Dr. Silbert provides therapy and treatment in San Diego for s*x addiction: a s*xual and intimacy disorder manifested by obsessive s*xual thoughts and compulsive s*xual behavior including, but not limited to, excessive ma********on, surfing the internet for hours seeking “better” po*******hy, compulsive use of prostitutes, phone s*x, obsessively hunting for s*xual partners for an immediate s*xual e
ncounter. Your s*xual focus interferes with s*xual and life satisfaction. S*xual behavior feels AND is Out of Control creating problems in your life. Therapy alleviates out of control feelings, thoughts and behaviors interfering with the contentment of life. The s*xually out of control individual has fleeting to nagging thoughts of guilt, shame, fear or simply “feeling crazy.” A sense of calm and freedom may ensue simply by sharing hidden thoughts, feelings and behaviors in treatment with Dr. Silbert. Whether spending hours on the computer finding increasingly better and varied po*******hy or searching the bars at night for the hot fling, or hitting up varied massage parlors for 'happy endings' over time the outcome is an individual who feels lousy about himself or herself. To escape from the negative feelings and thoughts, the obsessive-compulsive chase continues, hence the ability to momentarily displace the original undesirable emotion. The s*xual experience is not about intimacy, but rather to seek pleasure. As the s*xual compulsion continues, generally it takes more time to find increasingly varied scenarios of s*xual behavior to maintain the intensity of the “s*xual high.” Once the conquest has been achieved and the brains chemical rush of transitory euphoria dissipated, the original negative emotion returns coupled with greater undesirable emotion attached to the repetitive behavior. This “cyclic behavioral syndrome” is the fuel for s*xual addiction compensating for psychic pain. The “secretiveness” of the out of control s*xual behavior can add to the psychic pain, intensifying fear, guilt and shame if the truth should be revealed. Obsessive and compulsive s*xual thought and behavior is often an expression of depression, stress, inability to trust others, fear of intimacy and vulnerability, negative thinking about one’s self and/or feelings of inadequacy. It follows that generally s*xual compulsive behavior is the “acting out” of individual psychic distress. The fear of intimacy and human connection may be mitigated momentarily by obsessive s*xual fantasies and compulsive s*xual behaviors while superficially inflating a sense of self-affirmation. Feelings of inferiority, inadequacy and worthlessness magically disappear while s*xually preoccupied. The s*x addict’s desperate search for the fulfillment of unmet childhood needs ends in disillusionment! The inflated sense of self, bolstered by denial and narcissism, is like a Mickey Mouse balloon suddenly pricked by a sharp needle. Treatment involves controlling s*xually addictive thoughts and most emphatically s*x addictive behavior. Dr. Silbert works with an individual to stop the self abusive behavior by unraveling the psychodynamics of destructive thinking. The establishment of a therapeutic relationship with Dr. Silbert assists in modulation of mood states and comprehension of aberrant thought processes promoting dysfunctional s*xual behavior. Therapy focuses on understanding the origin and nature of psychological distress to enhance resolution of conflict between self and others. The primary goal of treatment is to enable an individual to understand the power one has to modify a negative sense of self, while promoting functional patterns of s*xual behaviors. There is not a consensus on the definition of s*x addiction. The medical models of hypers*xual disorder, obsessive/compulsive disorder and chemical dependency are most often cited as frameworks in attempts to categorize the s*xual disorder of s*x addiction. The National Council on S*xual Addiction and Compulsivity has defined s*xual addiction as “engaging in persistent and escalating patterns of s*xual behavior acted out despite increasing negative consequences to self and others.” The behaviors continue despite the potential risks to one’s self with regard to finances, relationships, and physical and mental health. Unlike the goal in treatment of chemical dependency, which is abstinence from use of all psychoactive substances, the therapeutic goal in s*xual addiction is abstinence only from compulsive s*xual behavior with adaptation of healthy s*xuality.
