Philip G Monroe PsyD Biblical Seminary Copyright Philip G Monroe PsyD Request permission to quote or dublicate Sexual Addiction Help and Hope for You or a Loved One Philip G Monroe PsyD ID: 524549
Download Presentation The PPT/PDF document "Counseling Strategies for Individuals wi..." is the property of its rightful owner. Permission is granted to download and print the materials on this web site for personal, non-commercial use only, and to display it on your personal computer provided you do not modify the materials and that you retain all copyright notices contained in the materials. By downloading content from our website, you accept the terms of this agreement.
Slide1
Counseling Strategies for Individuals with Addictions
Philip G. Monroe, PsyDBiblical Seminary
Copyright, Philip G. Monroe, PsyD. Request permission to quote or dublicate.Slide2
Sexual Addiction? Help and Hope for You or a Loved One
Philip G. Monroe, PsyDBiblical Seminary
pmonroe@biblical.eduCopyright, Philip G. Monroe, PsyD. Request permission to quote or dublicate.Slide3
www.biblical.edu
Degrees:
MA in Counseling
MA, Ministry (Counseling Concentration)Mdiv
Urban
MDiv
DMin
Certificates:
Biblical Counseling
Advanced Professional CounselingOn-line StudiesCoaching/Consultations
Copyright, Philip G.
Monroe,
PsyD
. Request permission to quote or
dublicate
.Slide4
Topics
What is addiction? Sexual addiction?What is recovery?Steps to wholenessRelated issues (family matters, restoration, etc.)
Q & A Copyright, Philip G. Monroe, PsyD. Request permission to quote or dublicate.Slide5
What is addiction?
Addiction is a body
, spirit, and will problem
Sin is both chosen and irresistibleWe are made to desire God and creation. But since sin enters the world,
We long for things that are out of reach
These unfulfilled longings are painful
We often turn good desires into demands
We desire too little rather than too much
We often want behavior management rather than transformation
Copyright, Philip G. Monroe, PsyD. Request permission to quote or dublicate.Slide6
Sex is a most powerful desire
Why is Song of Solomon in the bible?Why detail the erotic longings of a couple?Notice two emphasesSex is a most powerful desire—and good
Sex is something not to be awakened before its timeCopyright, Philip G. Monroe, PsyD. Request permission to quote or dublicate.Slide7
But can sex really be an addiction?
Yes!Sexual activity leads to increased dopamine in the brainRepeated activity (and the things associated with it (visuals, fantasies, memories, etc.) produces dopamine and creates cravings for moreBrain activity is similar to cocaine abuse
Copyright, Philip G. Monroe, PsyD. Request permission to quote or dublicate.Slide8
The Descent of Desire
Bondage
Sin
Tragedy
Foolishness
Friendship
Infatuation
Betrayal
Worship
Adapted from
Addictions: A banquet in the grave
(E. Welch)
Copyright, Philip G. Monroe, PsyD. Request permission to quote or dublicate.Slide9
Waking Up Dead?Ezekiel 23
Two young virgin women have become prostitutes and usedOne is given over to destruction, the other sees but does not seem to care “…So you longed for the lewdness of your youth, when in Egypt your bosom was caressed and your young breasts fondled.”
Copyright, Philip G. Monroe, PsyD. Request permission to quote or dublicate.Slide10
The start of sexual addictions
It starts with me! (Hint, it is not really about the sex!)What makes me feel special? What fulfills me? What stops the pain? “You complete me” isn’t really about youSex becomes the means to get what I wantIndulgence
out of control behavior failed efforts to limit or stop increasing obsessions mood changes neglect of important things self-loathing/suicidal thinking
Copyright, Philip G. Monroe, PsyD. Request permission to quote or dublicate.Slide11
Types of addictions
EscapistTends to be Internet, video or object based (may avoid actual sexual contact with others) with masturbationRelational (attempts to interact with others)Anonymous encounters, multiple partners, voyeurism, exhibitionism, pedophilia, power encounters
Copyright, Philip G. Monroe, PsyD. Request permission to quote or dublicate.Slide12
The Cycle of Addiction
Most individuals have a common, vicious cycle of abstinence to addictionMost individuals do not adequately see the subtle details of their cycleLearning the cycle of addiction helps one to recognize temptations, vulnerabilities, lies, as well as the “ways of escape” available
Copyright, Philip G. Monroe, PsyD. Request permission to quote or dublicate.Slide13
Trigger(s)
Abstinence
“Never again”
Tempting Thoughts
Indulge
“I can handle it”
Defeated Interpretations
Penance
SUDS
Guilt
The Cycle of Addiction
Adapted from Patrick Carnes
Copyright, Philip G. Monroe, PsyD. Request permission to quote or dublicate.Slide14
The Path to Freedom
Breaking the cycleUncovering deception, seeking lightUnderstanding the root issues
Recovering Godly desireRestoring broken relationships
Copyright, Philip G. Monroe, PsyD. Request permission to quote or dublicate.Slide15
Trigger(s)
Abstinence
“Never again”
Tempting Thoughts
Indulge
“I can handle it”
Defeated Interpretations
Penance
SUDS
Guilt
1. Breaking
the Cycle of Addiction
Copyright, Philip G. Monroe, PsyD. Request permission to quote or dublicate.Slide16
2 & 3. Uncovering deception & root issues
DeceptionsAll sin starts with self and other deceptionMost addicts are aware of the “big” deceptions but fail to recognize the “little” ones that happen dailyRecovery is like waking up from a coma
Root issuesMust haves? Needs? Desires? Practiced habits?
Copyright, Philip G. Monroe, PsyD. Request permission to quote or dublicate.Slide17
Some questions of addicts
What motivates me to get better or to seek help?Am I ambivalent about change? How truthful have I been since discovered?Will I accept intrusions into my privacy?Will I demand others trust me?
What is my record for saying no to temptation?What other problems need to be addressed as well? Do I see the roots of my sexual behavior?What human resources are available to me?
Copyright, Philip G. Monroe, PsyD. Request permission to quote or dublicate.Slide18
Habits
Self-Deception
False Worship
BONDAGE
!
We live in a fallen world with fallen communities and fallen bodies. We are deceived and deceiving. In the midst of trouble, we reveal what is in our hearts by our response to that trouble.
Self-deception is the root of all other sins. It is THE gateway sin. It is the lies we tell ourselves that make other sins palatable. If we were to see ourselves as we really are, we could not “ingest” nor accept things that are evil. These things often come in the form of “needs” or “normal” desires, reactions, etc.
False Worship: Done daily, hourly, by the second in the most subtle ways. You can find it in the “innocent” second look, the momentary daydream, the place you go in your mind when you have nowhere you have to be. Any one of these may not be false worship, but a quick review of common patterns will probably identify your tempting “must haves” of life.
Habits are not merely acts of the will that can be turned off or on. They begin to take on a life of their own at the cellular, neuronal, environmental, etc. level. Your body may crave food, drugs, pornography, etc. Even after years of saying no, you may still struggle with them.
Copyright, Philip G. Monroe, PsyD. Request permission to quote or dublicate.Slide19
Habits
Self-Deception
False Worship
BONDAGE
!
Copyright, Philip G. Monroe, PsyD. Request permission to quote or dublicate.Slide20
Breaking Self-Deception
Fight for truth! (Self-deception is the gateway sin)Challenge! Having thoughts of self other than we want to have
Identity as lost sheepRecognition of vulnerability to “finding” ourselves
Habits
Self-Deception
False Worship
BONDAGE
Copyright, Philip G. Monroe, PsyD. Request permission to quote or dublicate.Slide21
Proper Worship
Practicing proper meditationsMeditating on 1 thingLooking beyond self to God/otherExample: What do you think about when you wake up in the night?
Habits
Self-Deception
False Worship
BONDAGE
Copyright, Philip G. Monroe, PsyD. Request permission to quote or dublicate.Slide22
Habit Change
Protecting good habits; building newDoing violence to bad habitsUsing all the means of grace/mercy (spiritual, biological, communal, economical, etc.)
Habits
Self-Deception
False Worship
BONDAGE
Copyright, Philip G. Monroe, PsyD. Request permission to quote or dublicate.Slide23
Habits
Self-Deception
False Worship
BONDAGE
!
Copyright, Philip G. Monroe, PsyD. Request permission to quote or dublicate.Slide24
4. Recovery of Godly Desire
Engage in the battle against distorted affections
Doing violence against addictions: A response to God’s grace
Surround yourselves with wise counselors
Delight in the fear of the Lord
Engage the battle at the level of imagination
Speak honestly, uncover subtle lies
Remember God’s commitment to you
Adapted from
Addictions: A banquet in the grave
(E. Welch)
Copyright, Philip G. Monroe, PsyD. Request permission to quote or dublicate.Slide25
5. Restoring Relationships
Honest admission (forever!)Sacrificial efforts to repair (Check out Zaccheus in Luke 19)Acceptance (with joy) discipline and limitsNo demands to be trusted but desire to “restore the years the locusts have taken” via listening
Copyright, Philip G. Monroe, PsyD. Request permission to quote or dublicate.Slide26
So you want to help?
Addicts need help from YOU:Spiritual Care TeamsAccountability and Prayer partnersCounseling
Copyright, Philip G. Monroe, PsyD. Request permission to quote or dublicate.Slide27
Practical steps after discovery
Make no long term decisionsShort-term decisions should focus on protection/safety for allAssess scope of the problemFrequency, duration, intensityResponse of addict? Family?
Resources available; commitment to help-seeking?Copyright, Philip G. Monroe, PsyD. Request permission to quote or dublicate.Slide28
External helpsElectronic accountability (tracker/filter)
Covenant Eyes? Bsafe?On-line care?www.purelifeministries.org
Support groups?HarvestUSA (www.harvestusa.org)
Psychiatric and counseling helps?Inpatient?Copyright, Philip G. Monroe, PsyD. Request permission to quote or dublicate.Slide29
Purpose of counseling?
Deal with shame, encourage hope despite ashes
Explore roots, shoots, fruits of addiction (cycle)
Denial, self-deception, impulsivity, complacency?Self-talk?
Validate desires and seek to deal with them in godly manner
Offer accountability and practical ideas
Point out victory!
Copyright, Philip G. Monroe, PsyD. Request permission to quote or dublicate.Slide30
Stages of change
Not every addicted person wants change
Some want change but are afraidAll of us are fickle in that we want change sometimes and refuse it other times
There is a common pattern of change motivation
Wise helpers continually assess the person’s openness to change and tailors their counsel to that place:
We meet people where they are at—not where we wish they were!
Copyright, Philip G. Monroe, PsyD. Request permission to quote or dublicate.Slide31
Precontemplation
ReluctanceRebellion
ResignationRationalization
How do you move to thinking?
Copyright, Philip G. Monroe, PsyD. Request permission to quote or dublicate.Slide32
Precontemplation
The Approach
Sensitive feedback: primary emotionProvide choicesInstill hope/explore the barriers
empathy and reflectionRaise doubtAvoid ALL arguments/don’t label
Copyright, Philip G. Monroe, PsyD. Request permission to quote or dublicate.Slide33
Contemplation
Ambivalence not commitmentWill it really be better?
Can things really be different?What’s the cost to change?
How do you help someone count the cost?
Copyright, Philip G. Monroe, PsyD. Request permission to quote or dublicate.Slide34
Contemplation
Information, incentives
Emphasize the positivesGive reasons for changeStay 0pen, listen, affirm
Risk/rewardsCopyright, Philip G. Monroe, PsyD. Request permission to quote or dublicate.Slide35
Determination
PreparationActing on some strength and some truth
“I’ll do it on Monday”
How do you help someone take the first step? Copyright, Philip G. Monroe, PsyD. Request permission to quote or dublicate.Slide36
Determination
The Approach
Strategize the best way for them to make changesEnthusiasm does not make up for ineptnessRemove barriers and support success, focus on details
Copyright, Philip G. Monroe, PsyD. Request permission to quote or dublicate.Slide37
Action
Doing something publicMaking changes in obvious ways
3 – 6 months typicallyFocus on not doing big ticket sins (may miss others at first)
What helps this person sustain their efforts?
Copyright, Philip G. Monroe, PsyD. Request permission to quote or dublicate.Slide38
Action
The Approach
Help take steps, support success Don’t get in the wayEmpathy, empathy, empathy
Talk detailsReflect: “What’s it been like…”
Copyright, Philip G. Monroe, PsyD. Request permission to quote or dublicate.Slide39
Maintenance/Relapse/Recycling
The unexpected costsLapses
Relapses
What keeps us going? Copyright, Philip G. Monroe, PsyD. Request permission to quote or dublicate.Slide40
Maintenance/Relapse/Recycling
The Approach
Expect some lapses, be realisticHelp them recycleHelp with strategies to prevent relapse
Copyright, Philip G. Monroe, PsyD. Request permission to quote or dublicate.Slide41
If you are helping, remember to…
Set the stage for work togetherValidate, explore, build trust, provide safety
Balance teaching, exploration, and honest responsesUncover denial/deception and recognition of divided loyalties (in love)
Offer accountabilityFocus on commitment strategiesCopyright, Philip G. Monroe, PsyD. Request permission to quote or dublicate.Slide42
Finally…
Don’t forget that God is doing a work in both addict and loved one!That ALL sin separates us from GodThat helper and addict both need GRACE
That the Christian life is an opportunity to Address heart issues, uncover denial, and complacencySee God’s hand in a broken world
Copyright, Philip G. Monroe, PsyD. Request permission to quote or dublicate.Slide43
www.wisecounsel.wordpress.com
Copyright, Philip G. Monroe, PsyD. Request permission to quote or dublicate.