Addictive Disorders and Behaviours are a mixed bunch. Addictions can include drugs, alcohol, spending, gambling and sex to name some of the most prevalent substances and processes. These are some of the most challenging behaviors we face as therapists. We sometimes feel powerless, hopeless, frustrated and even, at times, judgmental toward these seemingly self-destructive behaviors. Pornography addiction, escort use, cybersex, BDSM and other behaviors that can become compulsive are often difficult to assess, conceptualize and treat.

This virtual course covers an overview of the concepts and techniques of schema theory and therapy (ST) as it relates to the conceptualization of compulsive sexual behaviors and 'modes'. This includes the origins and development of modes specific to sexual addictions, as well as core experiential, interpersonal, cognitive and behavioral change techniques for intervention. Participants will be shown how to assess, conceptualize and intervene with these self-destructive behaviors.  Schema Therapy is well-suited for this population due to high comorbidity rates (66-78%) of personality disorders and trauma, and a track record of working with complex issues. Participants will learn ways they can help clients to build a healthy adult self while healing attachment and other core needs.

Liz Lacy, LCSW, provides individual, couples, and group therapy in private practice in New York City. She has an Advanced Certification in Schema Therapy and is a member of the International Society for Schema Therapy, having served on the ISST's Board subcommittee for Supervisor Training.

Liz is also an Emotion Focused Couples Therapist, a member of NYCEFT and the Association for Behavioral and Cognitive Therapies. She is a member and contributor to the Sexuality, Attachment and Trauma Network in NYC, USA. Liz contributes to professional publications and develops and implements training programs for the NY/NJ Schema Institute, private practices throughout the Tristate area, NASW and Orange County Trauma Task Force among others in the USA. She also has trained Internationally through Europe and other countries. Throughout her long career in human services, Liz has worked in mental health treatment, intensive alcohol and drug treatment programs, served as clinical director for an HIV service organization and clinical supervisor for a NYC Sex Addiction Treatment Center. Her focus for the past decade has been working with individuals with PTSD, sexual and other addictions, chronic anxiety disorders and personality disorders, especially Borderline and Narcissistic Personalities.