In this week’s episode, Dr. Rob welcomes back Candice Christiansen, founder and clinical director for the Namaste Center for Healing. She and Rob discuss some co-occurring diagnosis that is found as an underlying source in addiction and avoidance, and why it’s not unusual for people that have sexual problems to also have an emotional and mental disorder that causes them to act out. They give a few examples of these conditions, define some characteristics of those on the spectrum, and talk about the importance of getting a professional evaluation to make sure one is getting the proper treatment.   TAKEAWAYS: [4:46] Sexual addictions and disorders aren’t always based on personality and narcissism. There are also many instances where it is an attachment based disorder. The acting out is a learned behavior to try to escape, self soothe or connect. [5:45] Candice describes how self-stimulating behavior relates to those on the autism spectrum. Part of her job is to help the addict replace porn with a non harmful replacement to self-stim. [9:04] High functioning autism will often be diagnosed when a child is young because there is a clear language deficit or auditory processing issue. [11:15] Those on the spectrum are usually very intelligent, and may not get social/sexual cues. They may also be very honest to a fault, blunt, and get overstimulated by bright lights or loud noises. [15:07] Sociopaths know that their actions may hurt someone else, but they don’t care or possess empathy, while those on the spectrum have “in the moment” thinking, but do show great empathy. [16:19] There are conditions that can look like a learning disability, so it is very important to get a thorough evaluation by an expert. [25:43] A symptom of bipolar disorder is often the tendency to be hypersexual. When a bipolar individual is stable and their disorder is in remission, many times they stop acting out. [26:02] Other diagnoses that Candice sees where people act out include both OCD and OCPD. [27:38] Mental health professionals must have a common language so they know how to best treat a condition and everything that goes along with the condition. [29:01] A diagnosis is not a judgment, it’s an observation so that an issue can be treated properly and professionally.   RESOURCES: Sex and Relationship Healing @RobWeissMSW Sex Addiction 101 Cruise Control: Understanding Sex Addiction in Gay Men Prodependence: Moving Beyond Codependency Rob@sexandrelationshiphealing.com In the Realm of Hungry Ghosts Autism Speaks Namaste Center for Healing candice@namasteadvice.com @namasteadvice   QUOTES: “Human beings are built to connect and to turn to relationships. This is how we thrive.” “When people struggle with the ability to connect, it leaves them empty.” “I love working with people on the spectrum, because they have so many strengths.” “No matter how much trauma work you do, or how many times you write out a recovery plan, it won’t work for you if you have an underlying emotional illness that needs to be addressed.” “We have to figure out why you started, and then heal that wound.” “Diagnosis aren’t meant to judge people, they are meant to have a common understanding of how to help people.”