HealthyGamerGG - The Addiction Women Can't Talk About

Episode Date: April 20, 2026

In this episode, Dr. K addresses the chronically undertalked and understudied issue of pornography addiction in women. He reveals that while male addiction is more frequently discussed, approximately ...7% of women struggle with this issue—a rate higher than global alcoholism. He breaks down the unique psychological and biological factors that drive this addiction, specifically how it serves as a "safe" refuge for those with a history of trauma. What to expect in this episode: The Hidden Epidemic: Why female porn addiction is often ignored in medicine despite being more common than alcoholism worldwide. The Trauma Connection: A deep dive into the shocking comorbidities of this addiction, including a 57% rate of PTSD and a 42.9% rate of Borderline Personality Disorder (BPD). The Broken "Script" for Intimacy: How early caregiver neglect or abuse creates a contradictory understanding of love, leading individuals to seek "corrective emotional experiences" through fantasy. The Role of Erotica and the "Lemon Scale": Why women often gravitate toward fanfiction and smut as a way to find emotional safety and "tame the beast" of their traumatic pasts. Biological Vulnerability: An analysis of how hyper-sensitive dopamine receptors and a blunted stress response make certain people more prone to using porn for emotional regulation. Dissociation vs. Regulation: Understanding how the brain "walls off" difficult emotions in the basement rather than calming them down, leading to a cycle of compulsive behavior. The Safety of the Screen: Why the modern dating world—filled with harassment and anxiety—makes the predictable nature of pornography feel like the only safe outlet for intimacy. The OCD/ADHD/Addiction Loop: How porn addiction functions as a "triple threat" of intrusive thoughts, impulsivity, and building tolerance. Dr. K's NEW Guide to Love, Sex, & Relationships is coming May 2026! Pre-order now: https://bit.ly/4dO3x0VHG Coaching : https://bit.ly/46bIkdo Dr. K's Guide to Mental Health: https://bit.ly/44z3SztHG Memberships : https://bit.ly/3TNoMVf Products & Services : https://bit.ly/44kz7x0 HealthyGamer.GG: https://bit.ly/3ZOopgQ Learn more about your ad choices. Visit megaphone.fm/adchoices

Transcript
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Starting point is 00:00:03 Hey, chat, welcome to the Healthy Gamer Gigi podcast. I'm Dr. Alokinoja, but you can call me Dr. K. I'm a psychiatrist gamer and co-founder of Healthy Gamer. On this podcast, we explore mental health and life in the digital age, breaking down big ideas to help you better understand yourself and the world around you. So let's dive right in. Today, we're going to talk about pornography addiction in women. So this is a topic that is chronically under-talked about, very understudied.
Starting point is 00:00:36 And I'm absolutely guilty of that as well. So I got sort of highlighted onto this when someone are under subreddit posted, hey, like, we never talk about porn addiction and women. And this is a really common problem in medicine where when there is one gender that has a problem that is really, really serious, we tend to, are very common. We tend to ignore that problem in other genders. So good examples of this are like borderline personality disorder in men is not talked about or studied nearly as much as BPD in women.
Starting point is 00:01:05 And so I saw this post and first of all, thank you very much to the community for alerting me to this. And then I looked into the research and about some studies suggest that up to 20% of men are addicted to pornography and actually up to 7% of women are addicted to pornography. And this is really common where it's like, okay, so if 20% of men are addicted, like let's help the men. But actually up to 7% of women being addicted is really, really high. So just to give you all a frame of reference, about 6% of people in the world are alcohol. So pornography addiction in women is actually more common than alcoholism is across the globe. So there are a couple of things that are distinct about pornography addiction and women compared to men, but we're going to cover it, cover all the basics today. So the first thing that really stood out to me.
Starting point is 00:01:52 And fair warning, I've never actually worked with a patient who is a woman who has pornography addiction, part of where my bias comes from. But I've worked with tons of women who have many of the conditions that we're talking about, including borderline personality, and compulsive sexual behavior or sex addiction that I have plenty of experience with. So first thing that we're going to talk about is really interesting fact that if you look at women who struggle with pornography addiction or compulsive sexual behavior of some kind, trauma is a very, very, very high comorbidity. I think around 57% of women who have some kind of sex or pornography addiction have a diagnosis of PTSD.
Starting point is 00:02:27 That is shockingly high. About 42.9% of them have a diagnosis of BPD. So this is a personality disorder that is heavily related to trauma. BPD or borderline personality disorder also has unstable sexual relationships as part of the diagnostic criteria. So one of the key things that I've sort of seen in my work with women who have sex addiction is that trauma is a huge, huge factor. So we're going to sort of start there.
Starting point is 00:02:54 So what kind of trauma are we talking about and how does trauma shape fundamentally our risk for becoming addicted to sex or pornography, okay? So early on, when we have certain caregiver relationships, these relationships form the foundational script for our romantic relationships later in life. Okay, so I'm not saying that this is like where, you know, this isn't like edible complex where I'm attracted to my mother or things like that. What I mean is that when we consider human intimacy at its core, right?
Starting point is 00:03:27 So like, what does intimacy look like? What does it look like to feel close and connected to someone? That fundamental attribute of connectedness, which is not even sexual. How does someone who is loving and caring and someone that I'm close with, someone that I love and they love me, right, on a fundamental level, what does that look like? So what we see in people who are addicted to pornography or sex is that these relationships early on are messed up in some way.
Starting point is 00:03:55 So in some cases, there is frank abuse, physical abuse, sexual abuse. I think the fundamental thing is something that is contradictory. Okay. So what really traumatizes and messes people up is when they have caregiver relationships or early important relationships that are contradictory in some way. So mom or dad loves me and physically abuses me. So that's a contradiction that really messes up our script for intimacy later in life. Mom or dad loves me, but is sexually abusive.
Starting point is 00:04:26 So that too really, really messes up our understanding of. of what a sexual relationship looks like, right? This is the way that we're being conditioned or programmed. But it doesn't have to be frank, sexual or physical abuse or even emotional abuse. Sometimes it's neglect, where it's like, okay, we want this person's love, but we're not able to get it. So we engage in all kinds of behaviors. We develop an insecure attachment style.
Starting point is 00:04:49 And there's a lot of work on how insecure attachment is a heavily, heavily, heavily important part of pornography addiction. Other examples of things that are not explicit abuse. are seeing your father engage in affairs, seeing your mother bring home, you know, random men because she's a prostitute. Like, I've seen all this stuff. It's represented in the literature. But the key thing to understand is that at the outset, 57% comorbidity for PTSD is insane in psychiatry. Generally speaking, the highest comorbidities that we tend to see are around like 30 to 40%. And that's like super, super high comorbid conditions. So the key thing here is that it seems like
Starting point is 00:05:28 early relationship trauma of some kind heavily, heavily, heavily increases your risk for developing a later pornography addiction. And the main way that it does that is by messing up our script of what intimacy looks like. So as these women get older, their capacity to engage in relationships is impaired for many of them, unfortunately. Okay. So now what we're going to do is sort of walk you through sort of the sequence of how a pornography addiction evolves. And we're going to cover a lot of other types of science, literature, psychiatry, and see how everything fits together. Okay.
Starting point is 00:06:06 So early on, there's you. And then you have caregiver relationships that are somehow impaired, right? So the first thing is that we end up with the idea that love is contradictory. So like love is like, yeah, this person does something really nice for me, but then also puts me in situations that are really, really, really uncomfortable. And so the key thing here is love is not all good. This is the key, key, key thing that really messes people up. So as a psychiatrist, I've worked with a lot of sex workers, people who are addicted to sex addiction engage in unstable sexual relationships. There's sort of two jobs that I've found working with them. One is sort of like
Starting point is 00:06:45 healing the trauma and dealing with like the mental illness. And the second is like equipping them with the skills to form a healthy relationship. Because what we want is that corrective emotional experience. That stuff isn't necessarily psychiatry, and I actually put all that stuff together in Dr. Kay's Guide to Love, Sex, and Relationships. So check it out if you all are interested in that. So when we sort of think about, you know, a mother's love or a father's love or parents' love, the key thing is it's like kind of unconditional, right? That's like the healthiest form of love where like mom or dad is is there for me all the time. This can happen with other caregivers as well. But then instead of that, what we end up with is love is good and love is bad. It's
Starting point is 00:07:23 actually both of those things. And this becomes the script that we will follow later on. There's a ton of evidence to support this, just to give you all a quick kind of aside. So good examples of this are like, you know, when we're abused by our parents, the likelihood of being abused by our romantic partner skyrockets. And that's because we think it is normal in a loving relationship, even if intellectually we know that it's not normal. Other deeper conditioned parts of ourselves feel comfortable and safe and understand the script of an abusive or contradictory loving relationship. This is what I think is really interesting.
Starting point is 00:08:00 I'm going to just talk about trauma for a second. So here's what's really fascinating to me as a psychiatrist. See, you can have an abusive relationship growing up. Sometimes that results in BPD. Sometimes that results in substance addiction. Sometimes it results in sex addiction. Sometimes it results in a mood disorder or bipolar disorder. So what's really fascinating to me is to understand why a trauma manifests as a pornography addiction in some people later in life.
Starting point is 00:08:29 Does that kind of make sense? It's like the injury can be the same, but the way that we adapt to that injury depends on a lot of things. And this is what's really fascinating. So the first is that people with pornography addictions have altered dopamine reward circuitry. Okay. And we'll understand how this will, this will sort of paint us a picture of how we end up with. pornography addiction. So basically, these people are like hypersensitive to dopaminergic rewards. This predisposes them for addiction. So the risk of addiction goes up, right? And if you're someone
Starting point is 00:09:02 who's lucky enough to not have this polymorphism of the dopamine receptor, so like your dopamine receptors aren't particularly sensitive, then I think that like, you know, it manifests potentially as like major depressive disorder. The trauma will grow into major depressive disorder instead of some kind of addiction. This is what's also really fascinating. There's also endocrine changes, specifically stress responsiveness. The stress responsiveness is blunted. Now, what does that mean? So generally speaking, our tissues have receptors for stress hormones. So when our body is under a condition of stress, it secretes things like cortisol. And when it secretes things like cortisol, the rest of our tissues respond to that stress. But what we find in people,
Starting point is 00:09:47 pornography addiction is that they have a dexamethazone suppression test that is abnormal. Specifically, it's blunted. Now, what does this mean? This means that when we try to shut off your stress system, it doesn't respond normally. So these people are also prone to baseline levels of high stress. The third thing that we're going to talk about, which is really common, is emotional regulation difficulties. For whatever reason, these people will have difficulty regulating their emotions. So when we go back to this idea of trauma early on, we know that insufficient emotional support, insufficient emotional mirroring is what results in difficulty with regulating our emotions later in life. So the way that this kind of works, okay, just big picture,
Starting point is 00:10:36 is when I feel upset as a child, when my parent comes to me and expresses an exaggerated emotion. So if I fall down and I get a boo-boo and my mom runs over and says, oh, my God, would a baby got a boo-boo. They are displaying to me the same emotion that I feel, right? So like, if I feel worried, if I feel panicked, they're going to run over to me panicked. So I get this thing called mirroring. And then something really cool happens is like when my parent runs over panicked, right, I'm hurt. My parent runs over panic. They examine me. They see, okay, it's just a, you just fell. There's a little bit of a scrape. And then they calm down. And when they calm down, I calm down. My favorite example of this is a really cool.
Starting point is 00:11:16 study I saw many years ago about how if you have a parent with anxiety disorder and you have a child with anxiety disorder, if you just treat the parent's anxiety, the child's anxiety improves automatically. You don't have to do anything with a kid. So literally as children, part of what we do is we outsource our negative emotions to our parents to take care of. When our parents are not around to take care of them or there's lots of weird emotions like my mom brings home men and is a prostitute or sex worker, that evokes a lot of emotions that like it's hard for my mom to emotionally mirror. And then what happens is people who grow up with this kind of stuff, their brains engage in dissociative behavior instead. Okay? So we tend to see an increase in dissociative behavior.
Starting point is 00:11:58 And just to explain this once again, right? So like, let's say I have a parent who is abusive in some way. How do I reconcile that? It's really hard to understand it. So instead, what my brain does is actually dissociate. So this is important to understand. Dissociation is not the same as regulation. Okay. So dissociation and regulation are fundamentally different. Regulation. Regulation, is when I feel the thing and I calm it down. So it's like if I really upset, an example of emotional regulation is like, okay, I know I'm upset, this person did this wrong, I sort of talk to myself, or I engage in some kind of deep breathing, or I make myself a cup of tea. The emotions don't disappear. I deal with them. The mechanism of dissociation is fundamentally different. What it actually
Starting point is 00:12:40 does is separates communication from different parts of the brain. So literally what it does is the emotional circuits of our brain are active, but what we do is we silence them. They're still turning on, but it's kind of like we wall them off. It's like we stick them in the basement. So then the emotion is still active. We're not actually calming anything down. We're simply walling it off. This comes across, it's something called hemispheric lateralization, which if you all have seen the trauma guide and stuff like that, you know some of this neuroscience. But this is really important to understand. You know, it's like, it's like, If I have music playing and I just stick the speaker in the basement, it's still playing.
Starting point is 00:13:16 That's very different from turning down the volume or getting the music to stop. So people engage in, they have emotional regulation difficulties. This is really common. Okay. So then this is sort of the setup for pornography addiction. And then a couple of really interesting things happen. So now you're a person with resistance to stress lowering. We have emotional regulation issues.
Starting point is 00:13:40 we've got dopamine sensitivity, and then we also have messed up patterns of intimacy. So this is the backdrop, okay, these are the risk factors. We haven't developed a pornography addiction yet. Then comes the catastrophic step, which is early exposure to porn. Now, this is where things are a bit different for women. So first thing is that if you look at male pornography addicts, female pornography addicts, there's good evidence that all of them are exposed, not all, but a high majority of them are exposed to pornographic or erotic,
Starting point is 00:14:11 because now we're talking women and fan fiction and smut and, you know, 50 Shades of Gray, 11 scale. We're going to get to all of it, okay? Because women are different. But they're exposed to some kind of sexual material early on. So we're talking 10 years old, 11 years old, many of them are exposed between 10 and 14, okay? And so then what happens, like something weird happens.
Starting point is 00:14:32 So this is oftentimes pre-puberty. So there's a great quote about this, about how when you get exposed to sexual activity before puberty, let alone after puberty, it's kind of like you're a ship at sea without a rudder, right? So imagine you're like a nine-year-old. And like, you've never seen sex before. And you've interacted with humans for like nine years. There's hugs, there's kisses, they're playing on the playground, there's picking you up, there's rocking you to sleep, there's rubbing your boo-boo, there's giving you a bath, right? And then suddenly, like, you see these naked people and they're like inserting body parts into other body parts.
Starting point is 00:15:05 and we're like, what the hell is this? Okay? So you don't know how to make sense of this. The problem is on a cognitive level, you don't know how to make sense of it. You may not even be aroused. But the really interesting thing about sex is how powerfully it alters your brain.
Starting point is 00:15:22 So we know, for example, that pornography is one of the best ways to regulate your emotions. We know that pornography in sex releases dopamine in your brain. We know that pornography in sex, calms you down, okay? It reduces your stress levels. So now we have a catastrophic event. We'll get to the 11 scale in a second. So this is sort of the shared part of pornography addiction, okay? We have a brain that is resistant to lowering stress. We have a brain that is dopamine sensitive. We have a brain
Starting point is 00:15:54 that does not know how to regulate its own emotions. And along comes pornography and solves all these problems for a nine-year-old. It is my belief that it's not even about arousal or master's or orgasm, it's about these elements. So the effect on the brain still seems to happen. Then we get to sort of the female aspect of it, which is that a lot of women who eventually become addicted to pornography will start with erotica. So they'll start with things like fan fiction. And this is where I discovered something called the Lemon Scale, which is like a citrus scale, depending on how smutty a particular level of fan fiction is. But this is really important understand as well, which is like, a man, I'm saying that all the time. But I feel like all this is a really important understanding.
Starting point is 00:16:35 okay. For me, maybe, it was revolutionary to crack this thing and understand my, my female patients so much better. So remember, the key thing here is that with women as opposed to men, right? Our rate of BPD is like ridiculous. 42.9% of people with sex addiction or pornography addiction have BPD. 57% have trauma. So what is it that gets traumatized? What gets traumatized is our fundamental script of how we interact with intimate partners. And what we feel, find in erotica, what we find in fan fiction, what we find on the lemon scale is appropriate, romantic and intimate interactions, sexual interactions, right? We see a script of something that is, I don't know if it's like appropriate or not appropriate, but what it is is it feels like it's
Starting point is 00:17:23 absolutely romanticized. So it is portrayed in a way that is good. I don't even know if it's healthy, right? So I don't know if like 50 shades of gray is healthy, but it's portrayed in like a positive light. So it's like, okay, this is what it's supposed to look like. This is what it's supposed to feel like. This is like, this is what intimacy. This is the fantasy of intimacy. So many people who are addicted to pornography will gravitate towards this and we'll come back to this a little bit later as well.
Starting point is 00:17:49 Okay. So the key thing here is that we have all of these predispositions. We're wired in a way that makes us vulnerable to addiction plus an exposure of some sort of sexual material triggers something in the brain and then. creates this kind of like addictive picture. That's how it forms. Now, what are the features of it? Okay. Sex addiction or pornography addiction is some part OCD, some part impulsivity, some part addictive behavior. Okay. Now, what do I mean by this? So OCD is characterized by intrusive thoughts. Okay. So we can't control what pops into our head. It is also characterized by
Starting point is 00:18:29 compulsions. So what is a compulsion necessarily, you know, turning the light on a off. That's not what that is. So a compulsion is an action, whatever it is. It can actually be a mental action. So you can think something, you can pray something. It's some kind of response that lowers the anxiety created by the intrusive thoughts. So this cycle is something pops into my head and it makes me feel bad. Then I engage in some kind of behavior that makes the anxiety go down. This fundamental loop of thought pops into my head. my head, makes me feel bad, engage in behavior, make thought go away. That's actually on the OCD spectrum. Second thing that we see is impulsivity. So people are not able to control their
Starting point is 00:19:14 behavior. Once they have the thought to watch pornography, they literally like they can't control it. It's like some switch flips in their brain. And before they even realize that oftentimes it's on autopilot, it's open on the second screen. This is where we see implications for dopamine. we also see implications for ADHD. And then we have the standard addictive behaviors. What does that mean? Addictive behaviors is tolerance, right? So as we watch pornography, as we read erotica, it doesn't do the job right.
Starting point is 00:19:44 We start to develop a tolerance to it. We need more of it. Oftentimes we need more extreme versions of it, right? So this sort of basic idea of like dopaminergic, so this releases dopamine. and then addictions also. So addictions do two things. Okay. Addictions make us feel good, and they also make us feel less bad. It has to do for us to get addicted to anything, it has to involve both of these elements. So this is emotional regulation. Our understanding of pornography is it's sort of like, like if we were to draw a Venn diagram of OCD, ADHD, and addiction, like porn addiction is like
Starting point is 00:20:24 in here. And then, of course, this is all under the backdrop of trauma. So this is sort of like how this picture ends up evolving. These are the features of it. So then we end up with you in the present day. Okay. And this is where we're going to sort of touch on a couple of other features of pornography. This is how we got here. So at this point, you're addicted to porn. Probably have a history of some kind of trauma or neglect, okay, but not necessary, right? So let's remember it's about 50%. Impulsive. You have thoughts about it, have difficulty controlling it. You're kind of on autopilot. So now we have to talk about a couple of other elements to this. The first is when we have relationships that don't go well early in our life. We engage in something called reenactments.
Starting point is 00:21:06 Okay. This is also something called the repetition, compulsion. So I'll kind of give you an example. Okay. So this is something that like Freud talked about, many of the other psychoanalysts talked about. They basically noticed a really common pattern, which is that when something doesn't go right in life, we try to fix it over and over and over again. So classic example is someone with daddy issues or mommy issues, where daddy or mommy didn't love me enough growing up, and I'm going to spend my whole life trying to fix that wound. I want you all to think about this for a second, right? So as human beings, we are wired to fix problems. Like, if something is not working properly, like, I need to get it to work properly, right? So if my foot hurts, I figure out how to get my
Starting point is 00:21:50 foot to stop hurting or how to keep walking. This is a core survival element. Other thing about humans is we are social creatures. So our survival depends on our social interactions. So we are especially sensitive to fixing social failures. I got bullied a lot. I didn't want to get bullied. I wanted to become the bully, right? So we reenact this in other kinds of ways. Because there's one person who's powerful and there's one person who's powerless. I'm going to play that script again. But in this, in this version, I'm going to be the person who's powerful. Okay. This is why people who are abused become bullies. Key thing here is that something in our brain, and we can do whole, not even lectures, we can do whole courses on reenactment in the repetition and compulsion. We try to fix it later.
Starting point is 00:22:36 So if mommy or daddy didn't love me enough, I will find mentor figures and try to get them to love me, try to win their affection, try to win their approval. I will find romantic partners, try to win their approval. Okay, this is just sort of like a fact of human psychology and how it works. One of the key ways that we try to fix these wounds from the past is in our romantic relationships. So if I can get it like, and this is just kind of, I know it's kind of weird and messed up, but this is just sort of how it works. So if I wasn't loved sufficiently by my parent, if I am loved sufficiently by somebody else, it could be a coach, right, who's really there for me, showed up at my graduation, walked me down the aisle, could be a grandparent, could even be a spouse.
Starting point is 00:23:21 We call these in psychiatry corrective emotional experiences. We have to get that love somehow. One of the key places that we look for it is in our romantic partners. Because remember, our script of intimacy that starts with parents ends up with romantic partners. So then we end up in the modern world. And we are trying to correct the fun. We're trying to get that fundamental sense of love. We look for it in a romantic partner.
Starting point is 00:23:48 Now, this is where I think also a lot of that erotica comes in and the lemon scale comes in, because a lot of the people who are addicted to pornography will also engage in other forms of, like, erotic media, for lack of a better term. Right. So these are the relationship. These are the fantasy corrections of our traumatic wounds. And I don't know if this explains why, like, you know, erotica is so popular amongst women or what. I'm not really sure about that. So another important part of the erotica is the emotional safety.
Starting point is 00:24:21 Okay. So we're drawn to the emotional safety of erotica. Now, you may say, but Dr. Kay, if you look at those situations, they're not safe. They're like abusive at the beginning, right? So if you look at 50 shades of gray, like, that's not safe. But what ends up happening? Oh, my God. So this is an unsafe situation with a woman who gets taken advantage of and putting this
Starting point is 00:24:44 compromise situation. And then it all ends well. Oh, shit. It ends up taming the beast. They end up falling in love and getting married and like all this guy. I don't know if they actually do that. I haven't read this stuff. I really should. Okay. If you guys have recommendations, leave them in chat for me to get started. It's like, oh, wow. Like that's the perfect fantasy. Oh, it's so interesting that this situation was toxic at the beginning, abusive at the beginning. And that ended up totally fine. It ended up with a deep, emotional, intimate connection. She understands him in a way that no one else can. and he's been tamed by her and oh my oh my god that's almost like it's the fantasy that you wanted when you were a kid when your parents wouldn't love you it's like oh my god that maps on like so well okay
Starting point is 00:25:24 but we are seeing an astronomic rise in pornography addiction children have been neglected or abused by their parents for thousands of years right so what is it that's different now because some studies show like older studies on female pornography addiction shows something like a 0.7 percent prevalence which means, you know, one out of 100, not even one out of 100. And so how is this gone from 0.7% to 7%. And this is because we live in an unsafe world. So we live in a world where you get dickpicks. We live in a world where you get sexually harassed. We live in a world where you get sexually assaulted. Okay, this is crazy. This is the world that we live in. And what I've seen in many of my patients who have some kind of sex addiction or sex workers, things like that, is like,
Starting point is 00:26:09 they will try to engage in relationships. They will try to engage in sexual relationships, romantic relationships. But when you go on a date, when you encounter someone, what happens in your brain? First of all, what happens to your emotions? Do they become more regulated or more dysregulated? Is there an increase or decrease in anxiety when you were going on a date texting with someone, right? So we see an increase in anxiety. What happens to your dopaminergic circuitry, right?
Starting point is 00:26:37 Is this necessarily fun? for some people it is, for people who are promiscuous and have borderline personality disorder, they can absolutely get a dopamine spike from dating, right? That's why they do it. But for many people, dating is like terrible. It's like anxious, there is no dopamine. It's not fun, right? So the dopamine level is low. And it creates a stressful situation. So what is our stress responsiveness? And this is another thing to point out. Stress responsiveness means our body's capacity to respond to stress and regulate stress. Okay, so when cortisol levels are high, they hit certain receptors and then our brain is, our body is our tissue is basically like, okay, cortisol levels are high. Let's calm down
Starting point is 00:27:15 because we try to maintain something called homeostasis, right? So we keep our temperature at 98.6. We try to keep our oxygen saturation at 99%. So we'll increase our respiratory rate if our oxygen saturation is low. We'll decrease our respiratory rate if our oxygen saturation, it's CO2, but anyway, we try to keep things at a middle level. So when our stress, is really poor, and we enter into a situation that increases our stress, we cannot calm ourselves down. You make the mistake of going on a date. Now, compare this to pornography, right? And let's remember there's also the OCD elements of safety and intrusive thoughts, right? Is this person going to attack me, especially if I have a history of like abuse by intimate partners. Remember, like, I'm attracted
Starting point is 00:27:59 to this person. I want love. I want a relationship. But it's really confused. I'm a ship. see without rudder. But this person could be dangerous. They could hurt me. And this is sort of like what we think about is trauma, right? So all of this stuff is going on. And then we have pornography. We have erotica. And what is the response to our emotions? Anxiety goes down. Dopamine goes up. Stress goes down. Right. So now I sort of end up getting stuck. I wind up addicted to pornography, right? And the reason is because when I try to fix these things, my body does not respond in the right way. My mind does not respond in the right way. Even though what I need is a corrective emotional experience, the path to that corrective emotional experience is fraught with struggles, is fraught with danger.
Starting point is 00:28:45 And so sometimes even I'll have patients who like try to force themselves, right? I need to enter a relationship. So then they end up ignoring the red flags. And then they end up in abusive relationships. They end up in neglectful relationships. They end up in relationships with people with avoid an attachment who don't text them back. And that re-traumatizes them. So instead, you return to safety.
Starting point is 00:29:06 You return to emotional regulation. You return to that sexual outlet, the sexual parts of your brain, your desire for sex, being way safer with porn than it is with people. Thanks for joining us today. We're here to help you understand your mind and live a better life. If you enjoy the conversation, be sure to subscribe. Until next time, take care of yourselves and each other.

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