Women and Sexual Addiction by Marnie Ferree While most people tend to assume that sexual addiction is a problem only for men, the evidence suggests the contrary. Addictions, all addictions, are pretty much equal opportunity diseases. And sexual addiction is no exception. Marnie Ferree is a pioneer in the treatment of female sex and relationship addicts. This article is material taken from a workshop she gave recently in Seattle. Sex is the fastest growing addiction in this country. And it is, I believe, the addiction of choice among Christians. Because of the immediacy, availability and affordability of the Internet, more and more Christians find themselves struggling with sexual addiction. A third of the participants who come to the workshops we do for male sexual addicts are involved in some kind of church ministry. Men who would not be caught dead going into a liquor store, or gambling or using any kind of illegal drugs, can—within the privacy of their own home—be sexually involved with people on the Internet. It is an incredible problem. I don't know if you have a picture in your mind of what a sexual addict looks like. I would be even more surprised if you had a picture of what a female sexual addict looks like. There are, however, many of us. And all of us must deal with the enormous shame connected with sexual addiction. Today, if someone said in a social setting—even in a Christian social setting—"I'm a recovering alcoholic," I think many people might respond with: "Good for you. You've admitted you have a problem. You're doing something about it. You're getting help." We have an element of respect for someone who admits to being a recovering alcoholic. But if you say, "I'm a recovering sex addict," you will still experience enormous amounts of shame and very little understanding. There was a time when alcoholism was thought to be only a male problem. Surely women didn't struggle like this. But we know today, of course, that females have about the same incidence of alcoholism as do males. It is probably about the same in the area of sexual addiction. If the shame associated with sexual addiction is great, the shame associated with being a female sex addict is even greater. Sexual addiction is not, of course, a new problem. I'm not going to suggest that the Apostle Paul was a sex addict. But he certainly understood powerlessness and unmanageability. When you read what he says in Romans 7 about the struggle between the flesh and the desire to do good—this is a man who knew what it was like to feel powerless, a man who kept doing what he did not want to do. That is the essence of all addictions. Sin or Disease? I'm asked often, "Is sexual addiction a sin, or is it a disease?" The answer is yes. It is both. Undeniably the kinds of behaviors we are going to be talking about are sinful. The affairs that I was involved in, the great promiscuity that I was involved in before my marriage, these are unquestionably sin. And they are also part of a disease called addiction. Sometimes people come to a Christian pastor or counselor looking for help with sexual addiction and they get an answer like this: "Pray more, go to church more, read your Bible more. Be more committed. Be more [whatever]." I don't want to be misunderstood. I believe in the power of prayer. I believe in reading the Bible. I believe in being connected with other Christians and going to church. And I believe in surrendering to Christ. So I'm not minimizing the importance of these things. But these things in and of themselves will not help with the disease of addiction. Believe me, people who struggle with sexual addictions have prayed. They have tried to surrender their will to God. They have tried to get connected at church. And it has not helped. Putting a kind of spiritual Band-Aid on this problem is not going to be helpful. It is going to be harmful, because it will contribute to the hopelessness that people feel. Suppose you tell someone to "just pray more," and they take your advice and pray more, and it doesn't help. Then what? It will add to their despair. And few things are more powerful fuel for addictions than despair. So what is the solution? Sexual addiction is a multifaceted disease, and it requires a multifaceted solution. There is a physiological aspect to the problem. We know that there is a neurochemical component to sex addiction. The neurochemical changes that happen in your brain when you engage in sexual activity are closely related to the changes that take place in your brain when you take crack cocaine. So there is a physiological, biological base to this addiction. There is also an emotional component to this addiction. The shame that the addicted person feels is overwhelming. There is a mental component. There is a relationship component. And there is a spiritual component. All these components need to be addressed if the addicted person is to experience healing. Characteristics of Addiction Let's look at some of the characteristics of sexual addiction. There are four components that make any addiction an addiction. First, there has to be a compulsion. I can't stop. I keep doing what I don't want to do. I'm powerless to stop. You will always hear addicts say, "I know what I'm doing is wrong; I want to stop, but I can't." That was certainly true for me. I was raised in a pastor's home. I went to church all my life. I knew that the affairs I was involved in were wrong. I felt incredible shame about the affairs. I wanted to stop. I had chosen to stop many times. But I could not. A second key component of any addiction is obsession. It's all I can think about. It's like a blanket that covers me. I'm spending so much time being sexual, recovering from being sexual, figuring out how to hide the fact that I've been sexual, planning my next sexual or relationship encounter. It's like a little bird sitting on your shoulder; it's always, always, always with you. Either as guilt and shame or the planning or the preparation. Some part is always with you. The third main hallmark of an addiction is continuing in spite of negative consequences. Because of my promiscuity and sexual behaviors I was diagnosed with cervical cancer caused by a sexually transmitted disease. I had three major surgeries within a year. I literally almost died because of massive hemorrhaging resulting from the first surgery. But even that was not enough; I still could not stop. I lost one marriage because of my sexual acting out. I married very young for all kinds of unhealthy reasons. I was unfaithful in that marriage. The truth is that he was happy to get rid of me. And I was happy to get rid of him because he was determined to fix me and I was angry about that. But I still could not stop. I married a second time and had a fairly long period of sobriety—or rather at least a fairly long period of the absence of acting out. But I was not in recovery. When the stresses of life hit again, I returned to acting out. I knew intellectually, This is going to mess up my life. I had been there once before. I'd had one divorce because of this behavior. I can tell that things aren't going well here. They are not going well in our marriage. They are not going well for our children. We had two very young children who were already very angry and impaired by being part of an addicted family. And then the health consequences began to hit. I knew this was not working for me. And yet I could not stop. When we continue in spite of adverse consequences, that is a clear sign of addiction. The last main characteristic of addiction is tolerance. The idea of tolerance is borrowed from our understanding of chemical dependency. We understand that, for a person who does not usually drink, a glass of wine will make you feel however it makes you feel. Tomorrow a glass of wine will make you feel about the same. And the next day maybe the same. But it won't take very long before that one glass of wine will no longer give you the same kind of feeling that it once did. It might take two glasses, or three. That same phenomenon happens around our sexual activity. There is a tolerance component to the process. Part of the tolerance effect is a purely neurochemical, physiological change in the brain. We are up against our own brain chemistry. That's one aspect of the problem. But we addicts are also often adrenaline junkies. We are in this for the high. So if the high of one kind of behavior isn't enough, then either it will take more and more of that same kind of behavior or it will take going on to other, higher risk behaviors to get the same effect. The disease progresses either to more and more of the same behavior or to higher risk behaviors. There are other characteristics to all addictions. All addictions lead to an unmanageable life. It is a progressive or degenerative process. Addictions are used to escape feelings. What an addiction does is alter our moods. Addictions are often fueled by a sense of entitlement. I think about a pastor who is overworked and underpaid. There are so many demands on his life, he's fighting with the deacon board, nobody understands him, and he is not appreciated the way he should be. Eventually he asks himself, Who is meeting my needs? I deserve something. That is a typical way for addicts to think. No one is meeting my needs. I'll just have to do it myself. That's what I mean by entitlement. I deserve this. Addictions are also often used by addicts as a reward. Sexual addicts experience sex as the answer to everything. If I feel overworked or lonely or sad, sex can make me feel better. If I feel happy and things are wonderful, what's the best way to celebrate? Sex. It's the answer to everything. It can medicate the kind of entitlement, anger and loneliness that we experience or it can serve as a reward. Finally, addictions, and certainly sexual addiction, can create a feeling of power. This is particularly true for women who are sexually addicted. There is an incredible feeling of power involved. In our culture we learn that a woman's core worth in the world is her sexuality. We use sex to sell everything from cars to dishwashing liquid to carpets. Everything you can imagine. Those cultural messages are very powerful. So particularly for women who are sex addicts there is a big power component at work. The Link Between Abuse and Addiction The roots of sexual addiction are often found in childhood abuse—physical, emotional, spiritual or sexual. One out of three women and one out of six men will experience some kind of overt sexual abuse before the age of eighteen. My susceptibility to sexual addiction is deeply rooted in my experience of childhood abuse and neglect. My mother died when I was three. My father was a pastor whose duties kept him absent from our home a great deal of the time. He spoke somewhere seven nights out of seven for the entirety of my childhood. And I felt very lonely. When I was five a twenty-year-old man, a deacon in the church, came into my life as a substitute father figure. He took me roller-skating every Saturday morning for years. He encouraged my writing. He would read to me and spend an enormous amount of time with me. From the age of five to the age of twenty, when I left my father's home to be married, he abused me sexually. I never thought of it as sexual abuse. He never hurt me physically. He never coerced me physically. He loved me—I thought. I loved him—I knew. We had a relationship. The level of sexual activity did not escalate to intercourse until I was fifteen years old. Well, by fifteen—remember I was a good preacher's daughter—I knew that was wrong. In my limited understanding I had consented to this relationship with a man who at that time would have been over thirty. The only way I could explain those experiences was, I must be a whore. I know this is wrong. I know I'm not supposed to do it. From the age of five he began to sexualize me, training me to respond to him sexually. But my experience was that it was all my fault. It was only many years later when I was in counseling that I began to see that, of course, it was sexual abuse. Even the nongenital behaviors starting at age five were clearly sexual abuse. The wounds of sexual abuse are profound. It is my conviction that until we face clearly the wounds of childhood abuse we will not be helpful to sexual addicts whose struggles are rooted in abuse. We know that eighty-one percent of sexual addicts, both men and women, are adult sexual trauma survivors—untreated trauma survivors. It is critical to understand this link between sexually abusive experiences and sexual addiction. It is also important to emphasize that the experience of abandonment in childhood can be as problematic as the experience of abuse. I have worked with some sex addicts who are not sexual trauma survivors, but I have never worked with a sex addict who is not a survivor of childhood abandonment. After my mother died my father buried his grief in his work addiction. It was this abandonment that set me up for the sexual abuse. Physical abandonment—through death, as in my case, or through the work addiction of a parent, or through divorce—is only one kind of abandonment. Sexual abandonment—the lack of appropriate information and appropriate modeling of sexual closeness—can also cause problems. If parents display no appropriate affection around their children, there is a neglect. I have had many women tell me of the shock of their first menstruation. No one had bothered to tell them basic information about their sexuality. That's sexual abandonment. Spiritual abandonment can also be a factor. We seem to model rules-based spirituality. But many people have never had grace-based spirituality modeled for them in their family. That's a kind of spiritual abandonment. These kinds of experiences give us some very unhealthy core beliefs that, in turn, prepare us for the addictive process. Let me say something briefly abut the core beliefs of addicts and how they are connected to neglect, abandonment and abuse. The first core belief of sexual addicts is, I am a horrible, terrible person. When we are abandoned or abused, that is what we conclude. I thought, If I had been a better little girl, my mom would not have died. Or, for sure, If I had been a better little girl my dad would have wanted to spend some time with me. If you add on top of this the sexual abuse I experienced, what can a child conclude other than, I am a horrible person. The second core belief shared by all sexual addicts is, No one will meet my needs. Is it any surprise that a child who experiences abandonment comes to this conclusion? The people that I should be able to trust and depend on are not there for me. The third core belief is this: Sex is my most important need. Again, the connection between sexual abuse and sexual addiction is profound. When we are sexualized at an early age and experience all the confusion around that abuse, we inappropriately sexualize love, touch, nurture and affection. Everything really important in life becomes sexualized. We come to believe that love or relationship is our most important need. Finally, sex addicts believe this: If you really knew me, you would leave me. There is this front that I present to the world, and maybe it looks really good on the outside, but it's not what is on my inside. If you knew me, you would leave. These core beliefs, often impacting us on an unconscious level, set us up for addictions of all kinds. Healing from Sex Addiction There are a number of key ingredients that make recovery possible. I'll discuss just a few. Fellowship.Fellowship is the antidote to trauma and the key to long-term recovery. We cannot recover in isolation. God made us for fellowship. We were wounded in relationships, and we have to heal in relationships. Fellowship is also the antidote to lust. Healthy fellowship is what will help us become free from lust. Accountability. It's not enough to just have fellowship. We can have fellowship that does not involve accountability, and that's not going to solve the problem. We need people who know our story and who will hold us accountable for the rituals as well as for the acting out. In my opinion, Twelve Step programs are the best place to find the right mix of fellowship and accountability. When I walk into a Twelve Step group and say, "Hi, my name is Marnie, and I'm a grateful, recovering sexaholic," I am home. I know these people understand. They have been there themselves. And I know that we can provide for each other the fellowship and accountability we need. I won't preach the whole sermon, but I believe that Christ intended churches to operate a whole lot more like Twelve Step groups. They need to be places where it's okay to be real, okay to have problems. Places where you don't have to have all your problems fixed before you feel at home. Counseling. The Twelve Steps lead us through a methodical process that focuses on our addictive behaviors and on the defects of character that underlie our addictive behaviors. But the Twelve Steps, as wonderful and useful as they are, will not adequately address all the problems of abuse and abandonment that are at the root of sexual addiction. That's not their goal. The goal of Twelve Step programs is sobriety. And sobriety gives us an opportunity to work on the other problems that have led to our addictions or that accompany our addictions. For example, sexual addicts, in addition to being addicted to sex, are also often depressed. And that's a problem for which counseling and medications can be very helpful. In the Christian community we do not hesitate to treat most medical problems. It bothers me that in the Christian community we so often experience resistance to the treatments and medication that have been shown to be helpful for depression. We don't tell an insulin-dependent diabetic, "Just pray more and you'll feel better. You don't need the insulin." But people who are depressed do hear people say things just like that. Depression is a medical illness. It often requires medication in addition to counseling in order to be helpful. Counseling and medication can play an important part in the recovery process. Sometimes intensive workshops or inpatient programs can also be helpful. For some people an intensive treatment program is essential for recovery, and almost all sex addicts can be helped by having an intensive jump-start to the recovery process. Courage. Recovery requires courage. It is a difficult journey—and one that is not undertaken lightly or easily. In the Twelve Step community we say that recovery is simple but it is not easy. It will cost a lot. For many of us giving up an addiction feels like death. It is our addiction that has helped us cope with the wounds of abuse and abandonment. When we have no other, healthier coping skills, becoming abstinent from our addictions can be an absolutely terrifying, incredibly painful process. That's another reason why the fellowship and accountability is so important. Without support we will inevitably retreat into "safer" territory. Grace. The experience of grace is central to the recovery process. I know clearly when I first felt grace. It was when I was in the middle of getting a divorce from my first husband. I was a full-blown sex addict. My life was totally out of control. And it was the first time in my life that I felt suicidal. Some people that I worked with—people that I didn't know well at all—saw my distress. It wasn't really because of the divorce. The real pain and despair I was experiencing came from the shame I experienced from the religious community of my father, the pastor. I was disowned. And shamed. I had sweet church people coming to my home at ten o'clock at night and at seven o'clock in the morning to tell me I was going to hell for divorcing my husband. I was distraught about that as much as I was about anything else. These friends put me in their car and took me to a Christian counselor. I assume that they had arranged this ahead of time, since he was available to see me. They walked me in and introduced me to this man, and then they left. I was not comfortable in that office. I did not want to be there. He said something like, "What can I do for you?" And I unleashed on him a long speech complete with some pretty salty adjectives about what I thought about Christians and what I thought about pastors. I let him have it. I said I didn't care anything about his blankety-blank whatever. But, I said, if you can stop me from killing myself I'll give you ten minutes. You know what he said? "Okay." Just "Okay." No moralizing. No lectures on right and wrong. Right then I felt grace for the first time in my life. I let this man know just a little about who I really was. At that moment I was a really, really angry person. But he accepted me without judgment. I only met with him a few times; I wasn't ready yet to do the hard work I needed to do. So my life continued in the pattern of acting out for another twelve years after that. But I think he saved my life that day. With a single word he showed me more of the grace of God than I had experienced before. That helped me to believe twelve years later that it just might be possible for a counselor to help me. It helped me to return to that kind of resource when I was ready and able to do so. When we experience grace, instead of the preoccupation and fantasy that drives the addictive process, we develop a vision for a different kind of life. Part of recovery is recovering a graced vision for our lives. We need a vision of a life of sobriety, a life in recovery. We need to be able to envision a life truly connected to God in a deep spirituality. And to envision ourselves and our families living a healthy life. Instead of the unhealthy rituals that lead to acting out, we need a vision of healthy rituals and disciplines in our lives. Prayer, meditation and Bible study are healthy disciplines. To be a part of a community of faith or a support group is a healthy discipline. These kinds of healthy disciplines can support healthy choices. Instead of despair, we need a vision of joy. That's what recovery is about. Marnie Ferree offers individual and couples counseling through the Woodmont Hills Counseling Center in Nashville, Tennessee (www.woodmont.org). An audiotape set of the workshop from which this material was taken is available from Prodigals International (www.iprodigals.com).