#527 – Sex Addiction as Affect Dysregulation with Alexandra Katehakis



Alexandra Katehakis, MFT is Founder and Clinical Director of the Center for Healthy Sex in Los Angeles, Senior Fellow at The Meadows, faculty for the International Institute of Trauma and Addiction Professionals, and the 2012 Carnes Award recipient. She is a Certified Sex Addiction Therapist/Supervisor and an AASECT Certified Sex Therapist/Supervisor specializing in the treatment of sexual disorders. Ms. Katehakis is author of Sex Addiction As Affect Dysregulation: A Neurobiologically Informed Holistic Treatment, (2016). She is co-author of the 2015 AASECT award, and 2016 Clark Vincent award winning Mirror of Intimacy: Daily Reflections on Emotional and Erotic Intelligence (2014), contributing author to the 2013 Clark Vincent award winning Making Advances: A Comprehensive Guide for Treating Female Sex and Love Addicts, in M. Ferree (Ed.), (2012), and author of Erotic Intelligence: Igniting Hot Healthy Sex While in Recovery From Sex Addiction (2010).

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A psychology podcast by David Van Nuys, Ph.D.

copyright 2016: David Van Nuys, Ph.D.



  1. Oskar
    Posted October 16, 2016 at 3:13 am | Permalink

    What a pearl this interview was. Exactly the kind that gets me going, with intense focus on the subject and less emphasis on the interviewee’s background. More density, less chitchat. Like a lecture in dialogue form, if that makes sense. Awesome.

  2. Rich Featherly
    Posted October 20, 2016 at 5:28 pm | Permalink

    I just put a link to this show on my classmates’ Facebook group. We are in a mostly online MSW program for people already doing human service work. I told them this is the most clear and succinct explanations of addictions I’ve heard. You don’t cover addiction very often, but this show makes up for that.

  3. Posted October 20, 2016 at 5:30 pm | Permalink

    Great! Thanks, Rich!

  4. Posted October 23, 2016 at 10:38 am | Permalink

    It was great to listen to this podcast along with being able to read Ms. Katehakis’ articles in the The Neuropsychotherpist. Very helpful! Thanks!

  5. Posted November 1, 2016 at 12:23 pm | Permalink

    This was so awesome! Thanks Dave! I want to commit to making the transcription for this podcast. I loved it THAT much that I wish to transcribe! May I do so?

  6. Posted November 1, 2016 at 1:25 pm | Permalink

    Thanks for your transcription offer but that one is already spoken for! 🙂


  7. Emily Murdock
    Posted November 15, 2016 at 12:11 am | Permalink

    I was cooking at the time of listening to this exellent podcast several days ago. I seem to remember Katehakis providing a statistic about rates of secure attachment today vs in the 70s. Anyone remind me what it was?? It seems that that stat may be very relevant to the political and social situation we face. And importantly vice-versa, that the political/social/economic world we dwell in leads to insecure attachment. So many lives feel so precarious. Important stuff. Thanks

  8. Tim
    Posted December 2, 2016 at 3:32 am | Permalink

    too many assumptions are made in this “research”, anyone with an objective scientific background could point out the flaws in this asynchonisis attitude towards human sexual development. It’s like freud or early therapists grasping at straws and saying sex problems are related to trauma, no merit…

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