I was recently at a workshop where they were giving a ton of statistics. While I wasn’t able to write them all down and everything, I got the emphasis of the statistics. According to Patrick Carnes’s research, someone basically has a 90%1 chance of a full, long-lasting recovery if the following elements are in place:
- A minimum of three 12 step meetings (S.A., S.A.A., S.L.A.A., R.C.A., S.C.A., S.R.A.) with Celebrate Recovery that has a purity group (or Samson Society, or Pure Desire Group or Faithful & True Groups) being a 4th meeting for a minimum of 2 years. However, mere attendance does not count. For this to count, the person must be meeting with a sponsor weekly (sometimes contacting them daily) with daily phone calls to others in the group. If in Celebrate Recovery this would mean doing a Step Study Group on top of the weekly meetings.
- Weekly meetings with a CSAT or some other certified addictions therapist for a minimum of 2 years. Typically this means digging into your own life further from insights gained from (1) group therapy, (2) group therapy assignments, (3) going through the 12 steps (including the 12 step meetings), and (4) life as it happens while on the journey of recovery. Find a therapist here.
- Weekly group therapy meetings for a minimum of 2 years. This typically combined with the weekly therapy group as it is usually a bad idea to have two therapists (one for therapy and one for individual), and typically the group will go through a book either Laaser’s L.I.F.E. workbook or Carnes’s Facing the Shadow workbook (there are others out there but these are the two Sexual Addiction leaders).
So, typically, this means about 10 hours of work per week that needs to be done, and I am discovering this is the bare minimum. As I am creating my recovery plan, I notice that for men there are other elements that must be included such as exercise/working out (30 minutes a day), spiritual disciplines (30-60 minutes/day), and adequate sleeping patterns (7-8 hours/day). So in essence it is a complete life change and transition. My wife and I were chatting about this the other day, and she said to me (referring to something that her therapist said when her therapist equated much of their recovery plan with the spiritual disciplines) that if we observe people we admire, we will notice that those who are healthy already do much of the 12 steps in the form of spiritual disciplines.
So, when a therapist or counselor repeats what Patrick Carnes says about sexual addiction recovery that it is “a 3-5 year process,” don’t be surprised and don’t change therapists as you may be tempted to do. Seriously, they are not looking to make a long term financial making plan with us. Instead, this type of honesty is essential and if they wanted to make money with us addicts they wouldn’t tell us. Then this would create repeat customers (per se) for a much longer period of time.
While at Bethesda Workshops, I heard two really profound yet simple stories. One was in response to a question similar to “Why does it take so long?” The therapist simply said, “How long did it take for you to get where you are?” And then he continued, “Recovery won’t take as long as it should or as long as it took for you to get where you are, but it will be longer than you expect.” The second one is also just as profound in our microwave, quick fix it society. The guy went into see his CSAT therapist regarding his sex addiction. He sat down and began to tell how his sex addiction began. Then the therapist asked, “Tell me about your dad.” The addict confused yet persistent replied with more of his sex addiction beginnings. Then the therapist having listened, asked, “Tell me about your dad.” Then the addict frustrated continued to discuss his sex addiction in present times. Then the therapist having listened, asked, “Tell me about your dad.” Then the addict becoming angry and thinking that he is wasting his time began describing his current consequences. Then the therapist having listened, asked, “Tell me about your dad.” Then the addict extremely frustrated and angry demanded that they talk about his sex addiction. And the therapist said, “We are. What is it that you want?” Then the addict began describing his despair in such sorrow. Then the therapist having listened, asked, “Tell me about your dad.” Finally in exasperation, the addict said angrily, “No! I am here to talk about my sex addiction—not my dad!” The therapist said, “What do you think I am trying to do? You want to talk about the behavior, and I am trying to talk about your addiction.” Full sex addiction therapy will investigate family of origin issues, trauma/impactful life events, and one’s belief system and thinking—not just the behavior.
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1. I am still trying to validate this statistic. However, I was able to validate something of the reverse. Carnes unofficially reported that people that went through treatment at the meadows and who were successfully following their aftercare plan, relapse rate was only 3 percent!











