“CBT for Compulsive Sexual Behaviour: A guide for professionals” – By Thaddeus Birchard
A guide to cognitive-behavioural theory and practice which includes the assessment, diagnosis and treatment of addictive sexually compulsive disorders.
We use the following 4 steps to develop a successful treatment plan for each individual:
Step 1: Assessment and clarification of needs
We first see people for an assessment to clarify their clinical needs.This usually includes an appointment with our medical doctor to check for medical problems. People are offered information about the full range of free programmes that operate in the London area. People are often referred to these programmes.
Step 2: Individual sessions
Some patients are advised to begin or continue in individual psychotherapy.
Step 3: Group treatment programmes
The Treatment Programme meets once a week for approximately 12 weeks and includes one non-residential weekend. Each group is limited to 10 people. The early stages are psycho-educational. This is followed by more group interaction. It includes such topics as harmful consequences, making a sex plan, family of origin work and the cycle of addiction. Towards the end of the programme, we focus on healthy sexuality and relapse prevention plans. Alongside this, there are exercises that are based on neuroscience to help promote healthy behaviours.
Step 4: Ongoing support and treatments
Tailor Made Programme: We offer a tailor made programme over one-week or two-week time frames. This can be organised for those who are in severe distress or otherwise need time out to pursue recovery in a safe place outside of the home and work environment. It is also a useful option for those whose work does not allow them to commit to a weekly programme.
Couples and Partners: This is a programme of specialised individual psychotherapy designed for the partner that is specifically aimed at understanding and dealing with the impact of sexual addiction on the partner. There is also a Partner’s Group that runs weekly.
Couples and Marital Therapy: We offer therapy to help people understand ‘what is going on behind what is going on’.
Aftercare Programmes: The Marylebone Centre also provides aftercare programmes for both men and women. The women’s after care programme meets monthly. For men there is an Intermediate and Advanced Treatment Programme. Each is twelve weeks in duration.
Programmes for Women: The Centre has a specialist who works with female partners of male sex addicts and is available to see people individually for advice and support. She also runs a 12 week programme for female partners. This is an important part of the work as women are profoundly distressed by this pattern of male behaviour. It is important that women get the information and support that they need.
We run a low cost clinic for the unwaged and those on low wages that applies to assessments, individual appointments and to group work. Application should be made at the time you make your first appointment.
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