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Treating Compulsive Sexual Behaviors: Beyond the Addiction Model (Part 1 & 2)

1h 27m

Silva Neves

Psychotherapist & Sexologist

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Content and Aim: Many patients report negative consequences as a result of unwanted, repetitive, consensual sexual behaviours. In their initial consultation, they often use a ‘sex addiction’ language as it is the most familiar language: their behaviours feel like an addiction because they feel they are out of control.

The psychological presentations of compulsive sexual behaviours are often misunderstood and mistreated. The webinar aims to clarify the confusion regarding the term ‘sex addiction’ for the more accurate and scientific diagnosis of compulsive sexual behaviours, based on robust sexological science. Compulsive sexual behaviour (CSB) is a complex condition whose presentation varies greatly from one patient to the next. It is important to have a solid assessment and a unique clinical formulation of the patient’s difficulties if the clinician is to choose the appropriate treatment.
Learning objectives: Participants will learn about:

    1. How to assess CSB beyond the addiction-thinking: conceptualising and diagnosing the condition with a pluralistic, psychosexual approach.
    2. How to formulate an effective treatment plan.
    3. Important tools to treat CSB and how to weave them in your existing clinical practice.
    4. A set of recommendations for ethical and safe practice.

Produced in 2019

Silva Neves

Psychotherapist & Sexologist
Lecturer and Supervisor

I am Silva Neves, an experienced, accredited psychosexual and relationship psychotherapist, trauma therapist, trainer, and author, holding a busy private practice in Central London, UK.

I gained my post-graduate qualification as a psychosexual and relationship psychotherapist with LDPRT (Middlesex University) in 2013. After that, I completed further training in somatic trauma therapy with Babette Rothschild and also EMDR, focusing on sexual trauma. I also did an extra training specifically on couples therapy. I gained my qualification in clinical supervision in 2017.
I’m an accredited member of COSRT (College of Sexual and Relationship Therapists), and registered with UKCP (UK Council for Psychotherapy), NCP (National Counselling Society), UKPTS (UK Psychological Trauma Society), EMDR Association UK, and I am a Clinical Associate with Pink Therapy.
In the last 10 years I worked in various settings: charity organisations, NHS (National Health Service in the UK), private clinics and in my own private practice. I regularly deliver clinical trainings on sexual trauma and sexology to diverse organisations across the UK and internationally. I also speak at international conferences. I am a Course Director for CICS (Contemporary Institute of Clinical Sexology). I’m also an accreditation assessor for COSRT.
I am the author of Compulsive Sexual behaviours, A Psycho-Sexual Treatment Guide for Clinicians (Routledge, 2021), and a forthcoming book: Sexology: The Basics, due to be released in November 2022. I regularly write articles for Psychology Today and therapy magazines/ journals. I am a member of the editorial board for the leading international journal Sex and Relationship Therapy.
I am particularly experienced in working with: 1- sexual trauma, 2-LGBTQ-specific therapy, 3- compulsive sexual behaviours. I employ a humanistic and integrative approach, drawing on many theories and treatment strategies, including somatic trauma therapy, CBT, ACT, Gestalt, Person-centred, Psychodynamic, TA and specific knowledge in sexology and intimate relationships.


English, French


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