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Category: Sex Therapy

Research Shows Narcissistic Abusers Think the Same as Pedophiles

Don Hennessy is a therapist and domestic violence (DV) specialist, who has studied abusive men and their victims for almost forty years in Ireland, where 25% of romantic relationships involve DV. He is currently working on a new book based upon his years of research, which he spoke about on Kerry McAvoy’s Podcast: Breaking Free From Narcissistic Abuse.

In a lot of literature on narcissistic abusive men, there has been a primary focus on their narcissism being the driving force motivating their abuse.  Hennessy explains that while these men are narcissistic, narcissism isn’t what drives the abuse — it’s their need to be sexually dominant.

They noticed that as the abusive men began to talk to one another, this made the study more dangerous for their female partners.  The reason being, those men who physically abused their partners got in trouble with the law, which held them accountable.  In speaking to the other abusers, they learned how to be controlling, manipulative, and bullying in ways that could evade the law.  In addition, they noted that so long as the women submitted to them sexually, there was no problem.  It was only when the women refused the men’s sexual interest that the abuse picked up.

Hennessy begins by explaining that the first two things abusive men look for in a victim is kindness and honesty.  The kindness makes women more likely to give a man the benefit of the doubt, and their honesty makes them unlikely to see the abuse for what it is.  They cited that 9 out of 10 autistic girls are sexually assaulted before the age of 18, which illustrates this concept, since many ASD women are both exceptionally kind, honest, and are already part of a vulnerable population.

Hennessy also found that abusive men in his study used the same tactics and showed the same kinds of thinking as pedophiles from an adjacent study out of the UK. Both prioritize sexual access and sexual dominance over their victims. Since pedophiles are all psychopaths, it makes me wonder if NPD abuse stems from psychopathy and sexual entitlement.

He also emphasized that victims in these cases never understood what happened to them, and always blamed themselves.  Hennessy sought to answer the question as to how abusers gained intimate access to their victims; they did so by carefully studying what’s important to them, past hurts, and their underlying psychology.  After the abusers gained their victims trust, they used their prior knowledge to make victims believe the abuse was their fault.

So, it turns out abusive men and pedophiles operate using the same play book; the only difference between them are the age of their victims.

When Desire No Longer Exists, but You Really Want It to …

Desire can be an illusive thing sometimes in a relationship/marriage.  You  may want to be intimate, but that doesn’t change things, if you’re just not feeling it.

One of the main issues that I see affect desire is poor communication.  If a couple has been fighting , it creates a distance between the individuals that can make it hard to want to be intimate. If they haven’t learned how to repair after a rupture, resentment often builds up over time, to the point where most couples don’t know how to reach each other anymore.

Desire can often become an issue anytime a couple is unable to be intimate for a prolonged period of time, which could be a couple of weeks for some, or a few months for others. These breaks often throw a couple out of their routine.  In addition, many people see their sexual appetite lessen the longer they abstain from intimacy.  I see this during or after pregnancy, in the first few years of having a child, or after a prolonged illness.  This can also occur when an elderly parent comes to stay in the home, or when an adult child moves back into the home.

Another common time I see desire drop away is when there’s been physical pain with sex.  If something hurts, you’re not going to have much desire to do it again.  Many will often push through the pain, which  unfortunately has the tendency to make one’s lack of interest in sex worse, especially in women.

Sometimes when there is a desire discrepancy in the couple, the partner with the higher desire is always asking for their needs to be met, which makes the lower desire partner the gatekeeper. This is terrible for both partners, because the one always saying ’no’ often feels guilty and begins to push away from any form of affection, in order to avoid saying ‘no.’ As affection disappears, there becomes even less opportunity for the couple to be successful in intimacy, because affection is often what leads up to it.

For couples where one of them has had a prolonged illness, there can be a couple of factors getting in the way of intimacy.  The partner who has been ill may feel betrayed by their body, so being intimate no longer feels safe.  If there have been significant changes in the physical appearance of their body, they may no longer feel confident or safe enough to feel sexual.  For the caretaker, it can be hard for them to move out of this role; they may also have fear around accidentally hurting their partner.

Financial struggles  create another instance where intimacy can fall away in a relationship.  Money represents safety and security for most, so when finances become strained, the fear often kills the libido.

The therapists at Austin Concierge Therapy understand how to work with all of these scenarios and more.  Our goal is to help couples regain their intimacy, through rebuilding attachment, communication, and connection.

Neurodiverse Couples Therapy

New research in the last six months disproves past assumptions that neurodiverse people have difficulty communicating.  In fact, studies show neurodiverse people understand each other well, in the same way that neurotypical people understand each other.

This is why it is common for neurodiverse individuals to find one another, which is especially true in couples. The most common configuration that we see at Austin Concierge Therapy is the ADHD and ASD pairing.  While both partners seem understand each other well most of the time, there are a couple of recuring arguments that I see the most that boil down to a misunderstanding of the other.

One thing I often see get misunderstood by the ADHD partner occurs when plans change, which acts as a trigger for their ASD partner.  Usually, the ADHD partner doesn’t understand what the big deal is, and gets frustrated that their ASD partner is ruining the night over nothing.  However, if the ADHD partner can begin to understand that their ASD partner just needs a little time and space to get used to the new plan, it can avoid it becoming personal and ruining the night.

Another common misunderstanding that I see in these couples occurs when the ADHD partner is beginning to daydream and  imagine something they’re excited about in the future.  For instance, the ADHD partner may begin talking about a trip they want to take, elaborating on all the places they want to go, the things they want to see, and restaurants where they want to eat.  Meanwhile, their ASD partner is getting increasingly frustrated taking in so many details and eventually speaks up to let their ADHD partner know that they haven’t had a chance to think it through, so they’re not going to agree to any of that.  Usually, I see this response frustrate and sometimes deflate the ADHD partner, who has a natural tendency to daydream, often explaining that they were just trying to have fun.  However, once the ASD partner begins to understand that the ADHD partner is just imagining something, not committing to it, these conversations get a lot easier.

Other important aspects we talk about in neurodiverse couples is that both have experienced the same underlying trauma, which can be summed up in either feeling like too much or not enough.  By understanding they share the same trauma, it can help them recognize when it shows up in each other.

Neurodiverse couples therapy is something we specialize in and are passionate about at Austin Concierge Therapy.

Resources and Literature about Ketamine Assisted Psychotherapy and Psychedelics

Ketamine Assisted Psychotherapy: A Systematic Narrative Review of the Literature: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9207256/

The New Yorker: Ketamine therapy is going mainstream. Are we ready? https://www.newyorker.com/culture/annals-of-inquiry/ketamine-therapy-is-going-mainstream-are-we-ready

The New York Times Podcast: “The Veterans Fighting to Legalize Psychedelics” https://www.nytimes.com/2023/02/22/podcasts/the-daily/veterans-psychedelics-legalization.html

The Harvard Gazette: “Ketamine found effective in treating severe depression” https://news.harvard.edu/gazette/story/2023/05/ketamine-found-effective-in-treatment-resistant-depression/

Johns Hopkins Psychedelic Research https://www.hopkinsmedicine.org/psychiatry/research/psychedelics-research

Michael Pollan “How to Change Your Mind” ( book and Netflix Series) https://michaelpollan.com/books/how-to-change-your-mind/

https://www.netflix.com/title/80229847

Gabor Mate “Psychedelics in the Treatment of Trauma” https://www.youtube.com/watch?v=SOGTqVt0dlQ

“The Myth of Normal” https://www.amazon.com/Myth-Normal-Illness-Healing-Culture/dp/1785042726/ref=asc_df_1785042726/?tag=hyprod-20&linkCode=df0&hvadid=622500525054&hvpos=&hvnetw=g&hvrand=13225712727406116208&hvpone=&hvptwo=&hvqmt=&hvdev=c&hvdvcmdl=&hvlocint=&hvlocphy=9028298&hvtargid=pla-1296869923417&psc=1&mcid=e0096839455a38888cad99362de55928&gclid=CjwKCAiAiP2tBhBXEiwACslfnrnhWT0XpXjlBVuVba-oQ5VIdklWj0qp-LaXK1jK-CCuEtpUxwuq0xoCDwEQAvD_BwE

Bessel van der Kolk “Childhood Trauma, Psychedelics & EMDR”  https://www.youtube.com/watch?v=XIH5taudtH0

Penn Medicine News “Penn Medicine Study Gives Peek of How Ketamine Acts as ‘Switch’ in the Brain” https://www.pennmedicine.org/news/news-releases/2022/december/a-peek-of-how-ketamine-acts-as-switch-in-the-brain

CNN “ How psilocybin, the psychedelic in mushrooms, may rewire the brain to ease depression, anxiety and more” https://www.cnn.com/2022/06/11/health/psilocybin-brain-changes-life-itself-wellness-scn/index.html

Stanford Medical School “Psychedelics” https://med.stanford.edu/spsg/about.html

Ketamine Research Institute “5 amazing things you need to know about ketamine infusion therapy” (anti-inflamatory, autoimmune treatment, reduce stress response and increase immune function, brain regeneration, Long haul COVID, addiction recovery)  https://ketamineinstitute.com/ketamine-blog-news-and-recent-developments/5-amazing-things-you-need-to-know-about-ketamine-infusion-therapy/

Ketamine as a treatment for PTSD (Research article) https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6457782/

MDMA for Couples Therapy (research article) https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8631777/

Time Magazine “MDMA could Revolutionize Couples Therapy” https://time.com/6262291/psychedelics-mdma-couples-therapy/

Vice: “Couples Are Doing MDMA and Ketamine Therapy To Save Their Relationships”

https://www.vice.com/en/article/5d9yg5/ketamine-mdma-couples-therapy

Austin Concierge Therapy offers Ketamine Assisted Therapy with Texas Direct Medical

Austin Concierge Therapy and Texas Direct Medical Care are working together now to provide ketamine assisted therapy to our clients. Ketamine is a drug that was previously approved by the FDA as an anesthetic to treat soldiers on the battlefields in Vietnam in 1970.  So, it’s been around a long time.  Over the years, ketamine has become routinely used as a sedative in emergency rooms worldwide, and has more recently been found to aid in helping alleviate suicidality when combined with psychotherapy.

The shift to using ketamine in psychedelic assisted therapy began in 1999, following a study done by the Yale School of Medicine.  This landmark study showed unequivocally ketamine’s ability to shift one’s mood towards more positive thinking following its administration.  A number of subsequent studies followed that confirmed ketamine’s tremendous ability to treat depression, suicidality, and PTSD.  Ketamine has also been shown to improve addiction, chronic pain, OCD, and bipolar.

Since 2010, doctors have been prescribing ketamine in low doses to people with treatment resistant depression, but it may only be administered in the presence of a licensed physician.

The most recent research is showing that intravenous or intramuscular administration provides the best outcome, when using ketamine in psychedelic assisted therapy. The way ketamine works is similar to what we’ve learned about MDMA and psilocybin; Ketamine administration “rapidly increases the number, complexity, and strength of connections between neurons, and this effect appears to be directly correlated with its antidepressant benefit,” said Dr. Kelley O’Donnell, a psychiatrist who studies and provides psychedelic-assisted psychotherapy at New York University’s Langone Center for Psychedelic Medicine.

The belief is that ketamine, similar to studies on psilocybin, helps generate new connections between neurons that have been lost over time as a result of depression. We do know that ketamine causes a boost in the neurotransmitter, glutamate. Glutamate is known to stimulate new communication between brain cells that might have been damaged by stress and depression.

Ketamine used for depression is administered twice a week for three weeks, then once a month or as needed after that.  Ketamine, like other psychedelics, also gives clients the ability to look at and examine trauma that may be too painful to bring up initially in talk therapy.  In the same way that ketamine can anesthetize the body, it can do the same for the mind, which makes it much easier to re-process trauma with your therapist in order to get to the root of the depression.

8 Signs Your Relationship Might Be In Trouble

#1  You’re walking on eggshells around your partner.

This is a dead giveaway things are no longer ideal. If you feel like you have to tip toe around your partner, just to keep the peace, then you are no longer able to really be yourself. So, it’s only a matter of time before you start building up resentment towards them, if you haven’t started already.

#2 You no longer have the desire to connect with your friends or family.

Sometimes we give so much priority to our marriage; it slowly creeps up to 100% of our time. We no longer think we have room for friends and family. Then as the marriage deteriorates, we tend to isolate even further because we don’t want to negatively impact the friends and family we love.

#3 You feel like you were betrayed by your partner in the past and your relationship has never been the same.

I call this an energetic break. It’s a time when you needed them most and they let you down or even worse, abandoned you. Most people experience a break in the love flow or an energetic break during or shortly after this event, where they no longer feel connected to their partner. Until this feeling of betrayal is released or healed, it will continue to participate in your daily life and the intimate interactions in your marriage.

#4  You are constantly pushing each other’s emotional buttons.

Some people may say, “come on – this is just marriage,” but really it’s a sign that you are no longer in the love flow. You are no longer each other’s biggest fans and supporters. And over time as you continue to consistently upset each other and trigger each other’s wounds and baggage, THEY will eventually become associated with your biggest hurts and pains. People who eventually divorce just call this “growing apart.

#5  Deep down you know you love your partner, but you just can’t feel it anymore.

This is a sign that you may have been deeply wounded by your partner. If you can’t FEEL the love anymore, it’s likely you have a protective wall around your heart blocking it. Although the wall is meant to protect you from further pain, it also blocks the true flow of love both with your partner and others. Most people experience this as feeling numb. You can no longer feel your partner’s pain.

#6  You feel like roommates now and/or no longer have sex together.

This is a dead giveaway that there’s been a significant energetic break and you can expect resentment and blaming to escalate. Some couples still have sex with each other. They just don’t enjoy it! This can also show up in more subtle ways, such as having a sole focus on the kids and/or making money and completely back-burnering your relationship. Marriages in this stage are truly in jeopardy.

#7  You feel like your partner is not the person you married/originally met.

Many women in struggling marriages often report that their husband is no longer the man they married. They wonder which one he REALLY is? This is a significant sign that the relationship is no longer in harmony or flow. It’s now in it’s opposite phase of struggle, triggering and upset.

AND THE BIG ONE…

#8 You feel like your partner might secretly hate you.

This is the big one because it’s so insidious and over time sabotages the entire relationship. Some couples experience it more like they have become secret enemies. This is more of a gut feeling for most people. Your body wants to keep you at a distance and you even start to fear your partner at a deep level. You may feel like adversaries on a daily basis, always in conflict as if they have some sort of control over you. The crazy thing is that most couples never even talk about it!

Interested In BDSM? Here’s How To Protect Your Mental Health…

Adventurous sex is no longer taboo or uncommon—on the contrary, it’s actually a perfectly healthy way to explore one’s sexuality, as long as you’re being safe about it.

A particularly popular form of kink is BDSM, which refers to bondage, discipline, sadism, and masochism. Over one-third of women and men in America have explored BDSM, and there is now scientific evidence that proves BDSM can be a healthy part of any relationship. In a recent study, BDSM practitioners were found to be less neurotic, more extroverted, more open to new experiences, more conscientious, and less sensitive to rejection, and they had a higher subjective well-being.

While this is good news, it’s still important to keep in mind some key factors for maintaining your physical and mental health when incorporating BDSM into your sex life, especially if you’re experimenting with it for the first time.

The neurobiology of BDSM.

The practice of BDSM physiologically triggers many of the same hormones that sky diving and other extreme sports may invoke. In particular, the stress hormone cortisol is often released, particularly by the receiver of the sensations, which helps to turn off the executive functioning area of the brain leading to feelings of euphoria and increased partner connection.

Heather McPherson, certified sex therapist and CEO of the Sexual Health Alliance (as well as my professional mentor), describes this state as “subspace.” “Subspace is a state that some players attempt to accomplish, where you can tolerate more pain and sensation than usual,” she explains. “Experienced players often call it, ‘flying.'” These are the feelings that often tend to make couples feel more bonded following a session.

Unfortunately, the flip side of this euphoria is all too common in the hours and days following an intense experience, especially for those on the receiving end. For those new to BDSM with a history of anxiety and depression, this is an important fact to keep in mind. In addition to the increase in cortisol, participants have also had an increase in endorphins, which bind to the opiate receptors. The steep drop-off in these chemicals can create a state referred to as the “sub drop.”

Sex therapist and erotica writer Dr. Donna Jennings explains that sub drop follows the “endorphin release after a BDSM scene, where the body works to move back to a normal chemical state.” She says that chemical drop can create both a physical and emotional reaction. Physically, a person can feel fatigue, aches, and pains. Emotionally, McPherson adds, a person can experience a range of emotions including “sadness, numbness, disconnection, guilt, or shame.”

Unfortunately, for those new to BDSM, sub drop can often get misinterpreted and misattributed to other aspects of the participant’s life and relationship.

How to prevent the drop.

By understanding what happens in the mind and body during a BDSM session, you can better prepare for the intense psychological ups and downs.

According to certified sex coach Ginger Hart, it’s best to mentally prepare ahead of time. Hart says there are two distinct phases people go through when they first begin exploring BDSM: the curious state and the adventurous state.

“The curious state is all about watching, learning, and gathering information to figure out what you’d like to explore, which builds confidence and excitement,” Hart explains. “This state is fragile, and [people] should consider adopting the mantra, ‘I would like to watch. I’m not ready to play.'”

She says that those new to BDSM shouldn’t move from the curious phase to the adventurous state until “they feel secure in their desires and are able to articulate and define personal boundaries.”

Once you’ve engaged in a session, you and your partner should participate in what’s referred to as “aftercare” to help prevent and subvert negative feelings associated with sub drops. In aftercare, usually the dominant partner takes care of the sub by participating in caretaking activities. These might include one partner holding and caressing the other, falling asleep in each other’s arms, giving a massage, running a bubble bath, or cooking their favorite meal following an intense scene. Participants can also plan to have self-care activities after they play to lessen the effects of sub drop (or top drop, which can also happen). Aftercare following a BDSM session should also help to increase the bond between partners.

If for some reason your partner is not offering you this type of care after your play session, you can still practice self-care on your own, including eating your favorite foods and indulging in your favorite Netflix shows—especially those that make you laugh.

Reaping the psychological rewards.

While BDSM might not be for everyone, McPherson explains, “This area of practice does contain great risks and rewards.” Counter to what you might expect, “for those with sexual anxiety, they can feel relief and comfort in BDSM play because it requires in-depth communication about what might happen as well as negotiation about what will happen and what they do not want to happen, which can calm nerves.”

Once you’ve decided to try out BDSM for yourself, it’s important to properly educate yourself and to listen to your partner.

“The key to safely expanding and exploring new areas of sexuality such as BDSM is to be aware of your own needs and desires, as well as those of your partner,” Hart says, “and to know when to push forward and when to remain curious.”

Research Shows Narcissistic Abusers Think the Same as Pedophiles

Don Hennessy is a therapist and domestic violence (DV) specialist, who has studied abusive men and their victims for almost …

When Desire No Longer Exists, but You Really Want It to …

Desire can be an illusive thing sometimes in a relationship/marriage.  You  may want to be intimate, but that doesn’t …

Neurodiverse Couples Therapy

New research in the last six months disproves past assumptions that neurodiverse people have difficulty communicating.  …