Category Archives: Sexual Compulsions

A June Is Bustin’ Out All Over Q&A Show — Podcast #283 — 06/06/11

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Hey sex fans, welcome back!

Yes siree, June is busting out all over! It’s pert’near summer and I just realized that we haven’t had a Q&A show since early last month. So ya know what else is bustin out all over? My voicemail and email in boxes, that’s what! I have a big hot load of questions from the sexually worrisome out there. And I’m all ready to dish out some snappy answers to dazzle and delight today’s correspondents, as well as everyone else in my audience.

  • Jackie hates it when her partner busts a nut ON her.
  • Ron is hoping I know where he can find some stray dick to suck.
  • LSSC has a husband who thinks sex is dirty.
  • Shades wants vibrating panties for men.
  • Michael thinks his wife is a mess, but actually it’s HIM.
  • RAHUL wants to know if women like sex as much as men.
  • Luke and his GF fuck like bunnies and now she’s sore.
  • Micah can’t keep it up and he’s too young for ED.
  • Conal has a porn jones and needs help.
  • Harrison wants to know how to clean his hole on a budget.
  • Wasim thinks his nuts are too small and soft.

Today’s podcast is bought to you by: Dr Dick’s Sex Advice and Dr Dick’s Sex Toy Review.

BE THERE OR BE SQUARE!

Check out The Lick-A-Dee-Split Connection. That’s Dr Dick’s toll free podcast voicemail HOTLINE. Don’t worry people; no one will personally answer the phone. Your message goes directly to voicemail.

Got a question or a comment? Wanna rant or rave? Or maybe you’d just like to talk dirty for a minute or two. Why not get it off your chest! Give Dr Dick a call at (866) 422-5680.

DON’T BE SHY, LET IT FLY!

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Sex Addiction, or Too Much of a Good Thing?

This last post of 2010 will start with a declaration. One of my famous “Thus Sayeth Dr. Dick” sorta things, if you please.

Ready?

I categorically reject the concept of sexual addiction that has been floating around in the popular culture for the last 20 years or so.

And yes, I know this will rankle a bunch of you, but you’ll just have to get over it. You see, there is no such thing as a sexual addiction. Period!

Nowadays people bandy about the term addiction as if it can be applied to any and all obsessive behaviors. I have an addiction to chocolate; I’m addicted to shopping; I’m addicted to video games; I’m addicted to porn—or, I’m a sex addict. NONSENSE!

That being said, I hasten to add that I do believe there are sexual obsessions and compulsive sexual behaviors, plenty of ’em in fact. However, obsessions and compulsions are not addictions, and addictions, while they may involve irresistible impulses, are not the same thing as compulsions. Get it? Got it? Good!

I want to be absolutely clear about this. An addiction is a very specific condition. It denotes a dual dependency, physical as well as a psychological.

  • A physical dependency occurs when a substance is habitually used to a point where the body becomes reliant on its effects. The substance must be used constantly, because if it is withheld, it will trigger symptoms of withdrawal.
  • Psychological dependency occurs when the substance habitually used creates an emotional reliance on its effects. There is no functioning without it. Its absence produces intense cravings, which if not fed will trigger symptoms of withdrawal.

Check it out. With the help of my handy-dandy dictionary, a good place to start in discussions of this sort, I discovered these three very distinct definitions:

Addiction: The need for and use of a habit-forming substance (as heroin, nicotine, or alcohol) characterized by well-defined physiological symptoms upon withdrawal. Broadly: persistent use of a substance known by the user to be harmful. A state of physiological and psychological dependence on a drug.

Compulsive: Driven by an irresistible inner force to do something; i.e., a compulsive liar.

Obsession: A persistent disturbing preoccupation with an often unreasonable idea or feeling.

See? Different words. Different meanings. Not a particularly complex notion to grasp, right?

And listen, just because a bunch of yahoo afternoon talks show hosts and even a load of my esteemed professional colleagues banter these words about like they were interchangeable doesn’t make it so. In fact, we do ourselves a huge disservice by muddling these very specific concepts into a jumble. My fellow therapists should be the first to recognize this because finding help for an addiction or an intervention for an obsessive/compulsive disorder will be as specific as the problem itself.

One thing is for certain: identifying one of the things, as the other will complicate the problem solving. It’s like going to the doctor with a headache, and when the doc asks where does it hurt, you point to your stomach. It just won’t do.

Hi Dr. Dick,
I recently found out my boyfriend has been cheating on me. He wants me to forgive him, but he keeps on doing the same thing over and over again. He’s like addicted to sex or something. I love him very much, but I feel dirty just by being around him and knowing what he’s doing. It also makes me feel stupid putting up with all of this and at the same time I still love him, please give me some advice. Thank You.
— Darlene

Before we turn our attention to your boyfriend’s behavior, let me make a quick observation about you. You’re a big fat ball of contradictions, huh? How can you say that you love the person that makes you feel dirty and stupid? You’re deceiving yourself about at least one of those feelings. And if I had to guess, I’d say what you’ve got with your man ain’t love—it’s an obsession.

Your boyfriend probably has you figured out by now, and he knows that you will tolerate his misbehavior, which gives him tacit permission to do whatever he feels like doing. From where I sit, you’re the real sap. If you’re really serious about reining in your wayward BF, you’d better come up with a clear, unambiguous message about what you will and will not tolerate. Until you do precisely that, he’ll just think that he can roam wherever he wants and whenever he wants.

If the two of you are supposed to be living in a sexually exclusive relationship, and he’s taking his business elsewhere, then he’s got a problem, too. However, I caution you against thinking that his sexual behaviors are an addiction. Because they’re not.  And thinking they are will not help you find the solution to the problems you folks are having.

There are root causes for his behavior, just like there are root causes for your behavior. To get to the bottom of all of this, each of you will need to invest a good deal of time and energy with a qualified therapist. One can only hope that there’s a big enough bank of goodwill between the two of you to carry the day because overcoming your obsession and his compulsions will demand all of your emotional resources.

Dear Dr. Dick,
I have been in a relationship for five years now and truly love my partner, however I can never seem to get enough sex. I am 30 and he is 29, but I constantly find myself in the chat rooms lookin’ for younger guys to have sex with. It’s more than just a hobby—it’s a habit! I’ve actually lost jobs because he’d be out of town and I’d spend almost every waking hour on the PC with a cocktail looking for sex, not caring about anything else. It’s like I’m addicted to sex. He knows I have played around (I actually have talked him into three-ways a few times), but he has no idea how extreme it’s become. I don’t know what’s wrong with me. I’m not unhappy with him. I just can’t seem to stop wanting sex with younger guys. Any suggestions?
— Brian

It’s interesting that you should tell me about your compulsive sexual behavior in the same breath that you tell me of your love for your partner. As you’ve probably guessed already, there isn’t really much of a connection between the two. Love and sex are two very different things. Sometimes they go together, but not always or even often for that matter.

It appears to me that you’ve really got two problems happening simultaneously: First, your compulsive prowling of the internet for sex (complicated, I might add, by your alcohol consumption). Second, the deception you’re practicing on your partner. Let’s deal with each of these in turn.

Your particular sexual activity, like any compulsive behavior (overeating, excessive shopping, etc.), is more than just a bad habit. It’s a serious psychological dysfunction. Take it from me: breaking this behavior pattern will be nearly impossible without some professional help. If the problem is as serious as you say, then you’d better seek help right away. This sort of thing, if left untreated, will not only destroy your relationship, it will ruin your life. When you seek that professional help, I encourage you to include information about your alcohol consumption. If there is an addiction in all of this, it’s the alcohol, not the sex. And in your case, the addiction may be fueling the compulsion.

Now, regarding your relationship. It’s imperative that you come clean with your partner about your sexual obsessions and compulsions, as well as your probable alcohol addiction. Not only will you feel better about not lying to him anymore, you’re going to need his support in overcoming the difficult obstacles you face. I suggest that you attend to this right away. There’s not a moment to lose.

Good Luck

Michael Perry, Part 2 — Podcast #62 — 05/05/08


Hey sex fans,

This week I am pleased to bring you Part 2 of my interview with the internationally known author,michael_perry.JPG producer, educator and sex therapist, Michael Perry, Ph.D., ACS. (If you missed Part 1, look for podcast #61.)

Michael has been in private practice for well over 25 years. He is Board Certified by the American College of Sexologists and a licensed sex therapist. He’s also the powerhouse behind SexualIntimacy.com. Michael has his very own production company: Access Instructional Media. You’ll find a complete list of his sizzlin’ hot, but oh so informative movies on his site. When you visit be sure to tell him dr dick sent you!

Today Michael talks about:

  • Sex addiction v. sexual compulsions
  • Surrogate sexual partners
  • Sexual surrogate training

Then Michael and I play a round of Myth Busters

BE THERE, OR BE SQUARE!

Check out The Lick-A-Dee-Split Connection. That’s dr dick’s toll free podcast voicemail. Don’t worry people; no one will personally answer the phone. Your message goes directly to voicemail.

Got a question? No time to write? Give dr dick a call at (866) 422-5680. The TOLL FREE voicemail number is (866) 422-5680. DON’T BE SHY, LET IT FLY !

Look for my podcasts on iTunes. You’ll find me in the podcast section — just search for Dr Dick Sex Advice. And don’t forget to subscribe. I don’t want you to miss even one episode.

I wanna take a moment to alert you to a new feature here on Dr Dick’s Sex Advice. It’s my PRODUCT REVIEW page. That’s right sex fans, now you can see what hot and what’s not in the world of adult products.

From time to time I will be posting reviews of all kinds of adult related products — sex toys for sure, but also condoms, lubes, fetish gear as well as educational and enrichment videos. DON’T MISS A SINGLE ONE!

Look for the Product Reviews tab at the top of the page.

Today’s Podcast is bought to you by: Access Instructional Media.

new_aim.jpg

Come With Me

Name: Julie
Gender: Female
Age: 38
Location: Boston
I went to Vegas with my best friend and she wanted to be laid in the worst way. Our first night in sin city I told her that prostitution is legal here and we “let our fingers do the walkin'”. Soon a gigolo was at the door. He was not six feet with blue eyes as promised, but he was an aspiring chiropractor and seemed like a nice lad so we let him in. The agency had said that they were registered with the State of Nevada and that they need payment upfront including the tip. Being novices to this we ponied up. I left my friend with the guy for her birthday shag and went for a walk around Vegas. I almost called you, Dr. Dick, so excited was I to be sophisticated. I had employed your advice and hired a pro and all! 20 minutes later I was staring at the Lions in the MGM Grand my cell rings. It’s her. The gigolo had a story about not being able to use her condoms due to a latex allergy and that the “other kind” which he had in his pocket must have dropped out in the lobby. This was a total bummer and the gigolo made off with almost $600 bucks! Can you publish “An idiot’s guide to hiring sex work”? We felt like total rubes and were sorely disappointed. The remainder of the celebrations were fantastic. We saw “The Thunder From Downunder” an all-male revue that was just wonderful. We also met many nice tourists and things looked up.

title.jpg

Thanks for the Vegas travelogue. Sorry to hear you got ripped off by the “pro” you tried to hire for a little pleasure. That bums me out. I’m of the mind that freelance providers are generally a better bet than going through a agency. I know it’s too late now, but a consumer should never pay anything in advance. Ya always want to check out the goods first, don’t cha know! And if someone balks at that, you don’t want to do business with that person.

Not to make light of your situation, but I have a friend who was having trouble with his plumbing. No not that kind of plumbing! He tired to fix it himself, but to no avail. He was frustrated as all get-out. Finally I talked him into calling a “pro”. I don’t know where he found the plumber he called, but like you he got ripped off big time! There are dishonest people in every profession.

I applaud your moxie, girl. Don’t let this one bad apple scare you away from trying again another time. I stand by the Rent-A-Boy concept. Keep me posted on your future efforts.

Name: alex smith
Gender: Male
Age: 22
Location: California
I have had this litlle lump in my balls sac since i was a kid it doesnt hurt when i squeeze it and its inside i cant get it off because its attached to theno-freaking-out.jpg skin and im afraid to ask my doctor what do i do?

You’re 22 and you’re afraid to ask your doc about a bump on your nuts? What kind of pussy are you? Come on, grow a pair already, why don’t ‘cha?

This may come as somewhat of a surprise to you, but this is precisely what doctors are for. They look at the things that cause us concern, they tell us what it is, and by doing so, they put our minds to rest. Listen; if you’ve had this bump since you were a kid, the likelihood that it’s anything of consequence is pretty minimal. But go get it checked out so you can stop freakin’ out!

Name: Warwick
Gender: Male
Age: 22
Location: Wyoming
Dear Mr. Dr. Dick, my fiancee was raped by her step brother when she 13. she put up with it and has since repressed it continuing a “normal” relationship with him. how do i deal with this? how can i stand the thought of him or bear seeing him knowing what he has done?

Holy cow! That’s a bummer. But tell me this, if your fiancée repressed this memory (and that’s what repressed means) how did you find out about the incident?

If in fact your fiancée hasn’t repressed the memory, but is trying to get beyond it by not letting it rule her life, then I think you need to do the same. Shit happens! And sometimes the shit is ugly shit, like rape. But if we allow the shit to contaminate our life, crippling our relationships, and us; then the shit wins. Don’t let this happen to you…or your fiancée.

If you guys need help getting past this, seek a sex-positive therapist. A good therapist will not let you sabotage the rest of your life with fear, anger, hatred or revenge.

You can’t do anything about the past, but you do have some control over how you will react in the future. Rise above this! It’s the only way to go, my friend.

Name: Rob
Gender: Male
Age: 20
Location: New Orleans
doc. im starting to get into stimulating my prostate. i heard it will give you ground breaking orgasms but i just cant seem to do it correctly. could you please give me some tips about this.. cheers

You betcha! I’m a big fan of prostate massage — as a solitary pleasure or as part ofc771-1.jpg partnered sex play. Because it is something every guy can practice and enjoy. I recommend all us men folk be prostate aware. You probably also know I’m a big advocate of frequent prostate self-exams, right? And I figure while you’re down there rootin’ around in your butt hole checkin’ thing out, spend a little more time and give yourself a nice little massage why don’t ‘cha? Fingers work just fine for this, but an insertable vibrator is…well…out of this world. Prostate massage is a wonderful way to expand your self-pleasuring repertoire, especially for all you guys out there who only know how to yank on your dick for joy. Check out: The “Progasm” Prostate Massager in My Stockroom.

And ladies, prostate massage is a great way to please and pleasure your male partners. Perhaps if your let your guy know that a little butt play can be real fun and it ain’t queer, more straight guys would be less ass-phobic. And I can guarantee that the world would be a much better place.

You can feel your prostate gland by inserting a finger a couple of inches or so into your bum. If you are the least bit aroused your prostate will feel like a smooth rounded flat lump about the size of a large almond. Just in back of and up from your prostate is a smaller triangular wedge shaped nodule that is the bottom portion of your somewhat larger seminal vesicles. This, by the way, is where most of your jizz is produced and stored. Underneath the seminal vesicles are the ampullae, which are tiny reservoirs for your sperm that will mix with all the other fluids produced by the vesicles and your prostate when you cum.

male_anatomy.jpg

As you become aroused, ejaculatory fluid and sperm accumulate in these glands backing up behind valves in the ejaculatory ducts. When the fluid pressure reaches a high enough threshold, the valves open and the urethral bulb fills, triggering the muscular contractions of your ejaculation. This empties the glands and you, my friend, have just shot your wad. Naturally, if one abstains from ejaculating for a while and prolongs his arousal stage, say like through edging, more fluids will build up, making for a larger load and a more explosive orgasm.

So with that little anatomy lesson behind us, so to speak, we can get back to prostate massage. Ya don’t need nothin’ fancy, simply insert your well-lubricated middle finger or middle finger and index finger into your butt hole and apply a little pressure. Slowly massage your prostate. Try a nice circular motion. Doesn’t that feel yummy? Some men can cum by prostate massage alone. Hell, you may find that you don’t even need a stiff dick to enjoy an orgasm and/or an ejaculation.

Looking for something more advanced? Male Erotic Massage.

Name: matt
Gender: Male
Age: 37
Location: Seattle
I can’t stop going to massage parlors. I go all the time. HJ only there but lots of touching and kissing. I am married and can’t help the need for the excitement. If my wife found out I think she would divorce me. Is this healthy?

Hand jobs, kissing and touching are all very healthy.

But the guilt and shame aren’t healthy, that’s for sure. If you can’t stop a going to the massage parlors, you’re being obsessive; and that’s not healthy. Living a lie and hiding this from your wife isn’t particularly healthy either.

Name: jon251328494_14815fb5a2.jpg
Gender: Male
Age: 18
Location: ca
hi im 18 and i like to finger my ass and use wieners is that good?

Are these cocktail wieners? Hot dogs? Dinner franks? Polish sausage?

Is it good? Gee, I don’t know. I never stuck any kind of wiener up my poop-chute. Why don’t you tell me?

Oh wait; you want to know if it’s ok for you, or anyone, to do this, right? Yeah, I think it’s ok. Just don’t ever invite me to your place for a weenie roast!
Good luck ya’ll

The Doctor is IN!

Name: Paul
Gender: male
Age: 32
Location: Seattle
I hope this isn’t the first time you’ve gotten this kind of question but I’ve recently discovered that I have a urine fetish. And I guess what I want to know is if among gay men I am in a minority or what? Do you know of other guys out there who share my fetish? Also I’m in a relationship and I don’t think my boyfriend shares my interests so I was wondering if you might have some ideas on how to break the news to him. Thanks a lot.

A urine fetish, huh? Ok! Are you talking about what those in the know call watersports or golden showers, right? I think you’re telling me you like to play with your pee, or the pee of other folks, right?

40.jpgOh my god, this is like a totally popular fetish, and not just common among the gays, don’t cha know. I’m surprised that you haven’t encountered loads of other pee queens before now. Folks of every sexual stripe and persuasion are known to enjoy piss play. There’s even a scientific name for it: urophilia. Doesn’t that sound fun? Honey, guess what? I’m a urophiliac and you can be one too!

Hell, this is such a popular fetish that it has a full subset of associated fetishes. There are clothes wetting, bed-wetting and diaper fetishes, and urinal fetishes. For the BDSM crowd there are humiliation scenes and bladder control scenes just to name a few.

Historically speaking, people have been drinking their own urine as an alternative medicine for as long as…well, as long as there’s been pee to drink. Bathing in urine is also very common in some cultures.

Curiously enough, watersports is not necessarily always a sexual fetish, although it can be sexual in nature. Activities where piss is taken internally (swallowed or received anally or vaginally) can be risky. The pee-ee will no doubt ingest any and all un-metabolized drugs — pharmaceutical as well as recreational — which were consumed by the pee-er. In some societies and in some situations, this is the actual intent — for example intensifying and prolonging the effects of a hallucinogenic drug.

Prospective pee drinkers should be aware that there are a few drugs that pass through the body either partly unchanged or entirely unchanged, like those nasty amphetamines and their derivatives. So it’s all together possible to get really high from drinking a druggie’s piss.

Finally, how do you come out as a pee-queen to your boyfriend? I’m of the mind that the direct approach works best. There’s less room for misunderstandings. You could come right out and ask him for what you want. Darling, meet me in the bathroom. I want to show you something really festive and entertaining. I mean, what homo’s isn’t gonna fall for that?

A less assertive way would be to visit several golden shower oriented websites, they abound on them internets, ya know. Leave the page open for the BF to find. That will stir things up. And unless he’s as dense as a post, he’ll begin to get the message. You could also “accidentally” rent a watersports video. That would, no doubt, open the desired discussion. “Holy cow honey, look what I picked up by mistake. You wanna watch it? Isn’t this hot? Oh my god, I think I just wet my pants. Wanna see?”

Name: Maria
Gender: Female
Age: 24
Location: California
Hi Dr, My question is a little strange. My boyfriend has this weird fetish about cumming on me…not just on me but all over me. On my boobs, on my face, he likes to get it in my hair, on my feet. I’m practically swimming in the stuff. Most of the time I don’t mind it and sometimes it gets me off. But I’m just wondering what’s this all about. Why does he have this desire to cum all over me? Most of the time he wants me on my knees waiting for his gift, tongue sticking out like a dog. Any thoughts why?

Maria, darling, this is absolutely precious! I love it!

Did you ever see the brilliantly funny Mel Brooks movie, High Anxiety?

In the movie Mel Brooks plays Dr. Richard H. Thorndyke, the new administrator of the Psychoneurotic Institute for the Very, VERY Nervous. He goes to San Francisco for a conference where he is framed for a murder. Mid-way through the movie there’s a scene where Thorndyke is on the lam. He phones his new friend, Victoria Brisbane, (played by the amazing Madeline Kahn) from a phone booth to ask for her help. Victoria is in her hotel room when she answers the phone. Just at that moment, the real killer attacks Dr Thorndyke and has him by the throat. Because of all the heavy breathing and choking sounds on the Thorndyke end, Victoria thinks she getting a prank sex call. She protests but then is drawn into the call. It’s comic genius. Dr Thorndyke’s struggle comes to an end when his attacker is impaled on a shard of glass. His death gasp makes Victoria think her caller just shot his wad. She responds with disgust, “You animal!

That’s where my mind went, Maria when I got your call. The description of your boyfriend’s spooge fetish made me think of Victoria Brisbane and her exclamation, “You Animal.”

p10.jpgYa see, Maria, us boys think all the world is as enamored with our spunk as we are. And so we think we’re doing everyone a big favor by spreading our junk around. We’re particularly fond of getting as much of our joy-juice as possible on our partners and the messier the better. We’ll tell you that we do this because we love you and we just whipped up this tasty little batch of seed just for you. That’s bullshit of course.

What we’re really doing is marking our territory. Did you ever notice how pleased with himself a male dog is when he’s blissfully lifting his leg to pee on everything in site? I’d be willing to bet you’d see a similar shit-eatin’ grin on the BF as you’d see on that dog. Your BF is marking his territory, but he’s marking you with his jizz.

The upside of this is that our little nut concoction is heavily protein laden, so you’ll not find a better skin emolument. Just make sure he doesn’t get any in your eyes. That shit burns! Enjoy!

Name: Jim
Gender: male
Age: 23
Location: Sydney
I’m addicted to porn. I look at porn for hours and hours at a time at work at home on my cell phone whatever. I am noticing that the more porn I look at the more I want and now I’m searching out some real weird shit the weirder the better. I’m afraid this is taking over my life, but I can’t stop. What should I do?

Listen Jim, there’s no such thing as an addiction to porn! PERIOD!

Nowadays people bandy about the term addiction as if it could be applied to any and all obsessive behaviors. I have an addiction to chocolate, I’m addicted to shopping, or I’m a sex addict. NONSENSE!

Let’s be clear about this. An addiction is a very specific condition. It denotes a dual dependency, physical as well as a psychological. A physical dependency occurs when a substance is habitually used to a point where the body becomes reliant on its effects. The substance must be used constantly, because if it is withheld it will trigger symptoms of withdrawal. Psychological dependency occurs when the substance habitually used creates an emotional reliance on its effects. There is no functioning without it. Its absence produces intense cravings, which if not fed will trigger symptoms of withdrawal.

What you report about yourself, Jim, is not an addiction. Your behaviors, however, are a classic example of a severe fixation or obsession. Just because out of control behavior isn’t an addiction, doesn’t mean it’s not serious.

You may say to yourself, “What the fuck, doc, fixation, addiction it all sounds the same to me.” Well, sounding alike and being the same are two very different things. Besides, if one doesn’t properly identify the problem; how will one find the proper intervention? And you, my friend, need an intervention ASAP.

n.jpgYour relentless pursuit of pornography, your obsession with more and more graphic and extreme depictions of sex is clearly interfering with you living a normal life. And at such a tender age, what’s up with that? This has got to stop, pup. You can’t continue to take refuge in fantasy material in lieu of having healthy interpersonal relationships.

I’d also challenge your suggestion that you are enjoying the porn you consume. When consumption of anything — porn, food, whatever — is this unrelenting, there is no enjoyment factor anymore.

If you have the psychological capacity to limit your porn consumption on your own, great — Do it! Be strict with yourself. Deny yourself access to the materials that fuel your fixation. Channel that energy into connecting with other LIVE humans.

If you are unable to monitor your behavior on your own — seek professional help right away. Look to a sex-positive therapist who will assist you in creating boundaries for yourself. Your therapist will help you learn how to reward your successes and not reward your failures. You will, in time, be able to put this obsession behind you. But you must act now. Your humanity hangs in the balance.

Good luck, ya’ll!

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