Kill the Craving – ERP

By: admin | Date: March 14, 2013 | Categories: reading

The technique that I used to help me overcome the craving is called Exposure and Response Prevention or ERP and is generally used for Obsessive Compulsive disorder and other psychological problems. It’s been around for a very long time, tons of people use it, and it is very effective. I’ve originally learned this technique from a book called “Kill the Craving” which uses ERP to help people with alcohol and drug addictions, and I slightly modified the approach to help me overcome porn addiction.

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3. Physiological Signs of a Strong Craving

It is important to know certain physiological changes that begin to take place in human body when they experience strong desire to watch porn and/or masturbate compressively. Such changes include:

  •     Rapid Pulse
  •     Increased blood pressure
  •     Dilated Eyeballs
  •     Shallow Breath

It is important to know these symptoms because this knowledge can provide us with information needed to help us on our way to recovery from porn addiction. Let me explain.

 

4. Killing the Craving

So let’s move right into action. The technique that I used to help me overcome the craving is called Exposure and Response Prevention or ERP and is generally used for Obsessive Compulsive disorder and other psychological problems. It’s been around for a very long time, tons of people use it, and it is very effective. I’ve originally learned this technique from a book called “Kill the Craving” which uses ERP to help people with alcohol and drug addictions, and I slightly modified the approach to help me overcome porn addiction.

The key idea of this technique is to systematicallyexpose yourself to situations that would usually cause you to feel a strong craving and practice responding to this craving in a healthy way.  This practice allows our subconscious mind to learn a healthy response mechanism by the time we are faced with a real craving.

Over time you will learn that cravings do not rule your life, and that there is a way for you to ride out a craving and return to your normal self without having to act out. And the high that you get from feeling proud of yourself will be much stronger than any high that you could possibly get from porn addiction.

ERP works in the following way. You first identify a trigger, and as soon as you feel the physiological response from your body, you measure your pulse rate, which you would likely find to be a bit higher than your normal pulse. After that you immediately shift into a controlled breathing exercise to calm your subconscious mind. Next you review your personal motivation statements, to remind yourself of all the positive things that you can bring into your life if you were not to act out. Then you measure your pulse again, and note the difference. Last but not least, you follow up with an act of self care. Let’s look at those steps a little more closely.

Step 1 – Identify or imagine the triggering situation.

While ERP is very effective with helping you overcome a real trigger, it will not be as helpful unless you have already practiced it continuously before facing the real danger. Therefore I recommend a commitment of at least 30 days with complete ERP practice being done the first thing in the morning and last thing at night.

A quick note on sources of trigger is due here. The book that I’ve mentioned earlier “Kill the Craving” recommended alcohol and drug addicts to look at photographs of their addictive substances in order to generate an addictive response. This approach, however, did not seem practical for porn addiction, because looking at addictive images was precisely what I was trying to avoid.

I solved this conflict by creating a strong mental image of myself in a triggering situation instead of looking at actual photography. For example I would imagine myself being alone with computer, or passing by a magazine stand at the store.

Our brain is not able to tell the difference between a vivid mental image and a real life situation, and will produce a similar physiological response. That way Exposure and Response Prevention techniques can be practiced in a safe environment, without having to expose yourself to the real danger.

If at any time during the day you begging to feel a strong craving and a desire to act out, follow up with an extra ERP exercise. Personally, at first I found myself doing 3-5 ERP exercises per day, but soon was able to get through most of my days with only 1 or 2 exercises.

Step 2 – Measure your pulse rate as soon as you observe your body begin to change.

It is easier to measure your pulse for 15 seconds and multiply it times four. Follow this link to download a quick reference chart that will help you to quickly convert your pulse rate and keep the record of your progress.

It is likely that measuring your pulse rate may feel like a burden at first, but after a few days of ERP practice you will get used to it and it will become very easy.

Also, after 5 to 10 days of regular ERP practice you may notice that your pulse rate will not change as much as it did at first from you merely imagining a triggering situation. Please do not use this as an excuse to go look for more triggering stuff. After all it is the sole purpose of ERP practice to train your body not to react addictively to triggers. Therefore, take the decrease pulse rate as a sign of progress, and continue your practice for at least 30 days to allow new habit to form. (It takes about 30 days of repeating a certain task for human beings to form a habit)

Step 3 – Perform Controlled Breathing Exercise.

After you record your pulse rate, follow up with a controlled breathing exercise. Simply, breathe in for 10 seconds, hold your breath for 10 seconds, and breathe out for 10 second. Repeat it 10 times.

I use my fingers that I keep resting on my knees to keep the count of my breaths, tapping each finger for one of ten counts. That way I can free up my mind from counting and concentrate on breathing.

Remember that our breathing is the only subconscious function that we can control through our conscious effort. Do not overlook this step.

Step 4 – Review Personal Motivational Statements.

Next you review your personal statements. You will have to do a little homework on this. Just sit down and write down all of the reasons why you want to get sober. Why do you want to stop watching porn? What positive changes would it bring into your life? What negative consequences will you be able to avoid?

Answers to these questions must be able to touch the bottom of your soul. When I read mine I can literally feel the Goosebumps! That is how badly you need to want to stop this addiction and get the good things in your life. If you are not going to feel the Goosebumps and if it is not going to touch your soul, it is just not going to be strong enough to make you choose life instead of porn when you will be faced with real temptation.

Some of the statements that I used were: My dreams of having a wife and a child will come true if I walk away. I will be stronger and more in control if I walk away. I will regain my self-respect and dignity if I walk away. My family will be proud of me if I walk away. I will be able to look into people’s eyes, and feel proud of myself if I walk away. You can download 30 sample stamens here.

I had each of my reasons written on 3 by 5 cards, which I would read out loud to myself during each ERP practice. Cards allowed me to be doing (i.e. moving the cards), reading and hearing the message at the same time. Human beings learn the best by combination of action, seeing and hearing. (We learn even better by teaching something that we already know to somebody else. So when you get a handle on ERP practice yourself, try to teach it to another addict).

Step 5 – Re-measure your pulse rate.

When you first begin your ERP practice, you might notice that your pulse rates remain the same between steps 2 and 5. Sometimes you may even find it going up a little. It is normal. Over time you will learn to decrease your pulse rate, and you will be able to bring yourself back to your normal state. Ideally you should be able to decrease your pulse rate from its highest point by about 4 to 8 bits per minute.

Additionally, as I mentioned earlier, overtime you will notice that your pulse rate in step 2 will not be getting as high as it did at first in reaction to the triggers. This will be a sign of your progress.

Step 6 – Follow up with an act of self care.

This is also a very important step. You have to do something good for yourself. Preferable you need to get out of the house.

For my first 30 days I would go out and jog after my morning practice. And if I felt the craving again during the day, I would do another ERP exercise and follow up with a different act of self care, like cooking a healthy meal, journaling, or taking a nap. After my evening practice my act of self care was simply to go to bed early. You can view a list of 67 healthy things to do for fun.

5. One Technique is Not Enough!

I want to share one short story with you that helped me to put everything together and stop watching porn for good. Exposure and Response Prevention technique is great, but I think it would not have gotten the job done if it was used alone. Anyway, here is the story:

One evening an old Cherokee told his grandson about a battle that goes on inside all people. He said, “My son, the battle is between two ‘wolves’ inside us all.

“One is Evil. It is anger, envy, jealousy, sorrow, regret, greed, arrogance, self-pity, guilt, resentment, inferiority, lies, false pride, superiority, and ego.”

“The other is Good. It is joy, peace, love, hope, serenity, humility, kindness, benevolence, empathy, generosity, truth, compassion and faith.”

The grandson thought about it for a minute and then asked his grandfather, “Which wolf wins?”

The old Cherokee simply replied, “The one you feed.”

So I thought what can I do to feed the right wolf? The answer was not as obvious as it might seem.

Over time I came to a conclusion that if I took a good care of myself, my good wolf will be stronger, and my bad wolf will be weaker. Therefore in addition to the daily practice of Exposure and Response Prevention, I committed to the following rules:

  • 8 hours of sleep a day
  • Eating Healthy (3 meals, and 2 snacks a day)
  • Drink plenty of water (at least 8 glasses a day)
  • Journaling about my triggers
  • Meditating
  • Morning and Evening Prayer
  • Avoiding Dangerous Situations (think acronym HALT)
    • Hungry
    • Angry
    • Lonely
    • Tired

6. Warning!

Soon after you’ll stop porn addiction, you will become able to get in touch with your true feelings. While this might sound like a good thing, you could find those true feelings to be unpleasant…

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