Intensive Treatment for Compulsive-Abusive Sexual-Relational Disorders (CASRD)

Upcoming 8-Day Intensives with Dr. Omar Minwalla:

July 17 – 24, 2020

Treatment begins Friday at 8:30am with Psychological Testing, followed by two days of SAI Trauma Model Workshop, and Compulsive-Abusive Sexual-Relational Disorders Intensive starting on Sunday at 2:00pm

Consultation Required
COST: $9,500 (Sliding Scale Available)

Led by Dr. Omar Minwalla, this is a highly focused, 8-day foundational treatment curriculum for men that includes psychosexual evaluation and initial treatment stabilization for sexual acting out (sex addiction or compulsivity) problems, patterns of infidelity and intimate partner abuse. Intensive includes psychological and personality testing, cognitive-behavioral tools to contain problematic behaviors, and fundamental education on sexual acting out problems, intimate partner abuse and integrity disorders, and the resulting traumatic impact on others. An aftercare plan and report for continued local treatment is included, as is partner/spouse consultation both before and after the intensive program. This treatment program may serve as an alternative to traditional inpatient programming.

ISH and Dr. Minwalla utilizes a cutting-edge model that does not exist yet in most traditional compulsive sexual behavior (CSB) or sex addiction (SA) treatment models:

Dr. Minwalla developed the term sex addiction-induced trauma to describe the trauma symptoms intimate partners, children and family systems experience due to deceptive, compartmentalized sexuality and the associated abusive conduct patterns. Dr. Minwalla also developed the term “compulsive-abusive” sexuality to more accurately describe a disorder that includes two primary criteria, problem sexual acting out patterns and also patterns of abusive conduct and integrity disorders. Thus, foundational clinical treatment and initial stabilization for these types of problems includes assessment, education, intervention and treatment stabilization of both aspects of the problem, compulsive sexual behavior and/or abusive conduct and integrity disorders, and also includes understanding how these problems impact others.

Types of Clinical Problems Treated:
  • Compulsive-Abusive Sexual-Relational Disorders (Sex Addiction)
  • Intimate Partner Abuse (Sex Addiction-Induced Perpetrations: SAIP)
  • Sex Addiction-Induced Trauma (SAIT)
  • Deceptive, Compartmentalized Sexuality
  • Deceptive, Compartmentalized Abusive Management
  • Internet Pornography Problems
  • Compulsive Cyber-Sexuality
  • Ego-Regulation and Sexual Dependency Problems
  • Emotional, Romantic and Sexual Infidelities
  • Compulsive masturbation and use of fantasy
  • Compulsive engagement of fetish or paraphilic sexuality
  • Compulsive use of strip clubs, massage parlors, prostitution, cyber-prostitution
  • Problematic and abusive patterns of romantic or sexual relationships
  • Sexual offending behaviors including non-consensual voyeurism and exhibitionism
  • Gender and Masculinity Pathology
Goals of Treatment Intensive:
  • Foundational Education on Compulsive-Abusive Sexual-Relational Disorders
  • Immediate help to stop problematic sexual behaviors and patterns
  • Recognition and intervention aimed at containing intimate partner abuse
  • Create a clear sexual behavioral plan with accountability
  • Education on sex addiction-induced perpetration, violation and abuse of other human beings (SAIP)
  • Education on sex addiction-induced trauma (SAIT) and the impact on partner, children and family system
  • Understand how stress, emotions, underlying trauma, core shame, gender pathology, personality disorder and contemporary social factors and coping patterns contribute to compulsive and harmful behaviors
  • Learn specific coping mechanisms and strategies to prevent problem behavior
  • Education on human sexuality, sexual integration, healthy sexuality, shadow sexuality
  • Education on key components on healing relationships such as empathy, honesty, humility and accountability
  • Developing a cohesive long-term treatment plan for both sexual behaviors and abusive conduct and integrity disorder
Treatment Components
  • Psychosexual Evaluation for Compulsive-Abusive Sexual-Relational Disorder (CASRD), including report
  • Psychological Testing (MMPI-III, MCMI-II, BDI, BAI) and Clinically-Integrated Feedback
  • Extensive Group Psychotherapy Clinical Process
  • Psycho-Educational Lectures
  • Task Work and Homework Assignments
  • Education on Traumatic Impacts on Partner/Spouse (SAI-Trauma Model Workshop Content)
  • Expressive Therapy
  • Aftercare Planning
  • Potential personalized intensive adjunct with Dr. Minwalla, considered on a case-by-case basis
What makes the ISH Intensive unique?
This is the only treatment intensive currently available specifically for Compulsive-Abusive Sexual-Relational (CASR) Disorders:
While other treatment models for sex addiction or sexual compulsivity still focus primarily on sexual behavioral modification and increased coping mechanisms for relapse prevention, there is a lack of conceptualizing the problem as also a form of domestic abuse, a form of conduct disorder or an integrity disorder. Thus, while acknowledging the sexual behaviors as problematic, the compulsive-abusive model also includes diagnosing and treating the abuse disorder as well. The problem is often not just patterns of “acting out with prostitutes” (for example), but also the chronic patterns of lying, deception, psychological manipulation, blaming of others and the ongoing management of a secret sexual life while in a relationship or family.
Intensive includes the SAI-Trauma Model Workshop content:
The intensive includes the SAI-Trauma Model workshop, a specific curriculum that educates men on how partners and spouses are traumatized by sexual acting out patterns and patterns of relational abuse and perpetration (SAIP).
8-Day Intensive Includes Psychosexual Testing and Evaluation:
A comprehensive assessment and evaluation for compulsive-abusive sexual-relational disorders (CASRD) includes not only assessment of sexual compulsivity or sex addiction, but also includes standardized psychological testing and diagnosis of other clinical syndromes, personality disorders, gender pathology and underlying trauma. A report and feedback is contextualized based on clinical treatment. An evaluation for CASRD provides a comprehensive diagnostic and clinical picture, beyond simply sex addiction diagnosis or assessing sexual behaviors that can serve as a foundation for appropriate intervention.
Personalized Intensive Treatment Options:
Personalized intensive treatment may be considered on a case-by-case basis, typically 5 – 6 hours per day with a pre-determined schedule (often 3 – 6 days). A personalized psychosexual evaluation and report for compulsive-abusive sexual-relational disorder (CASRD) is also available as a separate, individual option, outside of the treatment intensive.
Administrative Information
Amount of Time Spent in Treatment:
The intensive program offers an average of 7 clinical hours per day and is designed to include weekend days, so that the content and hours match a typical two-week program.
Schedule and Attendance:

You should expect to follow the schedule provided to you at the start of treatment.  Times may vary slightly based on group size.  Sometimes there may be some changes to the schedule, and you will be notified of these changes as the program proceeds. You are expected to be punctual and in full attendance for all program components.  If for any reason you are going to be late or absent, you should keep the treatment team informed in a timely manner.

Friday – 8:30 – 11:00am Psychological Testing; Break; SAI Trauma Model Workshop begins 2:00 – 6:00pm

Saturday – 8:30am – 12:30pm; Lunch Break; 2:00 – 6:30pm

Sunday – 8:30am – 12:00pm Workshop ends; Lunch Break; Intensive begins 2:00 – 5:00pm

Monday – Friday – 8:30am – 12:30pm; Lunch Break; 2:00 – 4:30pm

It is imperative and critical that in order to optimize the benefit of the program, that you remain as present, aware, conscious and focused on the process as possible. Once the program begins, the whole time should be considered part of the process.

A specific mandate of the program is the “unplugging from ALL technology” – as much as is possible.  Whatever needs for technology, including even simple checking email, or phone calls should be considered in advance, and discussed with the Dr. Minwalla in advance during consultation. Necessary accommodations for technology use can be arranged.

Location, Parking and Lodging Options:
ISH is located in the Los Angeles/Beverly Hills area of California. Participants have the option to stay in a local hotel or other arrangement. Participants can also choose to stay with a friend or family member; however, it is necessary to be free from distraction and be able to remain focused on the program, including being able to do homework assignments in the evenings. More information will be provided upon registration for the program.

At The Institute for Sexual Health, all communication and services provided are strictly confidential. When returning phone calls or e-mail we are discreet and respectful of your right to privacy and the need for discretion.



Dec 3-6, 2020
Dec 17-20, 2020
Jan 7-10, 2021