Treatment FAQ

how to address sexual abuse issues during a drug treatment group

by Jayce Hermiston Sr. Published 2 years ago Updated 2 years ago
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The first step for sexual abuse victims is to cut ties with the abuser. While this is often the most difficult step, it is necessary in order to begin to heal from the abuse. Not being completed cut off physically from the abuser can often be detrimental to the therapy, or other forms of treatment a victim may seek.

Full Answer

What do sexual addicts complain about in treatment?

Yet a primary complaint of many sexual addicts in treatment is that previous clinical interventions either didn’t identify their problem at all or didn’t provide clear intervention, direction, and resources to aid them in addressing their sexual acting-out behaviors.

How can a therapist help a victim of sexual abuse?

Working with a therapist can help a victim recognize the abuse was not their fault, and become aware of the actual patterns of abuse. Through understanding and awareness, victims can begin to let go of some of the shame and blame that often results after a sexual abuse trauma.

Is there a link between drug abuse and sexual assault?

Sexual assault and sexual violence against drug users isn’t gender specific – both men and women become promiscuous, practice prostitution and possibly become the victims of sexual attacks. If drugs are involved, the dangers are always much more significant.

How does group work work for sexual addicts?

Sexual addicts in group work are offered the safe, facilitated space to be able to confront their denial and rationalizations while more realistically redefining shameful self states. Group provides an invaluable resource toward building appropriately boundaried social support toward recovery.

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What is the primary complaint of many sexual addicts in treatment?

Yet a primary complaint of many sexual addicts in treatment is that previous clinical interventions either didn’t identify their problem at all or didn’t provide clear intervention, direction, and resources to aid them in addressing their sexual acting-out behaviors.

What is a sexual addict?

Sexual addicts have been diagnosed as having Bi-Polar, Obsessive Compulsive, Generalized Anxiety or Dissociative Identity Disorders, all of which can be seen to hold some characteristics of compulsive sexual behavior by definition, but do not appear to be the underlying condition for most sexual addicts.

What is sexually addictive disorder?

The disorder is defined by the harmful consequences of the sexual behaviors themselves and the participants’ inability to discontinue them. A helpful way to integrate a clinical understanding of sexually addictive behavior is to utilize a common definition of Criteria for an Addictive Disorder:

What defenses do sexual addicts use?

Like alcoholics, drug addicts, and compulsive gamblers, sexual addicts employ typical defenses such as denial, rationalization, and justification in order to be able to continue to engage in their behaviors, while blaming others for the resulting problems. Diagnosis and subsequent treatment can be skewed by a patient’s minimization ...

What are the consequences of being a sexual addict?

These consequences might include: • Social. Loss of marriage/primary relationship, friendships, social networks due to sexual preoccupation and behavior. • Emotional. Depression or anxiety are common due to the shame, secrecy and lowered self-esteem of sexual addicts. • Physical.

Do you need a medical exam for a sexual addict?

Additionally, a thorough and current medical exam should be encouraged at the beginning of treatment as sexual addicts can often be inattentive to self care and also may need testing to discern the potential existence of any sexually transmitted diseases.

Why do drugs cause sexual problems?

And because drug use itself is so exhausting and often leads to “passing out,” the opportunity and desire for sex may be significantly decreased. 3.) Physical Effects of Drugs can Cause Sexual Problems. Some drugs cause physical problems that may make it difficult or impossible to have sex.

What are the long term consequences of sex and drugs?

Long Term Consequences of Sex and Drugs. If you engage in these behaviors, you could affect your sexual health for life. When it comes to sex and drugs, the risks simply do not justify what vague benefits are sold to people in order to continue this type of lifestyle.

Why is drug addiction so expensive?

Drug addiction is expensive. Many addicts spiral down into a hole created when they exhaust their savings, sell their belongings and then begin stealing from others in order to support their habit. But for some people, these actions either aren’t an option, or there’s nobody left in their lives to steal from. This makes it all too easy to turn to prostitution in order to continue to purchase and use drugs.

Why are people afraid to report a drug crime?

And as a result of the illegal nature of drugs, many victims are too scared to report the crime because they fear repercussions themselves. Additionally, there is an unfortunate tendency by law enforcement and others to discount or dismiss reports of sexual crimes against drug addicts or alcoholics.

How do sexually transmitted diseases spread?

Sexually transmitted diseases spread rapidly through addict and drug abuser communities. Lowered inhibitions, desperation, unsanitary conditions and more can lead to an environment where drug users are significantly more prone to contract an STD than people who do not use drugs and have sex.

Why do drugs affect libido?

There are three primary reasons that drugs negatively affect a person’s libido: 1.) Emotional Distress and other Substance Abuse Related Stress. When occasional drug use or drinking leads to addiction, sex is almost always affected.

Is sex and drugs a serious problem?

Sex and drugs always seems like a hot topic in the media and in nearly all social circles, but the reality of the situation is that sex and drugs can pose serious, lifelong consequences to those who engage in such behaviors simultaneously. There are always inherent risks associated with drug abuse, and unfortunately there are also serious risks ...

Sexual health conversations in treatment help clients with drug and alcohol issues

Studies show that alcohol and drug patients who receive sexual health education have far lower relapse rates and complete treatment at a markedly higher level than patients without such education. Conversations about sexual health play an important role in helping patients with substance abuse problems stay clean and sober.

What to Expect

This is a 3 hour, live-delivery online course. Participants meet in an online classroom for 1 evening. The course will train you to use sexual health conversations as a part of drug and alcohol treatment and recovery. Approved by ACCBO to receive 3 CEU hours.

Meet Your Instructor

Jerry Moreau has helped clients for over 20 years. As a Psychotherapist, trainer of sexual health conversations, Licensed Marriage & Family Therapist, holistic health practitioner, and Certified Massage Therapist with a private practice in San Diego, CA.

How to contact Crestview Recovery?

You don’t have to suffer any longer from the guilt and shame that’s robbing you of your self-confidence. Call Crestview Recovery at 866.262.0531 to learn how to enter rehab and improve your sexual health after addiction.

Can a spouse have a sexual relationship after sobriety?

It is important to note that a spouse or partner may not show interest in a sexual connection after reaching sobriety. Typically, there are relationship problems that may call for marriage counseling and similar interventions. This is usually the case when the deep-seated problems date back to times before addiction. Overcoming these marital problems is possible through family therapy.

What is the term for a woman's sexual tension that is released through a series of muscle contractions?

If a woman is in a constant state of arousal, she would probably be diagnosed with persistent genital arousal disorder.”. Orgasm: “An orgasm is a natural release of sexual tension through a series of muscle contractions that produces a pleasurable sensation. There are two types of anorgasmia, primary and secondary.

Who is Sara Rosenquist?

Sara Rosenquist, a board-certified clinical health psychologist who also specializes in sexual and reproductive health issues, said in an email that her clients tend to seek her out specifically for sexual issues, but she realizes this is not the case for many general therapists. “A whole lot of marital therapists are uncomfortable talking about ...

What happens when sex becomes about scratching an itch for one person?

Whenever sex becomes about scratching an itch for one person, it will kill desire in the other, and this, in turn, damages the relationship.”. Barbara Gross, a licensed master social worker and a sexual counselor for the Medical Center for Female Sexuality, said in an email that there are four basic categories of female sexual dysfunction ...

Is sex an uncomfortable topic in therapy?

In therapy, many issues are covered, but sex may still be an uncomfortable topic for many clients and even therapists to talk about . Yet many people have sexual issues that need to be resolved in order for life to be the most fulfilling that it can be. In general therapy, there may be an uncomfortable attitude in regard to clients ...

Do women have no interest in sexuality?

Many women come to the Center and report that they are concerned that they have no interest in being sexual. It may be that they once had desire but now they don’t, or it is possible that they never really had much interest in being sexual.

Can a pill cause a woman to feel a lot of pain?

For women who are susceptible to sexual dysfunction, the pill can wreak havoc on your body. It can destroy your libido, deprive your vaginal tissue of necessary hormones for vaginal health, which in turn can cause pain. And it can reduce sensitivity in your clitoris.

What are the effects of sexual abuse?

The psychological effects of sexual abuse can be extremely damaging on a child and can lead to lifelong psychological problems including post traumatic stress disorder (PTSD), depression and substance abuse. Many people often question why sexual abuse victims wait to report the abuse they experienced many years later.

How many children are sexually abused before 18?

Every 9 minutes, that victim is a child. “Before the age of 18, one in every four girls and one in every six boys will be sexually abused,” said Dr. Lynda Lee Carlisle, a psychiatrist and trauma specialist from Seattle Children’s Psychiatry and Behavioral Medicine clinic. “While it can happen to any child, those most vulnerable are intellectually ...

What is the phone number for King County Sexual Assault Center?

If your child needs treatment for sexual abuse or sexual aggression, please contact the King County Sexual Assault Center at 888-998-6423 or Harborview Center for Sexual Assault and Traumatic Stress at 206-744-1600.

Why do children abuse other children?

“A child who abuses another child typically does it due to a poor understanding of boundaries, lack of parental supervision, and/or drug and alcohol use ,” said Carlisle.

Can a stranger commit sexual abuse?

Sexual abuse is rarely committed by a stranger. It is often by someone who the child knows and trusts. While some may think sexual abuse only involves physical contact, it can also be done without contact in the form of inappropriate photos or videos, exposure or other behavior.

How common is sexual abuse?

Sexual abuse is common, particularly for women and girls. Ninety percent of all rapes are committed against women. One in six women in America have experienced rape. One in five girls and one in 20 boys experience childhood sexual abuse.

What is sexual assault?

Sexual Assault / Abuse. Sexual abuse is any form of sexual violence, including rape, child molestation, incest, and similar forms of non-consensual sexual contact. Most sexual abuse experts agree sexual abuse is never only about sex. Instead, it is often an attempt to gain power over others.

How long does it take for a child to disclose sexual abuse?

73% of child targets do not disclose the abuse for a year or more. 45% of child targets do not disclose abuse until at least five years have passed. Although sexual abuse in children can be difficult to recognize, detection is possible.

How old are children most vulnerable to sexual abuse?

Children are most vulnerable to childhood sexual assault between 7 and 13 years old. 10% of American children are abused before the age of 18. Among children who are sexually abused, 20% experience sexual abuse before age 8. Despite being common, children who experience abuse do not always report it right away.

Can a sexual abuse survivor get a physical exam?

Survivors may also wish to get a physical exam at a hospital. Therapy can also be helpful for those who experienced sexual abuse in the past. Some therapists specialize in addressing the trauma of sexual assault. Long-term assistance may be beneficial to some survivors of sexual abuse.

Can LGBTQ+ people be held accountable for domestic violence?

In cases of domestic violence, members of the local LGBTQ+ community may refuse to believe the survivor or hold the offender accountable. LGBTQ+ survivors of sexual assault can get help from a therapist. Mental health professionals cannot disclose one’s personal information to others.

Do you need proof to report child abuse?

However, one does not need proof to report child abuse. Finding proof is the job of Child Protective Services. To report abuse, one only needs “reasonable suspicion” that abuse is taking place. Reporting sexual abuse may prevent a child from having mental health concerns in adulthood.

What are the different types of sexual abuse?

The CDC specifically defines the different types of sexual abuse, differentiating between those in volving direct physical contact, with and without penetration, and noncontact sexual abuse, such as voyeurism, exhibitionism, or exposing the child to pornography.

What are the factors that increase the risk of sexual abuse in children?

Other factors associated with increased risk for childhood sexual abuse include lower socioeconomic status, residing in a home with a single parent, being in foster care, parental substance abuse or mental illness, living in a rural area, and domestic violence ( 19, 21, 22 ).

What are the effects of sexual abuse on children?

Childhood sexual abuse has been associated with increased risk for a multitude of acute and long-term psychological and physical health problems, including depression, posttraumatic stress, and substance abuse problems, as well as sexual revictimization in adolescence and adulthood ( 12, 13 ).

What is the definition of a child not fully comprehending sexual activity?

The involvement of a child in sexual activity that he or she does not fully comprehend, is unable to give informed consent to, or for which the child is not developmentally prepared and cannot give consent, or that violate [s] the laws or social taboos of society.

Why is questioning not indicated?

Reasons may include a belief that such questioning is not indicated unless trauma is the presenting problem; a scope of practice that does not include trauma interventions; lack of knowledge on how to respond to an abuse disclosure; and limited awareness of appropriate referrals for specialized treatment services.

How does sexual abuse affect children?

Childhood sexual abuse seems to have a unique impact on children, with consequences such as heightened risk for revictimization, substance abuse, depression, legal problems, and poor physical health extending into adulthood ( 11 – 13 ).

What is child sexual abuse?

Centers for Disease Control and Prevention (CDC) defines childhood sexual abuse as “any completed or attempted (noncompleted) sexual act, sexual contact with, or exploitation of a child by a caregiver” ( 2 ). The CDC specifically defines the different types of sexual abuse, ...

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What Constitutes Sexual Abuse?

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Abuse can constitute many things, but in general, it is categorized by the cruel and or violent treatment of a person, and in many cases, this abuse occurs repeatedly. In most sexual abuse cases, the perpetrator is a person of power (either perceived or actual) who takes advantage of this power in order to inflict harm of sexual nat…
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Effects of Sexual Abuse

  • Any form of sexual abuse will have emotional, psychological, and physical effects on the victim. Although sexual abuse affects everyone differently, these effects are almost always a challenge to deal with. Children who have been sexually abused often experience emotional or developmental problems that impact socialization, focus, and/or impulse control. In addition, chi…
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Methods Typically Used in Therapy For Sexual abuse.

  • Because no two sexual abuse cases are exactly the same, treatment for sexual abuse can look quite different from person to person. For example, a therapist would not treat a college-aged date rape victim the same way they would approach treating a child that suffered sexual abuse at the hands of a family member.
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What to Expect

  • This is a 3 hour, live-delivery online course. Participants meet in an online classroom for 1 evening. The course will train you to use sexual health conversations as a part of drug and alcohol treatment and recovery. Approved by ACCBO to receive 3 CEUhours. Based largely on Doug Braun-Harvey’s research and methods, this course equips LPCs, CADCs, ...
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Is This Class For Me?

  • This class is best suited for those who: 1. Are LPCs, CADCs, QMHPs, MSWs, MFTs, LEPs, etc. 2. Work in counseling 3. Treat people coping with drug and alcohol use and abuse 4. Want to learn more about how sexual health can contribute to maintaining sobriety
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Meet Your Instructor

  • Jerry Moreau has helped clients for over 20 years. As a Psychotherapist, trainer of sexual health conversations, Licensed Marriage & Family Therapist, holistic health practitioner, and Certified Massage Therapist with a private practice in San Diego, CA. Jerry values the unique relationship and trust that must be developed to support deep therapeutic work with clie…
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Upcoming Courses

  • Visit IHP's landing page for upcoming courses. For more information, please email Amy Evans at [email protected] or 971-722-6672.
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