D had just got out of 6 weeks of rehab two days ago. He brought a female counselor back with him and told his wife, he was leaving her for this counselor. He had been using sex in rehab to replace alcohol and drugs. We worked together for about 14 two-hour sessions over three months. He said, “This feels like my last resort for me.” He had no interest in attending or working any AA programs at any point even today.
We worked off and on for a few years, and he was unable to give up internet porn but was also unable to admit using it or wanting to give it up.
Purpose of Consultation (his words):
Overweight, Tired, Excessive sleeping, Back pain, Impotence, Unhappiness, hopelessness, addiction, feelings of chronic boredom, things are never going to get better, suicidal thoughts, low self-esteem, guilt, shame, wanting to change but too lazy to make the changes, feeling I can’t be helped. My happiness and poor choices will kill me. Wanting to give it one last shot to get better mentally and have the life I desire.
Previous attempts to correct problems; family doctor, meds for depression and anxiety; counselor; psychologist; psychiatrist; twice in expensive rehab programs.
Possible concussion at 15 years, hospitalized.
Disruptive in school, lack of effort
Offenses; DUI, drug possession.
Began drinking at 15 years, later binge drinking, felt invincible when drinking. Didn’t care about anything but own pleasure. After nineteen years of sobriety went back out. Marital problems, infidelity, alcohol, hookers, and cocaine. Very few real friends, the life of the party
Testing revealed: ADHD, major depression, Manic episodes, generalized anxiety. Eventually revealed addiction to internet porn.
