Psychotherapy

The Harvey Institute provides assessment, individual and group therapy for men of all sexual orientations concerned about their consensual out of control sexual behavior (OCSB). The Harvey Institute sexual health psychotherapy process collaborates with men to contemplate their conflicts with their sexual behavior and to develop and maintain their personal vision for sexual health.

“How do I know if my sexual behavior is out of control?”
For many men this question is very subjective and they unfortunately wait for a spouse, loved one or their employer to discover their hidden sexual life before considering help. We believe the most important person to evaluate his personal conflict with regulating sexual behavior is the man experiencing the dilemma. We help men contemplate “What is your conflict with your sexual behavior?” and “What is your vision for your sexual health?” Since 1993, we have provided a safe, sexually informed and confidential space for sexual health conversations.

Therapy Services Offered

We provide assessment, individual and group therapy for men of all sexual orientations concerned about their consensual out of control sexual behavior. We refer men involved in non-consensual sexual behavior to local specialists for assessment before they experience the devastating consequences of arrest and prosecution.

Doug Braun-Harvey is a sexual health psychotherapist, treating what is commonly called “sexual addiction” as a problem of men being of “two-minds.” They have competing motivations to both stop and continue their hidden sexual life. We provide a sexual health space to suspend judgment and create hope for change.

OCSB Assessment

Clarifies each client’s individual sexual behavior concerns in a safe, non-judgmental environment with an expert in OCSB (Out of Control Sexual Behavior) treatment. The assessment process is a collaborative process leading to a recommendation of whether specific treatment for OCSB is recommended and creating treatment goals and a sexual health plan that form the foundation of recovery.

Group Therapy

Weekly professionally facilitated outpatient group psychotherapy is an essential aspect of treatment and healing for men with OCSB. A central skill for sexual health and OCSB recovery is to regain control of sexual behavior, strengthen relationships and confidently learn and maintain a personal vision of sexual health.

Individual Therapy

Outpatient psychotherapy OCSB is a comprehensive therapeutic approach to sexual behavior concerns and movement towards increasing levels of sexual and mental health.

 Common Questions

What is out of control Sexual Behavior (OCSB)?

Out-of-control sexual behavior is a non-diagnostic term to describe men and women who experience significant problems with regulating their sexual behavior, thoughts, urges and negative consequences.  Despite significant amounts of distress, agony, shame, worry, fear, embarrassment and losses sexual behavior and urges continue to be difficult to regulate and manage.  Feelings of hopelessness, helplessness, despondency and futility increasingly overwhelm hope, choice, self-care and responsibility.

Who does The Harvey Institute treat for OCSB?

Mr. Braun-Harvey treats adult men with symptoms of OCSB in San Diego, California.  He has been providing assessment, individual and group treatment for men with OCSB since 1993.

How does a man know when his sexual behavior may be out of control?

This question can be very subjective.  That is the problem with trying to answer this question alone.  Society, government, religion, culture, family, personal ethics, media, medicine and couples relationships are just a few of the institutions that influence the answer to this question.  The first step in contemplating this question is to discuss your personal concerns with an informed sexual health expert.  Doug Braun-Harvey believes the most important person to discover his conflict with regulating sexual behavior is the conflict within the man experiencing the dilemma. “What is your conflict with your behavior?” “Is there some significant conflicts or patterns in your sexual life that you are having significant worries and problems with controlling?”  “Is your sexual life consistent with the sexual health goals and vision you have for yourself and your relationships?”

What if I want to talk with someone about my sexual behavior?

Doug Braun-Harvey meets with men for one 50-minute appointment in his confidential psychotherapy office to discuss men’s sexual behavior concerns. Many men have rarely or never discussed their sexual behavior concerns with an informed sexual health expert in OCSB. There is no commitment for any further appointments to schedule this meeting.

What kind of out-of-control sexual behaviors do you treat?

Mr. Braun-Harvey treats adult men of all sexual orientations over the age of 18. He does not treat adolescents, children or women. He treats only men who are engaging in consensual sexual behavior. Men engaged in the following
behaviors will be referred to a specialist who works with non-consensual behavior: forced sex with an adult, engaged in sex with children or adolescents, expose themselves for sexual arousal without consent, look at people engaged in sexual activity or who are nude for sexual arousal without their permission, touch others for sexual arousal without consent, or look at sexual images of children or adolescents for sexual stimulation.

Most other sexual behaviors, either solo, partnered or with multiple partners that may be out-of-control is considered for possible treatment.

What are the symptoms for out-of-control sexual behavior (OCSB)?

Sometimes essential value differences between partners, within marriages, domestic partners or couples, with one’s faith or religion or with oneself can be prematurely labeled OCSB.

Sometimes an extreme or unusual sexual turn-on, arousal or sexual interest that is well within usual adult male sexual behavior can be prematurely labeled OCSB.

To avoid premature evaluation a thorough clinical evaluation and assessment is essential for all men with OCSB symptoms.

For many men OCSB symptoms are in direct conflict with their sexual health and functioning.

  • Relentless and intrusive sexual thoughts,
  • Distressing images of sexual fantasies or urges,
  • Repetitive embarrassing or humiliating consequences from sexual behavior,
  • Harboring significant secret or double life from spouse, family or employer,
  • Preoccupied thoughts of sex or planning next sexual activity,
  • Continuing the sexual behavior despite recurrent negative consequences,
  • Risk of sexually transmitted infections, unwanted pregnancy or HIV infection.
  • Negative consequences include legal problems, loss of job, loss of relationship, custody of children, one’s self-respect.
How do men with OCSB attain sexual health?
  1. Helping men with a sexual values conflict understand and determine a course of action to address and resolve the conflict is a common approach. When a man’s sexual health conflict is successfully faced and resolved, his symptoms of OCSB will often resolve as well.
  2. Helping men understand their individual causes for OCSB. We see sexual health as the goal for treatment. Inviting men to envision sexual health and develop a sexual health plan that defines their own boundaries and aspirations for improving and maintaining their sexual health.
  3. OCSB symptoms are an indication of men needing to realign their concept of sexual health and to change thoughts, values, attitudes, behaviors and beliefs to respect, protect and fulfill their vision of sexual health. Using that as a premise to begin treatment is helpful in achieving long-term sexual health.
  4. Men in OCSB recovery improve their ability to manage and regulate sexual behavior and urges while enjoying the pleasure and positive aspects of sex.  Men in recovery come to rely on a wide variety of resources for regulating, experiencing and processing feelings, emotions and relationships and move away from retreating into sexual fantasy, activity and orgasm as their primary source for experiencing their emotions.  Men in recovery address untreated or inadequately treated depression, anxiety, addictions, eating disorders, personality patterns and trauma history.  Some may have an unconventional or unusual sexual turn-on that they come to accept and integrate within their sexual life with themselves or their partners. Recovering men increase their enjoyment and effectiveness in relationship with partners, friends, family, co-workers and their spiritual principles.
What are the treatment options?
  • Individual therapy
  • Group therapy for heterosexual men
  • Group therapy for gay men
  • Treatment coordination with other treatment providers
  • Couples consultation for treatment recommendations and summary
  • Referral to couples therapy
  • Referral to other specialists
How do I contact The Harvey Institute?

If you’ve been dealing with unwanted sexual behavior but have not known where to seek help, we can offer you safe, effective outpatient treatment in a confidential and professional environment.

Please call 619.528.8360 or go to the contact page.

To ensure complete confidentiality, a voice mail message by phone is the preferred first contact for patient inquiring about psychotherapy. First contact messages by email or text message for potential therapy patients will be directed to call the confidential voice mail and leave a message. This ensures the privacy and confidentiality of your inquiry. Doug Braun-Harvey is the only person who will hear a voice message.