Psychosexual Psychotherapy with Joanne Welsh

Posted: February 21, 2024
Category: Sex Therapy, Stress, Trauma

Psychosexual Psychotherapy with Joanne Welsh in Belfast

Introduction

Sexuality is an integral part of human life, and healthy sexual expression contributes to overall well-being. However, for some individuals, sexual behaviors can become compulsive, leading to negative consequences and a loss of control. This phenomenon, often referred to as sex addiction or compulsive sexual behavior, is an emerging psychiatric disorder that requires understanding and effective treatment.

In this article, we will explore the clinical features of compulsive sexual behavior, delve into the psychological and social risk factors that contribute to this condition, and discuss evidence-based approaches to psychosexual psychotherapy. We will also address the importance of screening tools for assessing related mental health conditions such as anxiety, depression, obsessive and compulsive behaviors, and autism spectrum disorder (ASD).

Understanding Compulsive Sexual Behavior

Compulsive sexual behavior, also known as sex addiction, is characterized by a persistent and repetitive pattern of sexual thoughts, fantasies, or behaviors that individuals struggle to control. It involves a wide range of behaviors, including excessive pornography use, compulsive masturbation, engaging in multiple sexual partners, visiting sex workers, and seeking sexual encounters online.

Impact of Compulsive Sexual Behavior

Compulsive sexual behavior can have significant medical, psychological, and social consequences for individuals and their relationships. Some of the common problems associated with compulsive sexual behavior include:

  1. Breakdown in relationships: Compulsive sexual behavior can strain intimate relationships, leading to a breakdown in trust, emotional disconnection, and infidelity.
  2. Occupational and financial difficulties: Individuals may neglect work or face job loss due to preoccupation with sexual thoughts or engaging in risky sexual behaviors.
  3. Legal issues: Engaging in illegal sexual activities, such as soliciting sex workers or possessing child pornography, can lead to legal consequences and public humiliation.
  4. Emotional distress: Compulsive sexual behavior can result in feelings of shame, guilt, low self-esteem, and anxiety.
  5. Health risks: Engaging in unsafe sexual practices may increase the risk of sexually transmitted infections (STIs) and other health complications.

Factors Contributing to Compulsive Sexual Behavior

Several factors can contribute to the development of compulsive sexual behavior. These include:

Psychosexual Psychotherapy
  1. Emotional trauma and attachment issues: Individuals who have experienced trauma, neglect, or attachment difficulties in childhood may seek solace or validation through compulsive sexual behaviors.
  2. Co-occurring mental health conditions: Compulsive sexual behavior often coexists with other mental health conditions such as anxiety, depression, substance abuse disorders, and personality disorders.
  3. Neurobiological factors: Some research suggests that certain brain regions and neurotransmitter systems involved in reward and impulse control play a role in the development and maintenance of compulsive sexual behaviors.
  4. Sociocultural factors: Societal norms, cultural expectations, and easy access to explicit sexual content through technology can contribute to the normalization and escalation of sexual behaviors.

Screening Tools for Assessment

To effectively address compulsive sexual behavior, it is essential to assess and address any co-occurring mental health conditions that may be contributing to the issue. Screening tools can help identify related concerns and guide treatment planning. Some commonly used screening tools include:

  1. Beck Anxiety Inventory (BAI): A self-report questionnaire that assesses the severity of anxiety symptoms.
  2. Beck Depression Inventory (BDI): A widely used self-report measure of depressive symptoms.
  3. Yale-Brown Obsessive-Compulsive Scale (Y-BOCS): A validated measure for assessing the severity of obsessive and compulsive behaviors.
  4. Autism Spectrum Quotient (AQ): A self-report measure that can help identify traits associated with autism spectrum disorder.
  5. Compulsive Sexual Behavior Inventory (CSBI): A screening tool specifically designed to assess the severity of compulsive sexual behaviors.

Psychosexual Psychotherapy: An Effective Treatment Approach

Psychosexual psychotherapy is a specialized form of therapy that focuses on addressing the underlying psychological, emotional, and relational factors contributing to compulsive sexual behavior. It aims to help individuals develop healthier attitudes towards sexuality, improve self-esteem, establish healthy boundaries, and foster satisfying intimate relationships.

Suggestion for read: Understanding and Overcoming Porn Addiction in Your Marriage

Assessment and Treatment Planning

Psychosexual therapists begin the therapeutic process by conducting a comprehensive assessment to gain a thorough understanding of the individual’s sexual history, presenting concerns, and related psychological and relational issues. This assessment may involve the use of validated measures, clinical interviews, and discussions about the impact of compulsive sexual behavior on various life domains.

Based on the assessment findings, the therapist collaborates with the individual to develop a personalized treatment plan. The treatment plan may involve a combination of individual therapy, couples therapy, group therapy, and psychoeducation.

Cognitive-Behavioral Therapy (CBT)

Cognitive-behavioral therapy (CBT) is a widely used therapeutic approach in the treatment of compulsive sexual behavior. It focuses on identifying and challenging maladaptive thoughts, beliefs, and behaviors associated with sexual addiction. The therapist helps individuals develop strategies to manage triggers, cope with cravings, and replace harmful behaviors with healthier alternatives.

Relapse Prevention

Relapse prevention is a crucial component of psychosexual psychotherapy. Individuals with compulsive sexual behavior often experience setbacks along their recovery journey. Therapists work with clients to identify high-risk situations, develop coping skills, and create a relapse prevention plan to minimize the likelihood of relapse and promote long-term recovery.

Integration of Trauma-Informed Care

Many individuals with compulsive sexual behavior have experienced past trauma or adverse life events that contribute to their addictive patterns. Trauma-informed care involves creating a safe and supportive therapeutic environment, recognizing the impact of trauma on individuals’ lives, and incorporating trauma-focused interventions to address underlying trauma-related issues.

Group Therapy and Support

Group therapy can be a valuable component of psychosexual psychotherapy for individuals with compulsive sexual behavior. Participating in a group setting provides a supportive and non-judgmental space for individuals to share their experiences, learn from others, and receive feedback and encouragement from peers facing similar challenges.

Online Counselling and Therapy

In today’s digital age, online counselling and therapy have become increasingly accessible and convenient options for individuals seeking help for compulsive sexual behavior. Online platforms offer the opportunity to connect with qualified therapists who specialize in psychosexual therapy from the comfort and privacy of one’s own home.

Seeking Professional Help

If you or someone you know is struggling with compulsive sexual behavior, it is crucial to seek professional help from qualified therapists or counselors experienced in psychosexual psychotherapy. These professionals can provide support, guidance, and evidence-based interventions to help individuals heal, regain control, and foster healthy sexual behaviors and relationships.

Psychosexual Psychotherapy with Joanne Welsh

About Me

I am a fully qualified counsellor, accredited members of both the British Association of Counselling and Psychotherapists (BACP) and College of Sexual & Relationship Therapists (COSRT).  I am passionate about what I do and repeatedly hear the benefits of my work from client feedback.
I have a wealth of experience working with individual adults and young people and I also work with couples.  I regularly see clients with issues such as depression, anxiety, self esteem, relationship issues including sexual difficulties, domestic abuse, pain, trauma, stress, bereavement and loss and other issues which could be causing a significant detrimental impact.
​I personally as well as professionally have discovered the benefits of counselling; talking to someone who is independent has helped me to understand myself better and has enabled me to find solutions and to move forward. I am fully insured, DBS checked and follow data protection policy and guidelines.

My Experience

​​I gained an Advanced Diploma in Counselling & Psychotherapy along with a Diploma in Cognitive Behavioural Therapy (CBT), Certificate in Working with Couples, Diplomas in both Psychosexual Therapy and Sex Addiction and a Diploma in Supervision along with a wide range of additional training including Addiction, Bereavement, Stress, Suicide intervention and Child and Vulnerable Adult protection.

I have worked extensively with clients over the years with a wide range of issues and I will tailor the therapy to suit your individual need.

I have also worked with Cruse Bereavement, Childline (NSPCC), New Life Counselling, Fresh Minds Education and currently Relate NI.  I set up a clinical practice several years ago with a colleague and developed links with GP practices, voluntary organisations as well as community groups including schools in the area.  I developed and delivered a range of wellbeing workshops and also regularly deliver suicide awareness courses for the public, employers and local community groups.

My Approach

I offer one to one support in a safe environment, whether that be face to face, on video or phone, where I will listen in a non judgmental way and help you to understand yourself better.  This will create within you a deeper self awareness, allowing you to explore options, contemplate change and take steps to feel well within.  I will give you a listening ear, emotional support and potentially you will go on a journey of self discovery which will be life changing.
​Whether you have suffered a recent or past negative life experience(s), are in a difficult relationship and want to work out how to best move forward and/or have suffered debilitating symptoms such as low mood and anxiety for example, I can help you to navigate a path that leads to positive mental health and wellbeing.  ​
I provide a confidential service in a very private, comfortable and tranquil setting, allowing you to have the space you need.  ​In addition I offer online video or audio only therapy for those who live further away or for who its a more convenient option; you can be reassured this too is of course confidential.
I can help you to make sense of whatever you have and are going through, so that you can find a way forward and create for yourself improved emotional wellbeing.
Life at times can be difficult, maybe you have been hurt by others, are in pain, are confused or uncertain, want to change or just need someone to listen and talk with.  Sometimes it’s difficult to talk to family and friends… I am an independent ear, someone you can share your thoughts and feelings with, so that you can better understand where you are in your life and take steps to move forward.
My practice is based on providing you with the help and support that you need for what may be a difficult time.  I tailor my sessions to each individual, this means that you will gain the most from your counselling, having the confidence that it’s suited to your unique needs and fits with your personality.
This typically might include;
– exploring an event(s) from your past, considering your views, thoughts and feelings and/or
– providing you with support right now for whatever is happening in your life and/or
– the ability to make decisions and how to make change(s) in your life.
At your first session, you can expect a relaxed, comfortable conversation; this will allow me to get to know you a little bit so that I can outline the help that I can provide and also so that you can decide if therapy at my practice is right for you.

Joanne Welsh’s profile on Inquire Talk

At Inquire Talk, we understand the significance of mental health and well-being in fostering healthy relationships. Our dedicated team of therapists offers online counselling, therapy, and psychotherapy services to individuals seeking support and assistance. Whether you’re looking for guidance in your dating life, improving relationships, or simply need someone to talk to, our compassionate therapists are here to help. Visit our website to learn more about our services and take the first step towards a healthier and happier you. You are not alone, help is available.

Note: The following article is a comprehensive guide to psychosexual psychotherapy and sex addiction. It aims to provide valuable insights into the nature of compulsive sexual behaviors, the impact they have on individuals and relationships, and the therapeutic approaches used to address these issues. This article does not replace professional medical advice, and individuals seeking assistance are encouraged to consult qualified therapists or counselors.

Inquire Talk


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