Dependency needs and sexually addicted professionals

Abstract

A classification system based on the core beliefs cognitive distortions the sexual addict uses in meeting dependency needs is presented, with particular emphasis on the sexually addicted professional. Reasons professionals resist seeking help for sexual addiction are listed, as well as common avoidance techniques used once they enter therapy. Core beliefs are divided into two general categories based on control or power. Each core belief includes associated sexually acting-out behavior with possible dual diagnoses, typical childhood traumas, and a clinical case example. This system provides the therapist a framework for organizing the history and understanding the dynamics of sexually addictive behavior. It facilitates confronting destructive core beliefs to help the sexual addict connect unmanageable behavior with previously unidentified core beliefs and pain typically derived from childhood.