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Financial Risks of Gaming Disorder: More Than Just a Game

Dr. Jennifer Weeks — Tue, 09 Dec 2025 13:00:00 +0000

Introduction: The Hidden Cost of Gaming

For hundreds of millions of people, video games are a favorite pastime. A source of entertainment, social connection, and challenging fun. The common view is that it’s a widespread and generally harmless hobby. But as with any deeply engaging activity, there’s a potential for a downside. New research is revealing that this downside can extend directly into our wallets in the form of a gaming disorder.

A study published in the journal Addictive Behaviors has uncovered a powerful, and often overlooked, link between problematic gaming behaviors and significant financial consequences.

The findings challenge common assumptions about who is at risk. And they highlight a major gap in how we officially define and screen for gaming disorder.

Have you ever logged off after a gaming session and felt you spent more money than you should have? The results of this study suggest that for some, that feeling is a sign of a much larger issue. Here are four surprising truths about the financial risks of Gaming Disorder.

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The Link Between Gaming Disorder and Overspending is Staggering

The core finding of the study is impossible to ignore: there is a massive correlation between being at risk for Gaming Disorder (GD) and overspending on gaming-related activities.

The research found individuals identified as being at risk for GD had 6-9x higher odds of reporting overspending.

The gap between those at risk for GD and those who are not is stark. The study’s data reveals a consistent pattern of overspending across different categories:

Purchasing Games: 76% of at-risk individuals reported overspending, versus only 24% of those not at risk.
In-Game Purchases: 73% of at-risk individuals reported overspending, compared to just 24% of those not at risk.
Esports Betting: 63.5% of at-risk individuals reported overspending, versus a mere 13% of those not at risk.

This isn’t a minor or incidental issue.

The data shows that for those struggling with the behavioral patterns of Gaming Disorder, significant overspending is not an exception but a common, defining feature of their experience. It’s important to note, however, that the study measured players’ perception of overspending. Future research is needed to quantify the link to actual financial hardship or debt.

It’s Not Just a Problem for Young People

A persistent stereotype frames problematic gaming as an issue exclusive to teenagers and young adults. While the study confirmed that younger people reported higher rates of overspending, it also found that a “non-negligible proportion” of older adults are also impacted.

Specifically, the research showed that between 4% and 9% of adults aged 66 and older reported various types of game-related overspending. This finding is particularly concerning for this demographic.

As the study’s authors discuss, older adults often rely on fixed incomes from pensions or savings, which limits their ability to absorb financial losses. The source identifies further vulnerabilities, noting that “technological illiteracy and susceptibility to scams further exacerbate the risks for older adults,” making this a cross-generational concern that demands attention.

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Official Definitions of Gaming Disorder Overlook the Financial Damage

Despite the study’s clear evidence linking Gaming Disorder to serious financial issues, overspending is not currently part of the official diagnostic criteria from major health organizations.

Diagnostic frameworks like the World Health Organization’s ICD-11, and the screening tools like the Gaming Disorder Identification Test, focus on impairments in personal, social, or health-related areas. They largely omit the potential for financial harm as a key symptom or consequence. As the researchers state in their discussion:

“Our findings highlight that overspending is integral to GD, yet it is absent from diagnostic frameworks such as ICD-11 and DSM-5.”

This omission is critical.

The data reveals staggering rates of overspending (Truth #1) that affect even vulnerable older populations (Truth #2).

However, the very tools used to identify the disorder are blind to what may be its primary financial symptom. As a result, we may be under-identifying individuals for whom financial distress is the most significant negative consequence.

The Line Between Gaming and Gambling is Blurring

The study uncovered a significant relationship between Gaming Disorder and overspending on betting with real money on video games, also known as esports betting. The researchers describe this convergence of gaming and gambling as a “concerning” trend.

This blur is not limited to betting.

The study also notes the role of gambling-like mechanics built directly into games, such as loot boxes. These features use a “chance-based reward structure” that, as the source notes, can “foster compulsive spending and addiction-like behaviours.”

These in-game mechanics can prime users for the more explicit gambling behaviors seen in esports betting. It makes the convergence even more seamless and risky.

This finding underscores a growing need for greater awareness. The study’s authors call for specific, concrete actions, including “regulatory and harm minimization strategies such as spending limits, and educational initiatives to inform gamers about the risks” inherent in these evolving financial systems within games.

Conclusion: Rethinking the Risks

The key takeaway from this research is clear. The financial consequences of Gaming Disorder are a significant, underappreciated, and integral aspect of the condition.

These risks affect a wider range of people than is commonly believed. They are driven by an industry where lines between entertainment and finance are becoming increasingly blurred.

For clinicians, policymakers, and gamers themselves, these findings show that financial behaviors should be a key part of the conversation around healthy gaming. Recognizing overspending not just as a bad habit, but as a potential indicator of a deeper problem, is the first step toward better assessment and support.

How can we better recognize the warning signs of financial harm in ourselves and others? What can we do as the worlds of gaming and finance become more intertwined?

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Do you feel your sexual behavior, or that of someone you love, is out of control? Then you should consult with a professional.

Have you found yourself in legal trouble due to your sexual behavior? Seek assistance before the court mandates it, with Sexual Addiction Treatment Services.

Are you looking for more reputable, data-backed information on sexual addiction? The Mitigation Aide Research Archive is an excellent source for executive summaries of research studies.

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From 619 Drugs to 1: Researchers Uncover Hidden Risk

Dr. Jennifer Weeks — Tue, 18 Nov 2025 13:00:00 +0000

Introduction: Addiction Risk in Commonly Prescribed Drugs

When you think of medication side effects, your mind probably goes to the warnings listed in commercials. Drowsiness, nausea, dizziness, etc. These are common, often manageable, and generally expected side effects of drugs.

But what about far more profound ones that can alter your behavior, strain your relationships, and impact your life?

A recent study delved into this very issue, analyzing VigiBase®, the World Health Organization’s global pharmacovigilance database, containing over 36 million adverse event reports, to uncover surprising links between everyday medications and the development of behavioral addictions.

The research sought to identify drugs where these life-altering risks are not officially listed, leaving us in the dark. This post will break down the most impactful findings from that detective work.

Takeaway 1: It’s Not Just the Usual Suspects Anymore

For years, the primary link between medication and behavioral addiction centered on a specific class of drugs: dopaminergic antagonists used to treat Parkinson’s disease.

The connection was so well-established that it was considered the main, and for many, the only, example of this phenomenon. This new study dramatically broadens that scope.

By analyzing reports from healthcare professionals worldwide, researchers identified seven classes of drugs associated with behavioral addictions, even though this risk is not officially listed as a side effect for them. These include:

Antidepressants
Antipsychotics (specifically, dopamine antagonists)
Antiepileptics
Benzodiazepines or related drugs
Psychostimulants
Retinoids
One antidiabetic drug

This finding is significant because it suggests the problem is far more widespread than previously understood. It potentially affects patients being treated for a wide range of common conditions.

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Takeaway 2: A Widely Used Antipsychotic Emerged as a Primary Concern

From an initial pool of 619 suspect medications reported at least five times, researchers applied a rigorous filtering process to hunt for the strongest signals. Ultimately, only one drug, Olanzapine, met all of the study’s highest evidence-based criteria.

Olanzapine is a second-generation antipsychotic medication.

The study found that it had the most well-documented cases with strong evidence linking it to behavioral addiction. This evidence included reports where symptoms resolved after:

The patient stopped taking the drug (a “positive dechallenge”)
A significant statistical signal in the data
Support from existing scientific publications

The study’s authors emphasized how their multi-step analysis narrowed the field to this single, compelling candidate:

Our analysis allows to narrow down the search to include only the most thoroughly documented cases… This process culminated in reducing the initial count of 619 suspect to 1: Olanzapine.

While Olanzapine was the only drug to meet every one of the study’s strictest criteria, the researchers noted that other antipsychotics also showed significant warning signs in the data. The specific behavioral addictions most strongly linked to Olanzapine included a range of behaviors such as binge eating, compulsive sexual behavior, compulsive shopping, and gambling disorder.

Takeaway 3: This Hidden Danger Isn’t Listed on the Drugs Official Label

The core purpose of the study was to identify drugs for which behavioral addiction is not listed as a known side effect in the official Summaries of Product Characteristics (SPCs). These are the detailed documents that guide doctors on a drug’s use and risks.

The implication of this is critical: patients and even some doctors may be completely unaware of these potential risks when prescribing or taking these medications.

An individual experiencing a sudden onset of compulsive behavior might not connect it to their prescription, leading to confusion, distress, and delayed intervention. This research underscores the importance of “pharmacovigilance,” the ongoing science of monitoring drug safety after a medication is on the market.

It is a crucial tool for uncovering hidden patterns and rare side effects that may not have appeared in initial clinical trials.

Takeaway 4: The Brain Science is More Complex Than Just Dopamine

Addiction is often explained through the lens of the brain’s reward system, which is heavily driven by the neurotransmitter dopamine.

This is why dopaminergic drugs for Parkinson’s were the first to be linked to behavioral addictions. However, the study’s findings on drugs like Olanzapine suggest a counter-intuitive possibility: the mechanism might involve a different system entirely.

Researchers theorize that for some of these medications, the effect may be caused by their interaction with the serotonergic system. Specifically, the way these drugs block certain serotonin receptors (known as 5HT2A receptors) could be responsible for inducing compulsive behaviors.

This finding deepens our scientific understanding of addiction. It demonstrates that the pathways to addictive behavior in the brain are incredibly complex and varied, and not solely reliant on the dopamine system that has long dominated the conversation.

Conclusion: A Call for Greater Awareness of Drugs Side Effects

This research serves as a powerful reminder that our understanding of medication side effects is constantly evolving. What is considered safe today may reveal hidden complexities tomorrow. Ongoing research and diligent reporting by healthcare professionals are essential tools for ensuring patient safety long after a drug has been approved.

The study’s findings highlight a potential blind spot in patient care. Life-altering behavioral changes might be mistakenly attributed to personal failings rather than a medication’s side effect.

This leads to a vital question for all of us: Knowing that these risks can go unlisted, how can we foster better conversations between patients and doctors about unexpected changes in behavior?

Do you feel your sexual behavior, or that of someone you love, is out of control? Consult with a professional.

Are you exploring your trauma? Do you feel your childhood experiences were detrimental to your current mental or physical health? Utilize this free, validated, self-report questionnaire to find out.

Take the Adverse Childhood Experience (ACE) Questionnaire

Are you looking for more reputable data-backed information on sexual addiction? The Mitigation Aide Research Archive is an excellent source for executive summaries of research studies.

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Beyond Willpower in Addiction: 4 Powerful Lessons

Dr. Jennifer Weeks — Tue, 11 Nov 2025 13:00:00 +0000

We often think of addiction as a private, grueling battle of willpower.

Whether it’s a dependency on a substance, a behavior like gambling, or even an unhealthy pattern in a relationship, the prevailing narrative suggests that breaking free is a matter of pure, individual strength.

If you just try hard enough, you can overcome it. If you fail, it’s a personal failing.

But what if this framework is fundamentally flawed? A recent, year-long study offers a more structured, hopeful, and evidence-based path to recovery.

Researchers applied a specific form of therapy, Cognitive Behavioral Therapy (CBT), to individuals struggling with a range of addictions and discovered that the right tools can do more than just help people cope; they can fundamentally transform their lives.

It’s about building a life so full and satisfying that the addiction no longer has room to thrive.

This year-long study is particularly significant because it was conducted in Kazakhstan, a region where evidence-based psychotherapy is still emerging and social stigma can be a major barrier to recovery.

This article distills the four most impactful takeaways from this groundbreaking research. It reveals how a systematic therapeutic approach can lead to profound, measurable life changes, challenging the myth that recovery is simply a matter of gritting your teeth and pushing through.

Lesson 1: The Change to Isn’t Small, It’s Transformative

While we might expect therapy to offer some benefit, the sheer magnitude of improvement seen in this study was extraordinary.

Participants who received Cognitive Behavioral Therapy didn’t just get slightly better; they experienced a dramatic and measurable enhancement in their overall well-being.

The study used the World Health Organization’s Quality of Life scale (WHOQOL-BREF), which measures well-being across four key areas. The results were staggering.

On average, the experimental groups saw their quality of life scores jump from the low 40s to the mid-70s on a 100-point scale. To put that in concrete terms, participants with alcohol use disorder went from an average score of 42.31 before therapy to 74.47 after one year.

This isn’t just a number on a chart; it represents a profound shift from a life constrained by addiction to one filled with new possibilities and well-being.

Meanwhile, the control groups, those who did not receive CBT, saw no meaningful improvement in their quality of life, with their average scores remaining essentially unchanged.

This powerful contrast repositions recovery as a genuine opportunity to build a measurably better and more satisfying life.

It’s about building a life so full and satisfying that the addiction no longer has room to thrive.

Are you exploring your trauma? Do you feel your childhood experiences were detrimental to your current mental or physical health? Utilize this free, validated, self-report questionnaire to find out.

Take the Adverse Childhood Experience (ACE) Questionnaire

Beyond Willpower Lesson 2: The Same Tools Can Fix Different Problems

One of the most compelling aspects of the study was its breadth.

Researchers applied the same core therapeutic model, CBT, to four very different challenges:

Alcohol use disorder
Drug addiction
Gambling disorder
Codependency

The key finding was that CBT was highly effective across the board.

For every single group that received therapy, there was a statistically significant reduction in the severity of their addiction. The data paints a clear picture of this versatility:

For drug addiction, the experimental group’s average severity score dropped from 7.96 (signifying harmful use) down to 3.14 (representing low-risk or minimal use).
For gambling disorder, the average severity score plummeted from a “severe” 39.55 to a “mild or moderate” 14.36.

This suggests that no matter the substance or behavior, the underlying challenge is often the same: learning to recognize triggers, challenge automatic negative thoughts, and develop new, healthier coping strategies.

CBT provides a toolkit for rewiring these exact processes, effectively helping people move from a place of denial or ambivalence into decisive action and long-term maintenance.

Lesson 3: Codependency Isn’t Just a “Relationship Problem.” It’s Treatable.

The study took the significant step of including codependency, an excessive emotional or psychological dependence on a partner, often linked to that partner’s addiction, alongside clinical addictions. While codependency is not formally classified as a standalone diagnosis in major manuals like the DSM-5-TR, the researchers recognized it as a clinically significant phenomenon that is actively addressed in rehabilitation.

The results were a powerful validation of this approach.

The experimental group for codependency saw their average severity scores drop from a “high level” of 69.12 to a “moderate or low level” of 31.44. The control group, in stark contrast, showed no significant change.

For anyone who has felt trapped in a dynamic of supporting someone else’s addiction at the expense of their own well-being, this finding is a beacon of hope.

This is a crucial takeaway.

It frames the struggle of codependency not as a character flaw or an intractable relationship dynamic, but as a treatable condition. It offers empowerment and a clear path toward building greater independence, self-esteem, and healthier relationship dynamics.

Beyond Willpower Lesson 4: Recovery Isn’t Just Stopping, It’s a Total Life Upgrade

The study’s design was brilliant in its simplicity: it measured success in two ways. It tracked the reduction of the negative (addiction severity) and the increase of the positive (overall quality of life). The results showed that these two things are deeply intertwined.

The “quality of life” assessment wasn’t a vague feeling of happiness; it was a concrete evaluation of four essential domains of life:

Physical Health: Including energy and fatigue, quality of sleep, and even physical mobility.
Psychological Health: Covering everything from positive feelings and self-esteem to the ability to concentrate and learn new things.
Social Relationships: Examining the quality of personal relationships, the strength of social support networks, and even sexual activity.
Environment: Looking at practical, real-world factors like financial security, physical safety, the comfort of one’s home, and access to healthcare.

The participants who underwent CBT saw significant improvements across all of these areas. This demonstrates that effective treatment doesn’t just happen in a therapist’s office. It radiates outward, improving every facet of a person’s existence.

True recovery, as this study shows, is about building a life that is so robust and fulfilling that the old addictive behaviors no longer hold the same power or appeal.

Conclusion: A New Framework for Change

The findings from this study in Kazakhstan provide a powerful, evidence-based roadmap for recovery that moves far beyond the limited concept of willpower.

It shows that addiction, in its many forms, is not a moral failing but a condition that responds remarkably well to structured, compassionate, and science-backed intervention.

By focusing on cognitive and behavioral strategies, individuals can achieve not just abstinence, but a transformative and holistic improvement in their lives. The tools exist, the evidence is clear, and the potential for change is immense.

This research leaves us with a vital question to consider:

If we can treat these complex issues so effectively, what does that change about how we should approach mental health and personal growth in our own lives?

Are you a professional looking to stay up-to-date with the latest information on, sex addiction, trauma, and mental health news and research? Or maybe you’re looking for continuing education courses? Then you should stay up-to-date with all of Dr. Jen’s work through her practice’s newsletter!

Do you feel your sexual behavior, or that of someone you love, is out of control? Then you should consult with a professional.

Are you looking for more reputable data-backed information on sexual addiction? The Mitigation Aide Research Archive is an excellent source for executive summaries of research studies.

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Overthinking and Porn Use: How Gender Shapes a Vicious Cycle

Dr. Jennifer Weeks — Tue, 21 Oct 2025 12:00:00 +0000

The Hidden Dialogue Between Our Minds and Our Habits

The scale of online pornography consumption is immense. In 2023, two of the largest pornography websites, Xvideos and XNXX, had more total visits than TikTok, one of the world’s most popular social media platforms. But beyond the sheer numbers, what is the internal experience of this habit? What is the relationship between porn use and how we think about our lives, our feelings, and ourselves?

New research reveals a surprisingly complex, two-way relationship between what scientists call problematic pornography use (PPU) and “rumination,” or the act of overthinking.

This groundbreaking study shows not only that the behavior can influence our thought patterns, but also that our specific style of thinking can, in turn, either escalate the problem or potentially help us escape it.

Crucially, this connection works very differently for men and women.

First, a Quick Primer: What Are “Problematic Use” and “Rumination”?

Before diving into the findings, let’s clarify the two key concepts. We’re not judging habits, but trying to understanding specific psychological patterns.

What is Problematic Pornography Use (PPU)?

PPU is not defined by how often someone watches pornography. Instead, it is characterized by a loss of control.

The official definition describes it as “poorly controlled, excessive, and/or compulsive engagement in pornography use, accompanied by significant distress and impairments in life,” such as losing a job or damaging relationships.

What is Rumination?

Simply put, rumination is the act of continuously focusing on one’s own negative thoughts and feelings.

However, not all rumination is the same.

Researchers have found that it comes in two distinct flavors: Brooding and Reflection.

Understanding this difference is essential to making sense of the study’s findings.

As professionals, our time is valuable. Dr. Weeks created the Mitigation Aide Research Archive because there isn’t enough focused, data-backed research available in easily digestible formats.

Takeaway 1: Problematic Porn Use Fuels Overthinking But Differently for Men and Women

The study, which followed 2,786 adults over one year, initially found that higher levels of PPU predicted more ruminative thinking (both brooding and reflection) a year later for everyone. This supports the “stress-reactive model,” suggesting the stress, guilt, or life problems from PPU can trigger more repetitive thinking.

However, the researchers dug deeper and uncovered a crucial distinction.

For men, the link was robust: the problematic nature of their use, the loss of control and distress, was a strong predictor of increased rumination down the line, regardless of how frequently they viewed porn.

For women, the story was different.

When researchers statistically controlled for the sheer frequency of pornography use, the link between PPU and later rumination weakened or disappeared entirely.

This suggests that for women, it may be the high frequency of viewing itself, rather than the “problematic” aspect, that is more closely tied to an increase in later overthinking.

Takeaway 2: For Women, Brooding Can Create a Vicious Cycle

When researchers looked at how thinking patterns affected behavior over time, a key gender difference emerged. For women, a specific type of rumination, brooding, was linked to an increase in problematic use down the line. The study found that higher levels of brooding at the start were associated with higher levels of PPU one year later.

Brooding is generally regarded as a more maladaptive form of rumination, which is defined as:

Adopting a passive and introspective demeanor that evaluates current circumstances against an unrealized, idealized standard, accompanied by a sense of regret and dissatisfaction.

This passive, self-critical style is captured in the very questions researchers used to measure it. Such as:

“Why do I always react this way?”
“Why can’t I handle things better?“

According to the cognitive-behavioral model, this style of thinking can exacerbate negative emotions like anxiety and stress. Women may then engage in the problematic behavior to cope with these painful feelings. Thus, creating a dangerous feedback loop where the thinking pattern fuels the habit that causes the distress.

Takeaway 3: For Men, Reflective Thinking May Act as a Protective Shield

The most counter-intuitive finding came from the data on men. For them, a different type of rumination—reflection—appeared to be a protective factor.

The study revealed that higher levels of reflective thinking at the start were associated with lower levels of PPU a year later. Reflection is seen as a more adaptive and constructive form of thinking. Its scientific definition is:

Reflection, a purposeful and active cognitive process, involves accepting and understanding distress and feelings to engage in effective coping mechanisms.

Do you believe your sexual behaviors are compulsive or harmful to you or others? Then you should take the CSBD-19 free, validated self-assessment tool.

Why would this type of overthinking be helpful in relation to Porn Use?

The researchers hypothesize that because men report higher rates of PPU and its negative consequences, they may become more motivated to fix the problem. This motivation could trigger a more problem-solving style of thought.

As the researchers suggest, “men may be motivated to disrupt this pattern and regain control over their problematic behavior… Such a response could potentially be associated with engaging in a more problem-solving-focused type of rumination (i.e., reflective rumination), resulting in reduced PPU.”

Conclusion: It’s Not That You Think, But How You Think

The relationship between porn use and our thought patterns is not simple. This research shows that it is a complex, bidirectional cycle that differs significantly by gender. For both men and women, pornography use can be linked to more negative, repetitive thinking.

But the reverse is where the crucial distinction lies.

For women, a passive, self-critical “brooding” can trap them in a cycle, making the problem worse.

For men, an active, problem-solving “reflection” may be a key to breaking free.

The ultimate takeaway is that when it comes to the link between our thoughts and our habits, it may not be that you think, but how you think that truly matters.

This leaves us with a powerful, forward-looking question: If the way we reflect on our behaviors can either trap us in a cycle or help us break free, what does that mean for our ability to consciously change our habits?

Do you feel your sexual behavior, or that of someone you love, is out of control? Then you should consult with a professional.

Have you found yourself in legal trouble due to your sexual behavior? Seek assistance before the court mandates it, with Sexual Addiction Treatment Services.

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CSAM on the Dark Web

Dr. Jennifer Weeks — Mon, 27 May 2024 12:00:00 +0000

Those of us in the field know that access to CSAM on the dark web is really only a few clicks away. Despite what many people think, it is pretty easy to access. Many of our CSAM clients were accessing these materials on TOR sites. Despite its frequent use, we really don’t know much about the details of CSAM availability and users on TOR sites.

A Study on CSAM on the Dark Web

An article just published in Scientific Reports, a Nature publication, looked at CSAM materials on TOR sites from both a computer science perspective and a public health perspective.

It is an enlightening study.

CSAM on the Dark Web: What is TOR?

For the unaware, TOR stands for The Onion Router.

It is an communication protocol that provides many layers of obfuscation for its users.

It does this by concealing the origin of the communications, resisting browser fingerprinting and circumventing traffic.

These tools allow for anonymous online hosting. On TOR sites, illegal content proliferates, whether that be CSAM sharing, drug trafficking, or other crimes.

CSAM on the Dark Web Study: The Questions

The authors of this study analyzed content on TOR sites to address the following questions:

How much CSAM is distributed through the TOR network?
What are users seeking and searching for?

They also surveyed the CSAM users to find out information about them.

Finally, they looked at how interventions based on searches might reduce child abuse.

Do you believe you have an online pornography addiction? Take the free Cyber Pornography Addiction Test (CYPAT) and have the results to speak with your therapist.

Statistical Results

The authors used a web crawler from 2018-2023 and found that 1/5^th of all TOR sites share CSAM.
CSAM can also be found on 21 of the 26 top TOR search engines, with four of these search engines actually advertising CSAM.
11.1% of users specifically searched for CSAM using the phrase “child porn” to get there.
When they surveyed the CSAM viewers, 61.6% said they have tried to stop watching it and 48.1% said they went to stop viewing CSAM.
Those CSAM users who were specifically searching for child content were more often searching for content of girls than boys.
More than half of the CSAM explicit searchers are looking for content in the age range of 12 to 16 year olds.

The authors went as far as to recommend that the psychiatric diagnoses of pedophilia and hebephilia be altered to sexual attraction to children under 11 (paedophilic type), attraction to children 11 to 14 (hebephilic) or both.

Who are Tor CSAM users?

The data showed that most of the CSAM users were initially exposed to CSAM when they were children and that more than half of these exposures were accidental.

Based on self report, almost 70% reported that they preferred content of girls to boys.
A very small percentage of individuals preferred content depicting images of infants or toddlers.

Learn more about Primary Prevention and its benefits in these articles:

What are possible online interventions for users of CSAM on the Dark Web?

The study reported that there are three prominent TOR search engines that provide links to self help programs for people who are concerned about their searching of CSAM. A good number of the CSAM viewers said they want to stop viewing the material and most of them have tried to stop at least once.

If so many people want help, why don’t they get help?

Many of the survey respondents stated that they were afraid to get help. Previous research has cited barriers to seeking help including fear of being reported, fear of being stigmatized, shame, and lack of understanding by professionals.

Since people who are using CSAM on TOR seem to want help, it is an area that is ripe for effective intervention. It opens up the question of whether or not more dark web recruitment for anonymous interventions is possible.

Since three websites provide links to self-help programs, why are more not doing so?

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My Takeaways from the Study on CSAM on the Dark Web

I really liked this study for two main reasons:

It was a combination of computer science and psychology

I think we know more about the psychology of CSAM users than how and where they get it.

It is often stated in court that someone who views CSAM must really be working hard to find it and view it. Studies like this one show us that it is not very hard to come across the content and more than half of the people who view it first accessed CSAM accidentally.

It Openly Discusses Interventions

It digs into how we can use these TOR sites to let people know there is help available. If they want to stop their behavior, they need to know there are therapists who can help them in a knowledgeable and non-shaming fashion.

I wonder, now, what we can do as a practice to be more active in prevention in this medium.

Reference: Nurmi, J., Paju, A., Brumley, B.B., Insoll, T., Ovaska, A.K., Soloveva, V., Vaaranen-Valkonen, N., Aaltonen, M. & Arroyo, D. (2024). Investigating child sexual abuse material availability, searches, and users on the anonymous Tor network for a public health intervention strategy. Scientific Reports, 14:7849.

Have you found yourself in legal trouble due to your sexual behavior? Seek assistance before the court mandates it, with Sexual Addiction Treatment Services.

Do you feel your sexual behavior, or that of someone you love, is out of control? Then you should consult with a professional.

Are you looking for more reputable data-backed information on sexual addiction? The Mitigation Aide Research Archive is an excellent source for executive summaries of research studies.

The post CSAM on the Dark Web first appeared on Dr. Jen's Recovery Readings.

Book Review: Sex Under the Influence

Dr. Jennifer Weeks — Mon, 29 Apr 2024 12:00:00 +0000

I had the pleasure of hearing Dr. Fawcett give a presentation on Sex Under the Influence at the 2023 IITAP conference.

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It was one of the more enjoyable discussions I caught while at the conference. He has a vast amount of experience working with dual chemical and sexual addictions. He is very clearly passionate about helping people work through these issues.

So, when he published a book on the subject, I was eager to read it.

Sex Under the Influence is aimed at Individuals

While this book’s target audience is individuals who are struggling with sexualized drug use, it will also be useful to clinicians who are not as familiar with the pairing of sex and drugs in a compulsive manner.

Do you believe your sexual behaviors are compulsive or harmful to you or others? Then you should take the CSBD-19 free, validated self-assessment tool.

The first chapter does a nice job with the following points:

What sexualized drug use is
How people use sex and drugs together and why
The biology of the addictive process and the consequences when pairing sex and drugs gets out of hand

Chapter 2 is either a nice primer or recap about what addiction is and how it can be experienced by people.

Chapter 3 looks at addictive behaviors in a variety of demographic groups.

I really enjoyed this chapter. It did something few books on addiction do: it discussed what addiction can look like for men, women, and transgender individuals.

We know from the scientific literature that men and women experience addiction differently both socially and biologically. Dr. Fawcett also discussed how addiction may differ based on one’s sexual orientation.

An entire chapter looking at the diversity of the addictive process was appreciated.

Recovery Tools from Sex Under the Influence

Starting in Chapter 5, the book provides tools and information for recovery. For clinician’s reading this book, particularly those who are trained in treating problematic sexual behavior, a lot of this work will be familiar.

For people struggling with addiction who are thinking about or entering into recovery, the second half of the book provides valuable tools such as:

The three-circle exercise
Emotion regulations tools
Relapse prevention planning

Subsequent chapters delve into the long-term process of recovery. It implicitly and explicitly acknowledges this is a long-term or lifelong process.

Recovery, particularly from issues with sexuality, require us to deepen connections. It requires us to delve into intimacy and our own sexuality.

Stay up-to-date with all of Dr. Jen’s work through her practice’s newsletter!

My Favorite Part

One of the things I particularly like about Sex Under the Influence is the author’s discussion of harm reduction.

So often, recovery is seen as an abstinence-only model and harm reduction is not discussed.

Abstinence-only models can drive away those thinking about recovery but feel full abstinence is impossible.

Additionally, abstinence-only models often are not realistic for problematic sexual behavior. Sexuality is part of who we are as humans.

The author spends a chapter discussing harm reduction and how it can be applied to sexualized drug use.

This post contains affiliate links. The author or blog owner may earn a commission if you make a purchase using these links.

Do you feel your sexual behavior, or that of someone you love, is out of control? Consult with a professional.

Have you found yourself in legal trouble due to your sexual behavior? Seek assistance before the court mandates it, with Sexual Addiction Treatment Services.

The post Book Review: Sex Under the Influence first appeared on Dr. Jen's Recovery Readings.

What Affect do Sex Dolls Have on Human Sexuality?

Dr. Jennifer Weeks — Mon, 15 Apr 2024 12:00:00 +0000

If you have spent any time on this blog, you might be thinking another sex doll post? What is her obsession with sex dolls?

I’ve been thinking about this while formulating a response to a reader’s comment on an older sex dolls post.

I find the topic interesting because people have very strong opinions about it based on feelings.

There are just not enough facts or data out there for anyone to form what we might call an “informed opinion.” So, that’s why I love reading and writing about research articles on sex dolls.

Sex Dolls in the Journal of Sex Research

Here’s a recap of a newer article published last year in the Journal of Sex Research.

The authors, through an online survey, sought to add some knowledge to the debate about sex doll usage. Particularly, to address sex dolls used by people who are sexually attracted to prepubescent or pubescent children.

Do you believe your sexual behaviors are compulsive or harmful to you or others? Then you should take the CSBD-19 free, validated self-assessment tool.

Wait, What’s the Debate About Sex Dolls?

The core concerns regarding the use of sex dolls that people tend to bring up:

Using sex dolls increases problematic sexuality. Many feel the users may transfer the type of sexuality they engage in with a doll to a human.
Individuals who use sex dolls will become increasingly isolated from others.
People who use sex dolls will lose intimacy and empathy in their interpersonal relationships.

Specifically, relating to the use of child sex dolls, people fear that if a person who is sexually attracted to children uses a childlike sex doll, it will increase their desire or propensity to then engage in sexual activity with a live child.

Back to the Sex Doll Study

The authors “sought to explore the potential influence of (sex) doll use on common (i.e., sex with humans, masturbation, and porn use) as well as problematic or (potentially) illegal sexual behaviors (compulsive sexual behavior, illegal and dangerous sexual fantasies as well as visiting sex workers).

The study is the first to look at potential changes in sexual behavior associated with sex doll use.

The study asked 224 individuals who were sex doll users:

About the features of their dolls (gender, size, price, etc.)
About the changes they observed in their own sexual behavior
Demographic questions
Open ended questions

Interested in more information about sex dolls and their owners? Here’s all of our posts about them:

Results of the Study

The authors classified sex doll users as those who used the doll basically as a sex toy or those who used the doll as an artificial companion (AC).

The average age of the doll users was 31.

Those who used the doll as an AC were less likely to be in a relationship than those who used it as a sex toy.

What changes did they see in their behaviors?

All of the users reported an observable decrease in common and dangerous behaviors since they started using the dolls.

Specifically relating to doll owners who are sexually attracted to children, those individuals self-reported a strong significantly greater decrease in compulsive sexual behavior when compared to their adult attracted peers.

They also stated that they used their dolls as an alternative sexual outlet as they could not live out their sexual interest with humans.

Individuals with sexual interest in prepubescent or pubescent children did report:

They used the dolls to act out illegal fantasies with the dolls
They lost interest in sexual interactions with children due to their owning and using a childlike sex doll

The authors note the results of their study go against the idea that using sex dolls will reinforce problematic sexual behavior of any kind. Their results showed the opposite.

Sex doll ownership and use decreased self-reported problematic sexual behavior.

Preparing a sentencing report for a minor attracted person? Get the data you need, quickly, with Mitigation Aide.

Limitations of the Sex Doll Study

Before we definitively state the use of sex dolls is a good thing or that it does not, in fact, lead to problematic sexual behavior, we have to talk about the limitations of this research study.

The first limitation is that it is a survey.

There is always the question of whether or not the people who choose to respond to a research survey are in any way different from those that do not choose to participate, and this could decrease the generalizability of the results.

The second big limitation is the questions about reduction in problematic (including illegal) sexual behavior were self-reported.

This means we have no way of knowing if the study participants were telling the truth. We also don’t know if the decrease they reported is real or just their perception. Again, this may limit the validity and generalizability of the research.

Nonetheless, this study is a big step in moving forward and answering the questions of what affect owning and using a sex doll has on a person’s sexual behavior.

Reference: Desbuleux, J. C. & Fuss, J. (2023). The Self-Reported Sexual Real-World Consequences of Sex Doll Use. The Journal of Sex Research, DOI: 10.1080/00224499.2023.2199727.

Do you feel your sexual behavior, or that of someone you love, is out of control? Consult with a professional.

Have you found yourself in legal trouble due to your sexual behavior? Seek assistance before the court mandates it, with Sexual Addiction Treatment Services.

Are you looking for more reputable data-backed information on sexual addiction? The Mitigation Aide Research Archive is an excellent source for executive summaries of research studies.

The post What Affect do Sex Dolls Have on Human Sexuality? first appeared on Dr. Jen's Recovery Readings.

Pornographic Video Games and Sexuality

Dr. Jennifer Weeks — Tue, 16 Jan 2024 13:00:00 +0000

Last Monday, I received screenshots of a game my client was playing, but it wasn’t a traditional game. He indulged in the ever-expanding genre of pornographic video games.

Some of you who read my blog regularly may know, a person on federal supervised release for an internet crime of a sexual nature must have monitoring software on their devices.

The software blocks you from sites based on probation regulations and takes screenshots of what they’re doing. When one of my clients looks at questionable things, their probation officer will contact me and send me screenshots of the content.

I’m Not Going to Moralize About Pornographic Video Games

Nor will I discuss whether or not this is an appropriate expression of sexuality for people whom partnered sex is not an option. This is just a, “Hey it’s out there if you didn’t know about it,” post.

Adult video gaming is legal and the people playing them are making a conscious choice to do so.

So why does it matter? In my work, it matters for a few reasons.

Do you believe you have an online pornography addiction? Take the free Cyber Pornography Addiction Test (CYPAT) and have the results to speak with your therapist.

Pornographic Video Games and

Adolescents

We all know that most kids today game. It is super common and can be as much of a lifestyle as a hobby to kill some time. Games have come a long way from the Frogger of my youth.

Adult video games can be problematic for youth the same as pornography.

Physical and emotional development of teens does not happen along the same trajectory. Bodies might find these games exciting, but minds don’t always know how to process what goes on.

In most pornographic video games, as in pornography, there is not a discussion of consent, boundaries, or anything else. And the themes or topics are similar to pornography.

I braved a google search and adult video games are promoting themes like anal sex with your stepsister and sex with your stepmom the same as live pornography is.

Not the best themes for a growing mind to be masturbating to.

Do you believe your sexual behaviors are compulsive or harmful to you or others? Then you should take the CSBD-19 free, validated self-assessment tool.

Individuals with Problematic Sexual Behavior (PSB)

Pornographic video games can fall into a grey area for those with pornography addictions or PSB.

They are not pornography, as many will define it in terms of live humans, but it still falls into the category of sex acts or simulated sex acts.

Using adult video games may be a gray area that a person struggling with pornography addiction can use as a means to act out while thinking they are not violating their bottom-line behaviors.

Individuals on Supervised Release

Playing these games could be a violation of the stipulations of supervision for individuals on probation, parole, or federal supervised release for crimes of a sexual nature.

Many of these probation stipulations prohibit viewing pornography. I’ve found most probation/parole officers consider adult video games to be pornography.

Playing pornographic video games and not disclosing it could cause problems with supervision and result in a freedom-losing violation.

See the latest research on criminality related to social media:

Social Anxiety and Loneliness in Online Solicitation Offenders

See more articles related to social media

What’s the Lesson About Pornographic Video Games?

For me, it was to be more specific. My client had permission to play video games. We had worked on that, and it was approved by treatment and probation. Clearly, I needed to be more specific about what types of video games were okay to play.

I needed to have more conversations about exactly what was okay to do and what was not.

Again, not here to have a philosophical discussion about adult sex games. I want to help our guys stay compliant with their conditions.

What’s the Lesson for Non-Supervised Folks?

Particularly if you are a parent of a gaming adolescent, you need to know what games your child is playing.

Be involved in their lives. Ask about their gaming. Ask if they have seen or played these games. Talk about it.

If your child is a gamer and young, learn how to block those sites or games from their gaming device.

Ultimately, the lesson is to be aware.

Do you feel your sexual behavior, or that of someone you love, is out of control? Consult with a professional.

Have you found yourself in legal trouble due to your sexual behavior? Seek assistance before the court mandates it, with Sexual Addiction Treatment Services.

Are you looking for more reputable data-backed information on sexual addiction? The Mitigation Aide Research Archive is an excellent source for executive summaries of research studies.

The post Pornographic Video Games and Sexuality first appeared on Dr. Jen's Recovery Readings.

What Happens When You Stop Watching Pornography for a Week?

Dr. Jennifer Weeks — Fri, 03 Nov 2023 12:00:00 +0000

One of the go to suggestions for pornography addiction treatment is an abstinence period. A period of time free from all sexual behavior or to stop watching pornography.

The average duration is 30 days free of any type of sexual behavior, including:

Pornography
Masturbation
Sexual intercourse

This is to allegedly “reset” the brain and dopamine pathways from a biological perspective.

It can also be a great way for couples to reconnect. It allows them to work on emotional intimacy and non-sexual physical intimacy.

Finally: A Study on Those Who Stop Watching Pornography

Despite this being a rather commonly “’prescribed” treatment plan, there is actually very little research on whether this is a scientifically sound practice.

Additionally, one of the markers of addiction is the experience of withdrawal. Many who argue against sexual addiction being a real phenomenon will say that there is no such thing as withdrawal from pornography use despite anecdotal evidence from those who abstain.

Some previous studies have noted that people who attempt abstinence from pornography experience withdrawal symptoms such as erotic dreams, irritability, attention disturbances, depression, mood swings and brain fog.

While these could be attributed to withdrawal from pornography, the authors of the study we are currently discussing state that these negative emotional effects could be the result of simply abstinence from sexual behavior and not necessarily withdrawal.

Do you believe your sexual behaviors are compulsive or harmful to you or others? Then you should take the CSBD-19 free, validated self-assessment tool.

The Study: Background

This study, published this year in the Archives of Sexual Behavior, was a randomized controlled study that looked at the effects of abstaining from pornography for a period of 7 days.

The authors hypothesized that there would be differences between the abstaining group and the control group on the following measures: craving, positive affect, negative affect, and withdrawal symptoms. They also hypothesized that there would be an interaction between the group (control or abstaining) and Problematic Pornography Use.

Subjects

Psychology Undergraduate students at a university in Malaysia.

The authors do note that Malaysia is a conservative country when it comes to sex and pornography that does have laws that restrict pornography use.

The participants had to meet several criteria:

They had to be at least 18 year old.
They had to be regular pornography users.

176 students made the cut with 86 in the abstinence group and 90 in the control group.

Do you believe you have an online pornography addiction? Then take this free Cyber Pornography Addiction Test (CYPAT) and have the results to speak with your therapist.

The Task

The control group was asked to continue engaging in their sexual behavior as normal.

The abstinence group was asked to stop watching pornography. But they weren’t required to abstain from masturbation or partnered sexual activity.

The Measures

All subjects were asked to note, on a daily basis, the following things:

Frequency and/or duration of any sexual behavior, measured daily
Pornography use, daily frequency
Duration of daily pornography use
Masturbation without pornography, daily frequency
Alternative sexual activity, daily frequency
Efforts at abstaining from pornography, daily
Pornography craving, measured daily
Daily positive and negative affects
Withdrawal symptoms, experienced daily

Creating a Baseline to Stop Watching Pornography

Prior to the start of the study, the authors assessed the following baseline measures:

Previous 4-week frequency of pornography use
Past 4-week average duration of pornography use per session
4-week frequency of masturbation without pornography prior to the study
Prior 4-week percentage of pornography use that was accompanied by masturbation
Previous 7-day frequency of pornography use
Past 7-day duration of pornography use
Baseline abstinence effort
Craving for pornography
Baseline positive and negative affect
Problematic Pornography Use
Intrinsic desire to quit or reduce pornography use
Moral disapproval of pornography

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The Results of the Study to Stop Watching Pornography

There were no significant differences between the abstinence and control group on measures of craving, positive affect, or withdrawal symptoms. There was also no significant interaction between the group and Problematic Pornography Use.

Problematic Pornography Use and Gender

There were significant differences in the results based on gender.

Male subjects had significantly higher problematic pornography use and 4-week frequency of pornography use than female subjects.

The study also looked at the data based on Problematic Pornography Use (PPU) Scores.

When the PPU scores were low, there were no differences between the groups but when the PPU scores were high, there were significant differences on the experience of craving.

Study Conclusions

The hypotheses of the study were not confirmed. There were no significant main effects of the group on all measures.

This is in contrast to previous studies that used self-report measures where subjects reported experiencing withdrawal symptoms. The authors do note that their study used nonclinical samples and the previous studies had subjects who identified with PPU.

The study found no evidence of negative abstinence effects among pornography users who viewed pornography at least three times per week. The authors then suggest that for the average pornography user there is no withdrawal when engaging in a 7-day abstinence period.

Are you a Licensed Professional Counselor in need of continuing education? Learn more about Sex Addiction, Erotic Conflict, and Moral Incongruence from Dr. Weeks and Sexual Addiction Treatment Services, an NBCC ACEP™ approved provider!

Limitations

The fact that the study used a non-clinical sample means that the results might not be generalizable to people with Compulsive Sexual Behavior who try to achieve abstinence.

This study also contained more female subjects that other studies that have looked at this phenomenon.

From a clinical perspective, as someone who treats Problematic Sexual Behavior, these types of studies are helpful.

In this field there are some therapeutic interventions that seem like gospel despite not having a large amount of scientific evidence to back them up as a best practice.

It is exciting to see abstinence and withdrawal being studied so we can determine, in the future, if a 90-day abstinence period is actually an evidence based best practice.

Reference: Fernandez, D.P., Kuss, D.J., Justice, L.V., Fernandez, E.F. & Griffiths, M.D. (2023). Archives of Sexual Behavior. Doi.org/10.1007/s10508-022-02519-w

Do you feel your sexual behavior, or that of someone you love, is out of control? Consult with a professional.

Have you found yourself in legal trouble due to your sexual behavior? Seek assistance before the court mandates it, with Sexual Addiction Treatment Services.

Are you looking for more reputable data-backed information on sexual addiction? The Mitigation Aide Research Archive is an excellent source for executive summaries of research studies.

The post What Happens When You Stop Watching Pornography for a Week? first appeared on Dr. Jen's Recovery Readings.

How to Un Villain: Listening with an Open Mind

Dr. Jennifer Weeks — Fri, 06 Oct 2023 12:00:00 +0000

Sketch of Dr. David J. Ley from his X (Twitter) profile.

We all have known a villain or two. Even the sex addiction treatment community has villains. Why are these people villains?

Because they question the validity of sex addiction.

Two, in particular, come to mind, though upon reflection they are not the same.

Villain Introduction

The first villain, Dr. David Ley, is a rather publicly outspoken opponent of the idea of sex addiction. He is a clinician, writer, and sometimes public debater of Dr. Rob Weiss.

The second villain is Dr. Prause. She is an academic and researcher from the University of California with a prolific CV. Her publications appear in peer reviewed scientific journals. Her argument against sex addiction as a concept is more theoretical and based on the scientific concept of validity.

Listening, Not Just Hearing

Dr. Nicole Prause

Imagine my surprise, after spending three hours in an Association for the Treatment and Prevention of Sexual Abuse (ATSA) training on Compulsive Sexual Behavior Disorder (CSBD), that the first plenary speaker of the ATSA conference was Dr. Prause making her case against sexual addiction.

To be completely honest, I have not read much of her scientific work.

My knowledge of her is second hand from a community that does not consider her a friend.

I had two choices:

Sit and listen to the talk from a position of defensiveness based on my belief in CSBD.
Sit and listen from a place of openness and process her information with an open and clear mind.

Do you believe your sexual behaviors are compulsive or harmful to you or others? Then you should take the CSBD-19 free, validated self-assessment tool.

Giving the Villain a Chance

I put on my open-minded researcher hat and listened to her talk entitled Psychophysiology and the Failure to Discriminate Sexual Compulsion as a New Disorder. Her talk focused on two key components of proving the construct validity of a theory.

Particularly, she focused on convergent and discriminant validity.

Research Methods

As a recap for those who did not endure lots of research methods in school:

Convergent validity is a type of construct validity that tests whether things that should be related are related.
Discriminant validity, on the other hand, tests whether constructs that should not have a relationship do not have a relationship.

In looking at these two types of construct validity, Dr. Prause is addressing whether our measures of assessing sexual addiction are related and whether sexual addiction is different than other things such as depression.

As professionals, our time is valuable. Dr. Weeks created the Mitigation Aide Research Archive because there isn’t enough focused, data-backed research available in easily digestible formats.

Determination of a New Disorder

We often point to Voon et. al (2014) as a neuroscientific study that lends support to sexual addiction because the results of the self-determined sex addicts in the study had similar results to those of substance abusers.

Prause argues that when you look at the brain imaging studies of sexual desire you see the same reactivity, suggesting that Voon et. al very possibly just studied sexual desire as opposed to sexual addiction.

In terms of discriminant validity, Dr. Prause looks to the many studies that look at sexual addiction and its comorbidity with other mental health issues like major depressive disorder, obsessive compulsive disorder, alcohol use disorder, etc. The point she made is that if a diagnosis has so much overlap with other diagnoses, it is likely not its own separate diagnosis but symptoms of some other construct.

The Villain May Not Be a Villain After all

What I found most interesting: despite not believing that sexual addiction is its own separate diagnosis, she treats people who come in with problematic sexual behavior similarly to a clinician who does believes sexual addiction is valid. For example:

Assess for other mental health conditions
Engage in behavioral analysis of the sexual behavior they are concerned about
Then treat them with shame reduction work and ACT

Final Thoughts

She agrees that people struggle with sexual behavior sometimes.

Dr. Prause thinks we should help them get a handle on the things they find to be a problem.

She does not believe in using a 12-step model or forced abstinence.

My personal take is that she believes that what some of us would call compulsive sexual behavior disorder is not its own thing but that the same behaviors are likely a symptom of some other mental health issue.

My other take away… I don’t think she is a villain at all. She is just someone who wants us to really think critically about our work.

Have you found yourself in legal trouble due to your sexual behavior? Seek assistance before the court mandates it, with Sexual Addiction Treatment Services.

Do you feel your sexual behavior, or that of someone you love, is out of control? Consult with a professional.

The post How to Un Villain: Listening with an Open Mind first appeared on Dr. Jen's Recovery Readings.