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Counseling Strategies for Individuals with Addictions Counseling Strategies for Individuals with Addictions

Counseling Strategies for Individuals with Addictions - PowerPoint Presentation

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Counseling Strategies for Individuals with Addictions - PPT Presentation

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

philip monroe psyd copyright monroe philip copyright psyd dublicate quote permission request deception addiction worship habits false change bondage

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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.