Mental Margins: Compulsive Sexual Behavior Disorder
Release Date: 06/14/2025
Mental Margins: Three A.M. in Mexico
Mental Health Rewritten
The call from the sheriff’s office. The Netflix notification from Baja. The 3 a.m. plea for a room. Each detail reads like a breadcrumb trail—fragile, almost surreal—marking the chaos of a loved one’s unraveling. What happens when systems meant to protect instead withhold? When family becomes both the lifeline and the witness to an impending collapse? This Mental Margin segment pulls us into that liminal space between presence and absence, where silence from a loved one becomes unbearable, and news delivered at the doorstep turns final. This preview sets the scene for our upcoming full...
info_outline
Mental Margins: Layers of Suicidality in the Hijacked Mind
Mental Health Rewritten
This Mental Margins bonus segment expands on Episode 105: Rewriting the Conversation Around Suicide. In the full episode, we heard Ashley-Lauren Elrod’s powerful story of surviving prolonged suicidal ideation. Here, Tina Aggarwal offers additional commentary that did not make it into the main release—breaking down the complex, overlapping forces that can drive someone toward a suicide attempt. Tina emphasizes a critical truth: suicidality is never the result of a single factor. Instead, it emerges from a combination of influences—mental illness, racial trauma, childhood sexual trauma,...
info_outline
Mental Margins: The Anchor in the Dark
Mental Health Rewritten
In this segement of Mental Margins, we share two perspectives on the hidden weight of high-functioning pain. First, trauma therapist Denise D. Moore shares a testimonial and reflects on dismantling the “strong Black woman” stereotype—reminding us that while not every story ends with a cure, every story can still carry meaning. Then, from Episode 105: Rewriting the Conversation Around Suicide, we check in with Nia—the friend who remembers every birthday, keeps the group chat alive, and always shows up for everyone else. From the outside, she’s the glue holding her circle...
info_outline
Mental Margins: Major Depressive Disorder
Mental Health Rewritten
In this week's Mental Margin, we step back from the noise and dig deep into Major Depressive Disorder (MDD)—not just as a diagnosis, but as a lived experience. With over 700,000 lives lost to suicide annually, understanding MDD isn't just clinical—it's critical. We explore how Major Depressive Disorder manifests beyond sadness: in executive dysfunction, in physical exhaustion, in a feeling of cognitive suffocation.
info_outline
Suicide: Rewriting the Conversation Around Suicide
Mental Health Rewritten
In this episode of Mental Health Rewritten, we tackle the subject of suicidal ideation with care, nuance, and urgency. Through a combination of real survivor stories, fictionalized scenes, clinical insight, and historical framing, host Dominic Lawson guides listeners through what it means to live on the edge of despair — and what it takes to survive it. We hear the stories of: Nia, a high-functioning professional whose emotional unraveling is invisible until it’s too late. Ashley-Lauren, a survivor navigating abuse, chronic illness, and a suicide attempt that ultimately catalyzed her...
info_outline
Mental Margins: The Cost of Silence
Mental Health Rewritten
In this segment from episode Starting The Conversation Around Sexual Anorexia, we begin with what looks like a familiar path—trauma responses—but quickly uncover a deeper, more insidious truth: how intimacy, when distorted by early harm, can turn into a war zone. Janet's story isn’t just about survival. It's about expectation, submission, and the silent cultural scripts many women are forced to internalize about marriage, sex, and safety.
info_outline
Mental Margins: Janet Bentley Discussing Intimacy and Shame
Mental Health Rewritten
In this deeply personal bonus segment from Episode 104 Starting The Conversation About Sexual Anorexia, we hear more from Janet Bentley, a woman navigating the silent emotional toll of sexual anorexia within her marriage. What begins as a quiet irritation toward her partner, Simon, unravels into a poignant reflection on internalized shame, intimacy avoidance, and the emotional impact on those who love us. She courageously details her struggle to name what she was experiencing, her relief in discovering Patrick Carnes' work on the sexual addiction spectrum, and the painful vulnerability of...
info_outline
Mental Margins: Female Sexual Interest/Arousal Disorder
Mental Health Rewritten
In this segment, Janet reflects on her lifelong struggle with intimacy and the emotional walls built from trauma, exploring the complex relationship between Female Sexual Interest/Arousal Disorder (FSIAD) and sexual anorexia—two conditions often conflated but profoundly distinct. Perfectionism as Protection: Janet shares how perfectionism, an unhealthy coping mechanism, became her shield from past trauma, providing control while distancing her from deeper emotional wounds. Terror of Intimacy: Janet vividly describes the escalating fear that intimacy evokes—initially sexual, but eventually...
info_outline
Sex: Starting the Conversation Around Sexual Anorexia
Mental Health Rewritten
Kyle sits awake at 2 AM, the glow of his laptop revealing a single word in the search bar: “avoidance.” He scrolls past harsh phrases like fear of intimacy and sexual withdrawal that feel like accusations. Then one term stops him—“sexual anorexia.” For the first time, he wonders: What if I’m not broken, but scared? And what if scared has a name? This episode of Mental Health Rewritten explores the little-discussed realm of sexual anorexia, a term for fear-driven intimacy avoidance often rooted in trauma. Though not officially listed in the DSM-5, sexual anorexia is a...
info_outline
Mental Margins: Internal Barriers & OnlyFans Reveal
Mental Health Rewritten
In this special reflection episode of Mental Health Rewritten, host Dominic Lawson celebrates 40 days of the podcast's journey with over 1,000 subscribers and nearly 13,000 downloads. Dominic shares heartfelt gratitude for listeners' impactful messages, highlighting how powerful storytelling can transform conversations about mental health. Listeners discover the deliberate use of the gentle chime within episodes—a signal indicating insights grounded in respected clinical texts, DSM-5 and ICD-11, ensuring a balance of accuracy, clarity, and empathy. Bonus Content Highlights: Dr. Justin Dodson...
info_outlineIn this excerpt from Episode 101: Rewriting the Conversation Around Sex Addiction, Havi Kang joins host Dominic Lawson to explore the evolving understanding of compulsive sexual behavior. The episode introduces CSBD (Compulsive Sexual Behavior Disorder) as recognized by the ICD-11, highlighting its absence from the DSM-5 and what that reveals about ongoing clinical hesitation. Havi breaks down the shift from the “classic sex addict” to today’s screen-based, often younger “contemporary sex addict,” shaped by easy access to sexual content and changing cultural norms.
The episode invites listeners into a deeper debate: Is sexual compulsivity an addiction, a trauma response, or something else? Havi’s insights offer both clarity and compassion, especially as the show challenges stigma and misinformation. To hear more from Havi Kang and dive into this nuanced, culturally critical conversation, be sure to check out the full episode of Mental Health Rewritten: Rewriting the Conversation Around Sex Addiction.