[Interview] Porn use, addiction, and recovery.

dr-henryThe day I met Dr. Ryan Henry, only days remained between summer 2009 and the start of my first semester as a grad student at the University of South Florida. I would study rehabilitation and mental health counseling and Dr. Henry — a licensed marriage and family therapist — would be my advisor.

As it turned out, he’d also be a mentor, among my favorite professors, and a model for the kind of therapists classmates and I hoped we would become. At his practice, he is a therapist to couples, and specializes in working with couples whose relationships are affected by infidelity, pornography, and other “emotional injuries.” I’m grateful he took the time today to talk with me about pornography:

AS: How do you define pornography?

RH: That depends on who you are. The lowest level definition: it’s anything that sexually arouses you. And that opens up a lot more things than just internet pornography. So as a professional, I don’t try to define it for (clients). I talk to them in a way that lets them define it for themselves and for the relationship.

AS: How do you define porn addiction?

RH: I basically look at it like any other addiction. If it’s interfering with (a person’s) functioning in life, they’ve tried to stop and they can’t, if it’s had a negative impact on their relationships and they’re still not willing or able to give it up, those factors lead me to the idea of addiction. But I don’t really work from an addiction model. I work from an escape model. Pornography is used as an escape from past trauma and current negative emotion. Although I agree there is an addictive component to it, it’s a way to escape life and that’s what really needs to be addressed.

AS: How pervasively do people use porn as an escape?

RH: If we’re using that term, pretty much everybody! It’s like video games. If we’re talking about real addiction, not able to stop, interfering, constantly being on their mind, it’s a smaller population. But it doesn’t have to reach an addiction to be a problem.

AS: How likely is it that a person who uses porn for the first time will become addicted to it?

RH: That is a difficult question to answer. There are a lot of factors that go into someone getting hooked on pornography after one use. If they accidentally are exposed to pornography and quickly shut it down, the likelihood is extremely low that they will become addicted. However, if that first use is intense and tied to a sexual experience, it has a higher likelihood of trapping the individual in the addiction cycle. So I do believe it is possible to become addicted after one experience with pornography, just like after one drink certain people become addicted, but I do not have a sense of how often that is the case.

AS: How often do you work with clients who are addicted to porn?

RH: All my clients are couples. In that sense, only 20 percent of couples come in for that specific reason. And that’s probably even high (compared with the norm), because I specialize in that. When I worked with individuals, it was more like 50 percent of my clients. Most of them weren’t in committed relationships; some were. Young married to mid-life (is the range) I see presenting with this, (ages) 26 to maybe 40.

AS: Based on what you’ve seen in clients, what impact does porn addiction have on a person’s relationships?

RH: The obvious ones are that if you’re putting your sexual drive into pornography, it’s taking away from the sexual attachment to your partner. But it also kind of distorts reality – pornography distorts intimacy, the ideal woman, what sex should look like and be like for a couple. And so there’s a lot of misconceptions that occur and then the relationship gets compared to the misinformation and a lot of times dissatisfaction with the relationship results, because then you’re asking why don’t you do it this way, or look this way, or why aren’t you always wanting sex? When reality is compared against it, it falls short. That’s the nature (of) comparing reality to non-reality.

AS: And the less obvious impacts?

RH: If you’re continually escaping into porn and you’re not dealing with the trauma or negative emotion you’re escaping from, it begins to impact your mood. A lot of times I see aggression or anger coming out. (Additionally,) the investment in pornography takes away from your investment in your real relationship. We have a 100 percent ability to be attached. If we give 80 percent of that attachment to pornography, that only leaves 20 percent to invest in real relationships. The (other) person in the relationship is going to feel that, and they’re not going to be satisfied with that detachment.

AS: What impact does porn addiction have on a person’s health?

RH: When we’re talking about real addiction, it consumes the person. So they don’t take care of themselves in any other way. Just like an alcoholic — they’re consumed by drinking. I’ve had clients say they’ve stayed up all night watching pornography and they’ve had to go to work the next day. Then work goes so badly they want to check out again when they get home, so they stay up all night. The other thing is it survives or breeds on secrecy and so there’s an emotional impact of holding secrets. It’s a burden that weighs on you. This only applies to people when using pornography doesn’t align with their value systems. In order to continue to use, they have to lie to themselves and the people around them and that has an emotional and a spiritual impact.

AS: If somebody’s use of pornography isn’t an addiction, can it still negatively impact his or her life? In what ways?

RH: Yeah – it can impact the relationship. There are some relationships that agree it’s ok to view pornography individually, some only together. (In) other relationships, it’s not ok at all. Depending on the relationship rules, it can have a negative impact, whether it’s once a year or daily. It doesn’t have to be an addiction to cause problems.

AS: Is prevention of porn addiction possible?

RH: It’s possible to stop an addiction from occurring, but it’s not possible not to ever be exposed to (pornography). The goal, if you come across it in your life, is that you have a way of handling it that keeps you from going further into it.

AS: Is recovery from porn addiction possible?

RH: Yes.

AS: What routes can a person take toward recovery from porn addiction?

RH: You have to address it at all the different levels. There’s the habitual part, where it just becomes a habit. There’s the emotional piece: you have to deal with trauma, find a new way to cope with negative emotions, and really get down to what’s the need you’re trying to meet with the pornography. It might be power, or intimacy. Pornography does a great job of mimicking intimacy. You have to get down to what’s really driving this (addiction) for this person and address that need. If you don’t address that need, it’s just going to come out in a other way that’s destructive, even if you get rid of the pornography. There’s also the biological component. When you use pornography, certain chemicals are released into your body that your body then starts to crave. You have to find ways to release them that are healthy, like exercise.

AS: What role – if any – does forgiving oneself play in recovery from porn addiction?

RH: You definitely have to address the forgiveness and shame piece. It’s ok to have these drives. That’s part of being human, and for a lot of men, that’s part of being male. A lot of people fight that, resist it, and it becomes bigger as they try to do that. Think of it as a wave washing over you: You see an attractive woman and it produces this sexual drive in you. Acknowledge it: there’s an attractive woman, I feel aroused, and I’m just going to let it wash over me. If you put up a dam, you’re all of a sudden going to feel the full force of that wave. If you let it wash over you, you can go about your day. It’s basically removing the shame of it, (saying) “that’s normal response to have in that situation, and now I’m going to move on.”

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To learn more about Dr. Ryan Henry, LMFT, visit his website.

Permission to feel.

I love Intervention.

It might be sort of sketchy for a TV network to allure an audience with an hour-long docu-drama that mildy exploits people while they hit rock bottom.

It might be sort of sketchy to be that audience.

But I find the show really moving. Last night, I watched an episode about a girl named Jennifer in Arizona. In her childhood, her parents divorced. She stayed with her mom. Her little brother moved in with their dad. In her early teens, she fell in with the wrong kind of crowd. She was all about sex, drugs and alcohol by the time she got to college.

Then, she had an accident. On the way back from an alcohol binge in Mexico with friends, the vehicle rolled. She was ejected. That she lived might be a miracle.

She spent a month in the hospital. The day she got home — or shortly thereafter — she got the shock of her life when her little brother rolled up on a moped. She hadn’t seen him in awhile. They never really got along. The probably 14-year-old boy sat by his sister and hugged her. Their mother almost got the camera.

The siblings hadn’t hugged in years.

The family believed the short visit would be a breakthrough.

Things would change, they thought.

Then, they got a call.

On his way home from visiting Jennifer, a car struck and killed her brother. Two days later, Jennifer started drinking again. She hasn’t stopped since.

Her story is sad and unpleasant but not uncommon.

Bad things happen. To everyone.

We get dumped and fired and terminal illnesses. Friends abandon us. People and pets die. We’re let down and shut out and screwed over.

How does it make us feel?

Empty.
Lonely.
Overwhelmed.
Confused.
Angry.
Anxious.
Depressed.
Rejected.
Humiliated.
Used.
Devastated.
Defeated.
Helpless.
Hopeless.
Ashamed.
Sad.
Heartbroken.

It’s uncomfortable. Let’s be blunt: it frickin’ blows. Most of the time, while you live it, it is the worst thing that could happen. None of us want to feel the way the worst thing that could happen makes us feel. Jennifer certainly didn’t.

Toward the end of last night’s episode, she walked into the conference room where her family waited to start the intervention. She stopped short when she saw them, went to the bathroom and chugged a bottle of vodka. Drunk but stable enough, she sat down to hear her family.

I can’t remember who said what when it happened, but when Jennifer found it hard to keep composed, she looked straight at her father.

“Please,” she said. “Don’t make me cry.”

Jennifer didn’t want to feel bad.

None of us do.

So we shop or eat. Others of us don’t eat. Sometimes, it’s sex or drugs or alcohol. We feel bad so we do something that distracts us from that. When the distraction wears off, we still feel bad, so we distract ourselves again.

Maybe we hope if we ignore how the worst thing that could happen has made us feel, it’ll go away. But it doesn’t. We have to cry. Pray. Hug it out. Journal. See a counselor.

We need to get it off our chests and on the table. We need to acknowledge and express it so it isn’t inside us all our lives.

We need permission to feel.