The iPorn Universe – Zachary Alti

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Pornography these days is so plentiful, easy to access, and often free that it’s affecting the therapy field’s sex and porn addiction paradigm. Like others with process addictions to things like social media, gambling, and shopping, clients suffering from porn addiction often didn’t know they were at risk until they got caught in an addictive cycle: one, that in this era of high-speed internet and smart phone technology, can be intensely difficult to break.

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1. Articulate for clients the differences between porn use and the signs and symptoms of addiction. 
2. Characterize and address the trends of modern porn addiction that can negatively affect clients, such as interpersonal conflict, inability to become aroused by real sex, dysphoria, an increase in thrill-seeking behaviors, and self-isolation.
3. Analyze the neurobiological mechanisms of behavioral/process addictions, and integrate salient treatment approaches into your practice, including CBT-Internet Addiction, holistic lifestyle attunements, and elements of Mindfulness-based Stress Reduction.

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For the Purposes of Psychoeducation, Articulate for Clients the Differences Between Porn Use and the Signs and Symptoms of Addiction

• Identify when usage become problematic.
• Examine how non-problematic usage can be tracked to prevent a slip into addiction.

For Assessment and Treatment Planning, Identify Which Modern Porn Addiction Trends Are Most Affecting Your Clients’ Well-Being

• Recognize what deficiencies in lifestyle may be contributing to problematic levels of porn usage for your clients.
• Identify inflamed emotional needs which may be fueling problematic porn for your clients.
• Discover the common trends of porn addiction, based on Mark Griffiths’ research into the Domains of Behavioral Addictions (Salience, Mood Modification, Tolerance, Withdrawal, Conflict, and Relapse).

Outline the Neurobiological Mechanisms of Behavioral/Process Addictions and Their Treatment Implications

• Explore how behavioral/process addictions affect the brains reward circuits.
• Discover how behavioral/process addictions affect brain development.
• Examine how behavioral/process addictions differ from substance-based addictions.
• Limitations of current research – case study model and paucity of research base

Utilize Clinical Strategies That Integrate Modern Treatments for Porn Addiction

• Explore the effectiveness of traditional relational approaches on the underlying causes of behavioral/process addictions.
• Discover Cognitive Behavioral Therapy-Internet Addiction (CBT-IA) as the first direct treatment for behavioral/process addictions.
• Review Holistic lifestyle attunement strategies.
• Integrate Mindfulness-based Stress Reduction (MBSR) into a behavioral/process addiction treatment program.

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