Tools, Techniques & Strategies

Cornerstone overview. This hub explains the core concepts, language, and clinical framing used throughout this topic area, combining neurobiology, attachment, and trauma‑informed care (Carnes, 2001; Kraus et al., 2018; van der Kolk, 2014).

Clinical Framing

We reference constructs like Compulsive Sexual Behavior Disorder (ICD‑11) and “problematic pornography use,” while acknowledging that some prefer the broader term “sex addiction.” Our focus is functional impact—loss of control, preoccupation, and persistence despite consequences (Kafka, 2010).

Mechanisms and Maintenance

Reinforcement cycles pair distress relief with behavior, amplifying urges via learned associations. Over time, habit circuitry narrows flexibility (Volkow & Koob, 2015). Recovery leverages neuroplasticity: skills, secure attachment experiences, and values‑driven routines can re‑condition responses.

Assessment & Safety

Triggers and function analysis (when, why, what it changes).
Risk: relational harm, finances, legal exposure, sexual health.
Comorbidity and strengths: ADHD, trauma history, faith/community.

Recovery Roadmap

Stabilize physiology & reduce high‑risk cues.
Accountability (trusted other, filters, reports); transparency with care.
Therapy: CBT/ACT skills; trauma work when stable; couples support when indicated.
Daily regulation: urge surfing, delay, grounding, self‑compassion.
Relational repair: empathy, boundaries, paced disclosure; rebuild trust.

Featured Guides

Cross‑Silo Resources

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References

Carnes, P. (2001). Out of the Shadows. Hazelden.
Kafka, M. (2010). Hypersexual disorder: A proposed diagnosis. Archives of Sexual Behavior.
Kraus, S. W., et al. (2018). Compulsive sexual behavior disorder in ICD‑11. World Psychiatry.
van der Kolk, B. (2014). The Body Keeps the Score. Viking.
Volkow, N., & Koob, G. (2015). Brain disease model of addiction: Evidence and critique. The Lancet Psychiatry.