn’t exist in a vacuum and these things that you’re experiencing experiencing in your life may have some connection to the porn use so we need to start taking a look at addressing you as a whole person not just figuring out how to help you stop watching porn but we need to look at all the other issues that are contributing to that porn use and contributing to that uh uh those withdrawal symptoms and the mood symptoms when you are not using thanks for watching and I look forward to seeing you next time .

Déroulement de la vidéo:

2.36 hey there everybody and welcome back to
4.08 this series on pornography addiction and
6.279 compulsive sexual behavior disorder I’m
8.639 your host Dr Donal Snipes and in this
11.4 video we’re going to talk about the
13.24 diagnosis
16.16 itself we’ll start out by talking about
18.68 common paths to porn use not necessarily
21.76 abuse or addiction and then explore the
24.76 Continuum from use to abuse to
28.96 addiction
30.8 how do people start watching porn it’s
33.239 not something you just wake up one day
34.879 and go hey I’m going to go online and
37.16 search for porn something triggers it in
39.6 your mind it could be early use or
43.239 curiosity when youth start developing
47.28 their secondary sex characteristics they
50.16 may start getting curious when they
53.52 learn about some of it from friends from
56.64 peers from whatever they may get curious
60.239 unfortunately I found out when my son
62.44 was a
63.799 teenager um they may also when they play
67.119 certain video games be bombarded with or
71.24 exposed to ads of a relatively sexually
74.92 explicit nature which may lead them to
79.079 exploring and it may not be exploring
82.88 with the intention of masturbation it
86.36 may be exploring with the intention of
88.88 learning
90.68 peer pressure is another reason people
92.84 use whether it is you know high school
96.759 or college or in relationships there may
101.439 be some people who are watching and
104.84 other people who are there along for the
108.6 ride encouraged to
110.399 watch and may succumb to that peer
113.96 pressure social learning is another path
116.759 the porn use I know stories of a lot lot
120.24 of people who are my age whose
125.439 parents subscribe to Playboy or play
129.2 girl and those magazines were hidden
132.2 away under their parents’ bed and they
134.76 remember going and stealing their
137.4 parents’ magazines or stealing uh
140.28 borrowing them in order to look at them
143.56 out of curiosity but they learned my
146.599 parents do it you know it must be okay
149.64 uh um we also have a lot of social
152.239 learning from the media and when my
155.599 daughter was younger I remember watching
158.04 some shows that were on network TV that
162.0 were on mainstream TV that made me blush
165.959 and I’m like okay changing the channel
167.84 now um it’s becoming increasingly
170.8 difficult to find what used to be
173.44 referred to is
174.84 familyfriendly uh
177.08 programming so there is a lot more
179.28 sexual uality and overt sexuality
183.12 on in the
184.92 media tension release is another path to
188.28 porn use some people especially if
191.12 they’ve are older they’ve experienced
193.959 orgasm they recognize the benefits of
197.92 sex and orgasm they may start using it
201.56 as a method for tension release when
204.72 they’re really stressed
206.64 out some people start using porn when
209.879 they’re out of a relationship but
211.4 they’ve got that sexual tension and they
214.08 either don’t have time to find a
216.28 relationship they are afraid to try to
218.68 find a new one because they have low
220.959 self-esteem they’re just assuming
222.959 they’re going to be rejected or they
224.4 feel like they’re social skills are
226.64 really low or they’ve tried and they
229.28 keep getting rejected so they’ve just
231.0 given up um there’s a lot of reasons
233.4 people aren’t in relationships these
235.36 days uh
238.68 and that doesn’t change the fact that
242.239 they have a libido they have a sexual
245.76 aspect to
247.64 themselves and some people end up
250.28 finding porn or beginning to watch porn
253.04 because of mismatched sexual appetites
255.64 or Desires in relationships and we
257.959 talked about this a little bit in part
259.56 one but in a lot of relationships
263.8 Partners may not have the exact same
266.36 sexual appetites and one compromise
271.1 [Music]
273.759 is being okay with the partner with the
277.6 higher sexual appetite watching porn and
282.28 relieving their sexual tension through
285.08 that as opposed to feeling um sexually
290.44 deprived or as opposed to engaging in
294.36 some sort of uh
297.039 nefarious
298.56 affair not everybody’s good with that
301.28 and that’s between partners but it is
304.479 important to recognize that that is one
307.199 of the reasons that many people site in
310.52 couples counseling many people site that
313.199 they actually started to use porn was
315.36 because they weren’t getting it enough
318.24 and having an open discussion about what
321.0 enough means and if there are
324.72 alternatives to satisfying the partner
329.0 with the high high sexual um
333.72 appetite so let’s talk about pornography
336.759 addiction which the official label for
340.639 it is compulsive sexual behavior
343.039 disorder and
346.039 csbd is actually a diagnosis in the icd1
350.6 now which is the World Health
351.84 organization’s version of the DSM um so
356.4 it is a official documented
360.319 diagnosis however it is really important
363.919 to not overuse or over pathologize it as
369.0 a clinician if you don’t like
371.84 pornography if you don’t agree with
374.0 pornography
375.36 use okay that is those are your beliefs
379.199 but it just because somebody is watching
381.68 porn even if they’re watching porn and
384.8 their partner doesn’t know about it that
386.56 doesn’t necessarily mean it is a
390.4 diagnosable problem so let’s look at the
393.68 diagnostic criteria pretty
395.599 straightforward a persistent pattern or
398.44 failure to control intense repetitive
401.08 sexual impulses or urges resulting in a
404.4 repetitive sexual behavior over at least
407.56 a six-month
409.12 period manifested in one or more of the
412.52 following so this isn’t just a fleeting
415.039 idea this is an intense desire this is
419.08 what we we might call a compulsion or a
422.16 craving if we’re talking about um if we
424.84 were talking about addiction and
427.36 drugs so it needs to be manifested by
430.0 one or more of the following problems
432.16 the person neglects their health
433.72 personal care or other interests
435.84 activities and
437.56 responsibilities in order to engage in
440.879 the sexual behavior or in order to
444.0 recover from the sexual
447.08 behavior or they have unsuccessful
450.199 efforts to control or significantly
452.52 reduce the Behavior when they try to do
455.68 it and that is one that gets a little
459.759 hinky sometimes
462.599 because the person who is watching porn
465.84 for example or engaging in the
467.4 compulsive sexual behavior may not have
469.96 any desire to cut down or quit so
473.159 they’re not really trying that hard but
476.479 what the other people see who are
479.0 telling them they have to cut down is
481.72 that they’re unable so we need to look
484.36 at unable or
486.44 willing when we’re making this
490.039 particular um part of the
492.879 diagnosis if the person’s unable to
496.84 control or significantly reduce the
498.879 behavior that’s one thing okay meets the
501.24 criteria if they’re
503.28 unwilling that doesn’t meet the
505.879 criteria marked distress or significant
508.759 impairment
509.919 in personal Family Social educ
512.12 educational occupational or other
514.719 important areas of
517.32 functioning now this is one of those
519.279 catchalls that if they come in and they
522.32 say this is causing me major problems in
524.32 my relationship okay meets the criteria
527.76 one thing it does note in the icd1 is
531.16 that personal distress guilt and shame
535.0 about watching porn or masturbating or
537.64 engaging in particular sexual
540.2 behaviors that is entirely related to a
543.399 personal moral judgment about the sexual
546.12 impulses urges or behaviors is not
548.959 sufficient so if the only distress
552.44 you’re experiencing as a result
556.24 of pornography use or compulsive sexual
559.48 behaviors is shame and guilt then
563.519 according to the icd1 it would not meet
566.519 the criteria for diagnosis
569.88 if that was your only
572.32 symptom I will add the caveat
576.6 that just because someone may not meet
579.519 the full criteria for
582.839 diagnosis doesn’t mean there’s not a
585.6 problem if somebody is presenting with
588.959 in your office they’re there for a
590.56 reason there’s some problem somewhere
593.36 and even if they don’t neatly fit into
596.8 the criteria we don’t send them away we
600.2 address the problem that is keeping them
603.399 from achieving their definition of a
607.079 rich and meaningful
610.36 life the individual continues to engage
613.04 in the repetitive sexual behavior
614.8 despite adverse
617.04 consequences they start having
618.76 relationship problems the relationship
621.36 is important to them now if the
623.48 relationship’s not important to them
625.16 that’s a whole different ball game if
627.399 the relationship’s important to them
630.12 and they are having problems in that
632.399 relationship because of the porn use and
634.92 they keep using porn then okay then
639.519 we’re squarely in the diagnostic
642.88 area the person continues to engage in
645.399 repetitive sexual behavior even when
647.519 they derive little or no satisfaction
649.839 from it now I thought that one was
652.12 interesting and it’s not better
654.12 accounted for by another mental disorder
656.6 or other medical condition and is not
658.72 due to the effects of a substance or
661.519 medication one of the things that we see
663.88 in people that engage in compulsive
666.56 sexual behaviors whether it’s porn or
668.72 something
669.68 else is over time the intensity of the
676.36 release the intensity of the orgasm the
679.48 feelings afterwards and even sometimes
682.2 the anticipation leading up to it it
684.8 starts to become blunted as the HP AIS
689.6 and the rest of the nervous system and
692.92 changes as a result of excessive use
696.68 then the pleasure from it is going to
699.24 become increasingly less just like
703.16 people who abuse drugs they develop
706.56 tolerance and they need more in order to
708.959 get the same high now there’s only so
711.8 much you can do with sex in order to get
714.839 that same High um one of the things that
717.8 we do see is people increasing the shock
722.92 value if you will of the pornography
725.68 that they’re watching or they increase
728.24 the risk in what they’re doing in order
731.56 to increase the Endor endorphins and the
734.8 adrenaline and the rush associated with
737.16 it so they have their own way of
741.079 responding to tolerance but when we see
743.72 that when we see them having to engage
747.12 in increasingly risky or shocking
751.399 behaviors then that kind of um falls
754.639 under this criteria of not receiving the
759.36 same level of satisfaction from the same
762.88 level of
765.279 activity let’s talk about differential
768.44 diagnosis
770.279 hypersexuality as they call it
774.199 um is prevalent in a lot of different
777.32 things and the first first thing that I
779.399 will say is different people have
781.399 different sexual appetites and some
783.56 people have a very strong sex drive and
786.04 have a lot of sexual
789.199 drive we don’t want to pathologize that
791.839 if it’s not causing them problems in
793.6 their life if they don’t meet the
796.12 criteria where it’s causing them to
798.56 neglect certain areas of their life or
800.36 whatever then it’s not a problem they
802.92 just have a high six Drive okay we want
805.399 to make sure that we’re clear on that
807.76 however for some people who have a
811.44 history of trauma or personality
814.04 disorders they may use sex as a means of
819.24 emotional regulation as a means of
822.279 stabilizing their sense of self or as a
825.959 method for avoidance or
828.36 numbing and it’s important to rule
832.839 out uh both trauma complex
836.24 post-traumatic stress disorder as well
838.44 as
839.68 what the dsm5 TR labels as personality
843.759 disorders before we necessarily assign a
848.32 diagnos of diagnosis of compulsive
851.88 sexual behavior disorder if the reason
854.88 the person is engaging in the sexual
857.399 behavior is simply to manage their
862.32 emotions or stabilize their sense of
864.12 self um as a result of trying to cope
868.32 with personality disorder then or their
871.48 trauma
872.759 history then compulsive sexual behavior
875.279 disorder would not be additionally
877.6 diagnosed we don’t want to give them a
879.72 laundry list of
882.68 diagnoses bipolar disorder is another
885.36 one that we really need to be aware of
887.6 because it’s a very prevalent disorder
890.04 in throughout the world and in North
893.6 America and one of the signs of a
896.36 hypomanic or a manic episode is a
899.16 dramatic increase in sexual drive where
904.519 some people will again we’ll call it
906.72 hypersexuality but it’s different than
910.199 the person’s normal or typical level of
913.48 sexual drive so when a person starts to
916.16 evidence this increase in uh sexual
919.88 behavior often times that’s an early
922.16 warning sign of an impending hypomanic
925.519 or man manic episode and there again you
928.279 would not give the diagnosis of
930.759 compulsive sexual behavior disorder if
934.839 the hypersexuality is caused as or is a
939.24 symptom of the manic
942.36 episode in terms of paraphilic disorders
945.8 the core feature of paraphilia is an
948.24 intense pattern of atypical sexual
950.8 arousal manifested by sexual thoughts
953.519 fantasies urges or behaviors and have
956.24 resulted in actions toward non-consent
958.72 ing individuals or are associated with
961.8 marked distress or significant risk of
965.319 injury and this is another one that I
967.639 think we really need to have an open and
971.199 honest discussion about because for
974.24 example voyerism and exhibitionism when
977.48 done between consenting adults is not a
981.959 paraphilic
983.56 disorder um
985.6 when that’s just what some people like
988.12 to do
989.36 and so it needs to be in order to be a
991.8 paraphilia it needs to be done toward
993.959 non-consenting individuals so if the
996.56 people are consenting and they’re adults
1000.319 then it’s probably not a paraphilic
1003.6 disorder
1005.199 BDSM is different as I mentioned earlier
1008.839 than diagnosis 6D 33 which is coercive
1012.8 sexual sadism disorder coercive sexual
1016.44 sadum sadism disorder is done to someone
1021.36 who is non-consenting you’re coercing
1024.0 them you’re forcing them you’re
1025.319 manipulating them BDSM the Hallmark
1028.6 again I’ll say it safe sane and
1033.199 consensual yes in some of the scenes the
1036.12 sub may seem like they
1039.799 are powerless but in reality in
1043.799 BDSM the sub actually has a lot of power
1047.64 in
1049.28 designing this the scene and it is the
1053.48 Dom’s responsibility to try to play out
1057.44 the scene in a way that helps meet the
1061.6 sub’s needs but again that’s a lot of
1064.72 stuff that we’ll cover in the BDSM
1068.28 video pornography is everywhere and it’s
1071.28 becoming even more mainstream like other
1074.32 addictions use exists along a
1077.4 continuum problematic use or diagnosis
1081.64 of porn addiction or what they call
1084.32 compulsive sexual behavior disorder
1086.72 requires neglecting health or other
1088.84 important
1090.159 activities or problems in one or more
1093.12 important areas of
1094.72 life or
1097.72 unsuccessful efforts to control the
1099.96 behavior so the person’s unable to not
1102.76 unwilling but
1104.36 unable shame and stigma about porn use
1107.48 and problematic porn use or PPU are
1111.08 keeping people from talking about it and
1113.159 seeking help so we really need to start
1116.36 talking about it and helping people see
1119.6 that there are uh tools that can help
1123.6 them if this is a problem for them and
1126.44 start helping them understand all right
1129.96 yeah porn doesn’t exist in a vacuum and
1132.88 these things that you’re experiencing
1135.44 experiencing in your life may have some
1139.28 connection to the porn use so we need to
1143.08 start taking a look at addressing you as
1144.96 a whole person not just figuring out how
1148.159 to help you stop watching porn but we
1150.84 need to look at all the other issues
1152.64 that are contributing to that porn use
1155.0 and contributing to that uh uh those
1158.12 withdrawal symptoms and the mood
1160.6 symptoms when you are not
1163.4 using thanks for watching and I look
1166.0 forward to seeing you next time
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