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    Addicts of all types almost universally experience an increasing tolerance to the mood-altering effects of their substance/behavior of choice. As a result, they must, over time, use more of that addictive substance/behavior or a more intense substance/behavior to achieve and maintain the escapist high they seek. If you’re struggling to understand this, consider

Active sex addicts rarely view their escapist sexual fantasies and behaviors as the cause of their unhappiness and life challenges. Even when they are neck deep in consequences, they somehow don’t let themselves view their sexual acting out as a contributing factor. In fact, they typically see their behavior as the solution to rather than

Am I enabling or helping and what is the difference? This is a question I have been asked by clients many times. It is also a question I have asked myself. We can all think of fact patterns that we would consider enabling. However, sometimes the answer is not so clear. Sometimes the answer is,

  A time of reflection. A time to cast the mind forward and the glance backward. A time to reset my intentions and to consider where my intentions have fallen by the wayside. How have my actions missed the mark? I am good with the practical, with the mundane, even with the technical. But relationships…

If you grew up in a family where one or more family members repeatedly violated boundaries and wasn’t held accountable for their bad behavior, you may believe there are certain people with whom you don’t have a right to establish boundaries. This is simply not true. Often, people think about boundaries as attempts to keep

  As a therapist specializing in sex and intimacy issues, I work with a lot of clients who have suffered (and sometimes committed) incest. Most of the time, they feel like they’re the only person who has ever experienced this. They feel deep shame, and they only reluctantly will discuss what happened. That is why

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