ISTI: Therapist Training with SAR March 2018 – DC


Experience the essential SAR with expert lecturers and in-depth discussions. This 3 day training includes Harm Reduction for Addictions, Treating OCSB, and work using Imago couples therapy with couples and sexual behavior.


Integrative Sex Therapy Institute (ISTI) presents:

SAR, Harm Reduction for Addictions and Treating OCSB

March 15-17, 2018

Held at : The Chicago School of Psychology – Washington, DC

–Discounts for Early Registration End – Feb 10, 2018–


Thursday March 15, 2018: Sexual Attitude Reassessment (S.A.R.)

Friday March 16, 2018: Out of Control Sexual Behavior / Imago and Couples and Sexual Behavior

Saturday March 17, 2018: Harm Reduction Model for Addiction

Tuition : $300 for 10 CE SAR; $250 for 1 day; $475 for 2 days; $775 for SAR + 2 day event

You may register now for any combination of days. Student discounts available, email

7 CEUs per class day / 24 CEUs total

    • Who should attend: This program is designed for licensed psychotherapists, sex therapists who want more training, or for students who want to learn more about sexuality and relationship counseling.

Mar 15 (Thurs) SAR (Sexual Attitude Reassesment) 10 CEs Sex for Therapists: Erotic Desensitization and Revision, Realities of Our Current Sexual World with Dr. Tammy Nelson and Special Guest Lecturers

    • Meets Requirements for:
      • AASECT Core Knowledge Areas: Sex Ed A, B, D, F, I, No, O; Sex Therapy A, D, E, F
      • Integrative Sex Therapy Institute CSCT knowledge area: I, S, C

Mar 16 (Fri) 9am – 1pm – Rethinking Sex Addiction–A Sexual Health Approach to Psychotherapy with Michael Vigorito, LMFT

    • Out of control sexual behavior (OCSB), frequently labeled “sex addiction” or “sexual compulsivity,” has been a controversial topic for over 30 years. In the absence of an accepted diagnosis, the author co-designed an integrative and evidence-based protocol to guide treatment with men concerned about sexual problems. As opposed to a clinical disorder, the presenter defines OCSB as a sexual health problem in which an individual’s consensual sexual urges, thoughts or behaviors feel out of control. This workshop reviews factors that contribute to OCSB, components of the assessment protocol,and the six sexual health principles that guide mental health and substance use disorder treatment.
    • Course goals:
      • Apply sexual health principles to the assessment and treatment of sexual behavior problems and out of control sexual behavior (OCSB)
      • Apply a non-pathological conceptualization of OCSB to treatment planning.
      • Learn a three-stage assessment protocol for effective OCSB treatment planning.
      • Techniques to use with clients
      • Compulsive Online Sexual Behaviors including Porn Use
    • Meets Requirements for AASECT Core Knowledge Areas: Sex Ed J, K; Sex Therapy A, B, C
    • Integrative Sex Therapy Institute CSCT knowledge area: S, I, C

Mar 16 (Fri) 2 pm – 5 pm – Using Imago Relationship Therapy with Couples and Sexual Behavior with Gail Guttman, LCSW

    • Having a clear understanding of the theoretical framework of couples therapy is an essential component in becoming a sex therapist. The theory and practice of Imago therapy provides a usable model. We will explore in depth the theoretical foundations of Imago therapy. The Imago dialogue also provides a tool for working with couples and yet can be a profoundly moving process in teaching couples to become truly present to each other. Such presence is no easy feat. Participants will have an opportunity to practice the model and observe a videotape of a therapy session using the Imago model in a sex therapy context.
            • Overview of the components of sex therapy
            • Overview of Imago Relationship Therapy and Theory
            • Overview of the Imago Dialogue and its Theory
            • Using Imago Therapy in Sex Therapy
            • Practice the Imago Dialogue
            • Videotape of the Imago Process and Sex
    • Meets Requirements for AASECT Core Knowledge Areas: Sex Ed B, C, E, H, O; Sex Therapy A, B, C, D, G
    • Integrative Sex Therapy Institute CSCT knowledge area: I

Mar 17 (Sat) 9am – 5 pm – Harm Reduction Model for Addiction with Andrew Tatarsky and Wendy Miller

    • IHRP is an increasingly accepted alternative therapy for treating substance use and other risky behaviors. It has useful application for treating out of control sexual behavior as well as people struggling with sex and drug linked behavior. For some people, substance use and sex are deeply connected and sexual issues are at the core of their drug use. To help these individuals, the therapist needs to be able to address both the sexual Issues as well as the problematic substance use. IHRP provides a framework for doing this and also has application for working with out of control sexual behavior.
    • Participants will:
      • Discuss IHRP’s seven therapeutic tasks: managing the therapeutic alliance through the creative use of countertransference, relationship as healing agent, enhancing self-regulation, assessment as treatment, embracing ambivalence, harm reduction goal setting and personalized planning for positive change.
      • Demonstrate specific skills and strategies including engagement skills, urge-surfing, unwrapping the urge, embracing ambivalence, microanalysis and the ideal sexual health plan.
      • Examine sex/drug linked behavior.
      • Explore the “urge as the axis of change” and how to work creatively with urges.
      • Case material will be used to illustrate.
      • Participants are encouraged to bring their most challenging clinical moments to the class.
    • Meets Requirements for AASECT Core Knowledge Areas: Sex Ed ; Sex Therapy
    • Integrative Sex Therapy Institute CSCT knowledge area:


All lectures will be taught by top experts recognized in the field of human sexuality both nationally and worldwide. Other faculty may be announced at a later time.

Included in your tuition: eWorkbook for module, complied by Tammy Nelson, Ph.D. with additional reading material and resources. Also included, coffee, drinks and light refreshments in the mornings.

**This program meets the educational requirements of the American Association of Sexuality Educators, Counselors and Therapists (AASECT) and is approved for 24 CE credits. These CE credits may be applied toward AASECT certification and renewal of certification. Completion of this program does not ensure or guarantee AASECT certification. For further information please contact

To learn more about AASECT sex therapy certification requirements, go to *Completion of this program does not ensure or guarantee AASECT certification. For further information, please contact CEs are accepted and approved by NASW and APA in most states. Please contact your local certifying organization for detailed information.

** You will receive a refund less $50 deposit for your registration if you cancel within one week of the course. If you cancel with 24 hours notice for any reason, you will receive a refund less $100 deposit. If you cancel with less than 24 hours notice, you forfeit your tuition but may use your payment at any other time, for any other course.

About the Trainers:

i-bXvBL69-MDr Tammy Nelson is a sex and relationship expert, an international speaker, and author of several books including, “Getting the Sex You Want; Shed Your Inhibitions and Reach New Heights of Passion Together”  and her new book “The New Monogamy; Redefining Your Relationship After Infidelity.” She is a Board Certified Sexologist, an AASECT Certified Sex Therapist, and a Certified Imago Relationship therapist.  She has been a featured expert in Glamour Magazine, Cosmopolitan, Redbook, MSNBC, Healthy Life Magazine, Shape, Men’s Health, Men’s Health UK, Woman’s Day, Women’s Health, Twist Magazine, New York Times, Washington Post and a source in Time Magazine. She writes for the Huffington Post and  YourTango and gives workshops and Intensives for couples and trains therapists around the world on issues relating to sex and relationships.   She can be found at

Gail Guttman headshot



Gail Guttman, LCSW, has worked more than 30 years as a couples and sex therapist. She is a Certified Imago Consultant and AASECT Certified Sex Therapy Supervisor. For the past twenty years, Gail has been conducting Imago therapy and sex therapy consultation groups and educational workshops for professionals. Washingtonian Magazine chose her in 2009 and 2013 as a “Top Therapist” in both specialties of marriage therapy and sex therapy. She can be found at




Michael Vigorito, LMFT works with clients concerned about their sexual health including consensual sexual behavior problems, sexual disorders, unconventional erotic interests and sex-drug linked behaviors. Mr. Vigorito has specialized psychotherapy training treating co-occurring disorders (e.g. mental illness and chemical dependency), domestic violence, mindfulness and clients living with HIV/AIDS. Additionally, he completed post-licensure group psychotherapy and sexual health training at the Sexual Dependency Institute of San Diego. He co-designed a sexual health assessment and treatment protocol with Douglas Braun-Harvey, which was published in Treating Out of Control Sexual Behavior – Rethinking Sex Addiction (in press). As the No Wrong Door Consultant for Behavioral Health System Baltimore, Mr. Vigorito also offers local and national workshops for mental health providers and consumers on various sexual health topics, including out of control sexual behavior assessment and treatment, psychotherapy with lesbian, gay and bisexual clients and integrating sexual health into psychotherapy.

Andrew Tatarsky has developed Integrative Harm Reduction Psychotherapy (IHRP) for treating the spectrum of risky and addictive behavior. IHRP brings psychoanalysis, CBT and mindfulness together in a harm reduction frame. The therapy has been described in his book, Harm Reduction Psychotherapy: A New Treatment for Drug and Alcohol Problems, and a series of papers. The book has been translated into Polish and Spanish. He holds a doctorate in clinical psychology from the City University of New York and is a graduate of New York University’s Postdoctoral Program in Psychoanalysis and Psychotherapy. He is Founder and Director of the Center for Optimal Living in NYC, a treatment and training center; founding member and Past-President, Division on Addiction of New York State Psychological Association, and Member of the Medical and Clinical Advisory Boards of the New York State Office of Alcoholism and Substance Abuse Services. Dr. Tatarsky trains nationally and internationally.

Dr. Wendy Miller is a clinical psychologist with 35 years of experience treating individuals and couples. She received her PhD from George
Washington University and is a graduate of the NYU Postdoctoral Program in Psychoanalytic Psychotherapy and Psychoanalysis. She has trained extensively in Emotionally Focused Couples therapy and is an AASECT Certified Sex Therapist. She is a a board member, faculty and supervisor at The Women’s Therapy Centre Institute a training and treatment center and is on the Executive Committee of The Center for Optimal Living. Her interests are in the intersection of psychoanalytic thinking, sex therapy, couples therapy and Integrative Harm Reduction Psychotherapy. Her passion is helping people navigate the complicated task of being a couple and the even more complicated task of being a sexually happy couple.

** You will receive a refund less $50 deposit for your registration if you cancel within one week of the course. If you cancel with 24 hours notice for any reason, you will receive a refund less $100 deposit. If you cancel with less than 24 hours notice, you forfeit your tuition but may use your payment at any other time, for any other course.

Additional information

Days to Attend:

3-day Series, Fri, Sat, Fri/Sat, SAR