Treatment for Sexually Addictive Behaviors

Some people use sex to medicate their feelings and/or cope with stress much in the same way as others would use alcohol or drugs. Lack of sexual self-control can manifest in the form of excessive use of porn sites, phone sex, sexting, sexual related chat, and strip bars; it can lead to multiple infidelities, risky sexual behavior, bankruptcy, harm to those in your life, self-harm, or the loss of a job due to out of control behaviors. Rooted in factors such as shame and low self-esteem, there is little satisfaction gained from the sexual activities and rarely an interest in intimacy or emotional connection. Treatment allows individuals to address the lack of sexual self-control where their behavior is interfering with their relationship, job, and reputation. Treatment involves teaching relapse prevention methods, increasing motivation to change, addressing underlying issues such as cognitive distortions (the need for immediate gratification, deviant sexual fantasizing) and developing healthy emotional and sexual intimacy. If you or a loved one is struggling with a sexual addiction and would be interested in more information regarding a consultation or treatment. Click here for referral instructions.
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Pornography Time Statistics

• Every second - $3,075.64 is being spent on pornography
• Every second - 28,258 Internet users are viewing pornography
• Every second - 372 Internet users are typing adult search terms into search engines
• Every 39 minutes: a new pornographic video is being created in the United States

Children Internet Pornography Statistics

Adult Internet Pornography Statistics

Women and Pornography

• 40 million adults in the United States regularly visit pornography sites. Of those 40 million only 10% (four million adults) admitted to having a sexual addiction to pornography. Of the four million adults who admitted to having a sexual addiction problem, 680,000 are women. 17% of the 680,000 women say they struggle with pornography addiction. This is the same number of women who are addicted to alcohol or drugs.
• Porn revenue is larger than all combined revenues of all football, baseball, and basketball franchises. Every 39 seconds a new pornographic video is being made. There are 1.5 billion pornographic Internet downloads a month. Between the years 2005 and 2006 the pornography business increased by an almost a billion dollars.
• The United states has 244,661,900 pornographic web pages which makes up 89% of pornographic web pages in the world. Germany is second with 10,030, 200.
• $3.63 billion dollars was spent in the US in 2006 on adult video sales and rentals.

Click here for referral instructions.
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Court Mandated Evaluation and Treatment Services for Adults and Adolescents

Individuals that have been charged or convicted of a sexually related offense are often encouraged or required to comply with a psychosexual risk assessment and/or sex offense specific treatment. The evaluation and psychosexual risk assessment process is based on extensive research and a best practices standard protocol designed to assess the individuals static risk factors, dynamic risk factors, sexually deviant thoughts/behaviors, deviant sexual interests, and deviant sexual arousal. Treatment is provided in an individual or group format as clinically indicated. The goal of treatment is to ensure public safety, reduce the risk factors associated with recidivism, educate the client regarding the pathways of committing a sexual offense, enhancing the individual’s motivation and commitment to change, challenging cognitive distortions, encouraging accountability, developing and enhancing empathy, addressing underlying factors that may contribute to offending such as mental health issues and unresolved trauma. Interested in more information regarding a consultation or treatment? Click here for referral instructions.
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The Domestic Violence alternatives Program (DVAP)

The Domestic Violence Alternatives Program (DVAP) is a Virginia Certified Batterer Intervention Program. DVAP is a specialized program that provides treatment ot individuals that utilize emotional or physical violence in their relationships. Visit BlueRidgeCounseling.com for more information. If you are interested in more information regarding a consultation or treatment click here for referral instructions.
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Substance Abuse Treatment Program (SATP)

Certified Substance Abuse Counselor on staff to provide substance abuse assessment and treatment. Individual and group treatment programs are available. For information regarding a consultation or treatment click here for referral instructions.
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Mental Health Evaluation and Treatment

Our caring professionals are available to assess and treat a wide range of mental health diagnosis. Our treatment professionals specialize in the treatment of mood disorders (depression and Bipolar Disorder), Anxiety Disorders, Panic Disorder, PTSD, and adolescent behavioral issues. For information regarding a consultation or treatment click here for referral instructions.
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Treatment Program for Adolescents

For information regarding a consultation or treatment click here for referral instructions.
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Polygraph - Risk Management of Virginia

Polygraph Examiner – Jeffrey A. McCorkindale

Occupation: Engaged in the field of Detection of Deception to determine the truthfulness of individuals involved in Criminal, Civil, and Domestic matters.

Training: Involved in insurance and commercial investigation from 1960 to 1989, specializing in theft, fraud and embezzlement cases as a professional investigator. Educated at Roanoke College Institute of Applied Sciences, and Backster School of Lie Detection in New York, NY, in licensed since 1973 in the Commonwealth of Virginia through the Department of Professional and Occupational Regulation. Served as auxiliary officer with the Roanoke City Police Department for 21 years, retiring in 1985 with the rank of lieutenant. Attended and completed numerous polygraph seminars in professional education through the American Polygraph Association and the Virginia Polygraph Association. Also completed the certification requirements for Forensic Polygraph Examiner at the Argenbright International Institute of Polygraph, Atlanta, GA for the Polygraph Monitoring of Sex Offenders. Also was involved as an instructor for Mr. William Franklin in the Virginia School of Polygraph in teaching in the course required by the Commonwealth of Virginia for Examiners involved in the monitoring of sex offenders in Virginia. In 2008 was one of the authors of the book "Sex-Offender Therapy," published by The Hawthorn Press, Taylor & Francis Groups.

Testimony Given as a Polygraph Examiner: In Courts of Record in City of Roanoke, City of Lynchburg, Roanoke County and Bedford County.

Representative Clients: Woods, Rogers and Hazlegrove, Attorneys; Bird, Kinder and Huffman, Attorneys; Harry F. Bosen, Attorney; Deborah Caldwell-Bono, Attorney; Frith, Anderson & Peake, Attorneys; John E. Lichtenstein, Attorney; Public Defender's Office, Roanoke, Virginia; Department of Corrections, Probation & Parole, Commonwealth of Virginia (Districts 13, 14, 15, 16, 17, and 22); Community Corrections of Virginia, Inc. (Roanoke Area Sex Offender Program); North Roanoke Family Counselors; Shenandoah Valley Sex Offender's Treatment Program; Flora Counseling Services; Federal Probation & Parole, Western District.

Professional Membership: American Polygraph Association.
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Meet Our Staff of Caring Professionals

Roanoke Area Manager - Angela Hall

Angela Hall has been involved in the field for approximately fifteen years. She will provide information on services and assist you in scheduling an appointment for services. She also serves as the main point of contact for referral sources. She will provide timely information and assist with any questions that you may have.

To contact please email This email address is being protected from spambots. You need JavaScript enabled to view it. (specific to therapists)

To schedule an appointment email This email address is being protected from spambots. You need JavaScript enabled to view it.

Daniel E. Karnes, MSW, LCSW, CSOTP

• BS Radford College
• MSW Virginia Commonwealth University
• MPA Virginia Tech
• Graduate US Army Command and General Staff College
• Academy of Certified Social Workers
• Licensed Clinical Social Worker
• Certified Sex Offender Treatment Provider
• 27 years with the Department of Veterans Affairs, last 10 years as Manager of the Roanoke Veterans Outreach Center
• Vice Chair of the Salem Research Institute
• Vice Chairman Board of Commissioners Roanoke Redevelopment and Housing Authority
• Serve on the Board of Goodwill Industries of the Valleys
• Program Chair, Military Officers Association of America Southwest Virginia Chapter
• Trained Mediator
• Member Kiwanis Club of Roanoke
• Special Interests: Social Policy regarding the Mentally Ill, Intellectually Disabled and other marginalized populations.
• Reintegration of Combat Veterans into American Society

Keith E. Fender, Ph.D., MSW, LCSW, CSOTP

Dr. Fender is the President and Clinical Director of Radford Counseling and Blue Ridge Counseling. Dr. Fender received a BSW in 1993, an MSW in 1996 and a PhD in 2000. He is currently a Licensed Clinical Social Worker, a Certified Sex Offender Treatment Provider, Clinically Certified Domestic Violence Counselor, and a Diplomate of the Board of the National Association of Forensic Counselors. He is a clinical member of the Association for the Treatment of Sexual Abusers (ATSA).

He has qualified as an expert witness in the state of Virginia and North Carolina in forensic mental health cases involving violent offenders, sexual offenders, and issues regarding parental capacity. He has served as an expert witness on behalf of the Office of the Attorney General for Virginia, the Virginia Department of Corrections, and Federal Probation in the Western District of Virginia, as well as numerous private attorneys throughout the state of Virginia in Juvenile and Domestic Relations Court, Circuit Court, and Federal Court. He has served as a consultant and provided professional services for attorney's, clients, and individuals in Virginia, California, North Carolina, Maryland, Utah, Texas, Tennessee, Kentucky, Pennsylvania, and West Virginia.

Dr. Fender has consulted with law enforcement at the local, state, and federal levels on criminal investigations involving violent offenses, sexual offenses, and managing violent offenders and sexual offenders in the community post incarceration. He has provided law enforcement training in various capacities including the Sex Crimes School at the Cardinal Police Academy.

Dr. Fender opened Blue Ridge Counseling in 1996 and has treated a wide range of psychiatric disorders including mood disorders, anxiety disorders, psychotic disorders, cognitive disorders, personality disorders, and sexual disorders. He has operated batterer intervention programs in southwest Virginia since 1996 and the programs have been certified since 2000. He served as the Chair of the Virginia Batterer Intervention Certification Board for approximately ten years and is currently the Executive Secretary.

His other specialty areas include: forensic mental health, geriatric mental health, violence risk assessment, sex offender evaluations/treatment, and batterer intervention treatment programs. He has completed over 3000 domestic violence risk assessments since 1996. He is currently responsible for the operation of certified batterer intervention programs throughout Central and Southwest Virginia.

He has served his local community as a member of numerous domestic violence fatality review teams as well as domestic violence task forces throughout southwest Virginia. He has served at the state level on various boards to advance victim safety as well as appropriate treatment responses for domestic violence offenders including work with the Office of the Executive Secretary of the Supreme Court of Virginia and frequent speaking engagements such as the Annual Judicial Conference in Virginia. He has served at the national level as a speaker and consultant to other states in their efforts to develop and implement treatment programs.

Dr. Fender taught at both the undergraduate and graduate levels at Radford University from 1998-2008 and he continues to serve as a guest lecturer in Criminal Justice and Social Work. He is currently assisting in several research initiatives aimed at improving intervention for violent offenders and sexual offenders. He has served on the Ferrum College Social Work Board for approximately ten years.

Dr. Fender started The Radford Counseling Group in 2000 as a specialty forensic mental health practice. The practice has locations in Radford, Virginia and Roanoke, Virginia, and serves central and southwest Virginia via satellite office locations throughout the commonwealth by way of public/private partnerships. Radford Counseling is currently contracted with the Virginia Department of Corrections, the Virginia Department of Juvenile Justice, and Federal Probation and Parole Districts throughout the state to provide substance abuse counseling services, psychosexual evaluations/risk assessments, individual sex offender treatment, and group sex offender treatment programs. He currently oversees the treatment of approximately 250 individuals in outpatient treatment.

Dr. Fender was awarded Best Bedside Manner by Our Health magazine.

Dr. Stephen Strunk

Dr. Stephen Strunk is a dedicated practitioner in the field of mental health counseling who divides his time between clinical practice, training, consulting, and life coaching. In his clinical practice, he delivers cognitive behavioral therapy (CBT) and other evidence-based treatments to adult and adolescent clients with a wide range of emotional, behavioral, and adjustment problems, such as anxiety, stress, depression, and relationship problems. In his consulting work, he has provided intensive supervision to clinicians as they acquired skills to deliver CBT in their own practice as well as seeking licensure under one of the Virginia Board of Health Professions. Dr. Strunk has worked both in the public and private sectors. He has studied under Dr. Albert Ellis, one of the founding fathers of CBT. He is a Board member of the Virginia Sex Offender Treatment Association and has seen dramatic success in his clients as he applies CBT as well as other evidenced based practices. He regularly provides workshops and seminars. Dr. Strunk finds it gratifying to introduce clients and therapists, alike, to CBT and in particular Rational Emotive Behavior Therapy (REBT). He also specializes in the treatment of juveniles and their families. He is eager to apply his experience and compassion with clients as they begin to address issues that will help them to improve their quality of their lives.

Chris Taylor

Chris Taylor received his undergraduate degree from Virginia Tech and his Masters in Social work from Radford University prior to becoming a Licensed Clinical Social Worker and a Certified Sex Offender Treatment Provider. He has served his community for over thirteen years in many different roles related to helping children and their families, both as a direct treatment provider and as a program developer. Chris has been employed with New River Valley Community Services for ten years where he currently serves as the Assistant Director for the Crisis and Family Unit. He has had direct involvement with the expansion of school based counseling services throughout the New River Valley as well as the development of Therapeutic Day Treatment within the local school systems and the Claremont Day Treatment Facility, located in Pulaski, VA. Chris has also served as a foster care social worker for Montgomery County Department of Social Services and has previously facilitated the Domestic Violence Alternatives Program groups for Blue Ridge Counseling. He currently facilitates groups for men convicted of sex crimes through Radford Counseling Group and continues to be involved with many community collaborative projects.

Curtis Sizemore

Curtis Sizemore is a Licensed Professional Counselor in the Commonwealth of Virginia. He is a Doctoral Candidate at Northcentral University. His education also includes: a Master Degree from Radford University, as well as a Bachelors Degree from Old Dominion University. Mr. Sizemore is a National Certified Counselor, a Clinically Certified Domestic Violence Counselor III, as well as a Certified Sex Offender Treatment Provider. He is also an adjunct faculty member for Ashford University teaching various courses in Psychology. Mr. Sizemore has extensive knowledge working with diverse populations on issues such as depression, anxiety, stress management, grief and loss, aging, substance abuse, as well as various mood disorders.

Dr. Martha Haley-Bowling

Martha Haley-Bowling is a graduate of Ferrum College (BSW), Virginia Commonwealth University (MSW), and Capella University (PhD). Dr. Haley-Bowling is licensed as an LCSW by the Virginia Board of Health Professionals and a member of the NASW. Her background includes working with chronic mentally ill individuals, substance abuse and addiction, grief and bereavement, and teaching in the social work program at Ferrum College. Dr. Haley-Bowling is currently in supervision to earn the Sex Offender Treatment Provider certification.

Testimonials

Dr. Fender has my highest recommendation as a trusted consultant, expert witness, and therapist in the most complicated domestic relations cases. My clients have benefited from his involvement in every case in which I have sought his assistance. His expertise in anger management, sexual abuse issues, and family dynamics have been invaluable to me in my domestic relations practice.

David G. Weaver
Weaver Law Firm, P.C. 114 Mountain Ave., S.W. Roanoke, VA 24016

I am more than happy to endorse your services and recommend you to other professionals. I referred to you a young man who was charged with a number of felony counts of child pornography. You met with him, tested him, and determined that my client was a good person who had gotten into trouble as he explored sexual material on the Internet. Your very extensive and thorough report gave comfort to the prosecutor as we reached an agreement for a misdemeanor, a little jail time, and no listing on the sex offender register.

In summary, you were instrumental in giving my client back his life. Thank you very much for your service.

James R. Tate
Tate Bywater Fuller Mickelsen & Tull, PLC
Attorneys at Law
2740 Chain Bridge Road
Vienna, Virginia 22181
Office: 703-938-5100
Cell: 443-968-0249
Email: This email address is being protected from spambots. You need JavaScript enabled to view it.
Tate Bywater PLC is a Martindale-Hubbell(r) AV Preeminent(r) Peer Review Rated* Firm

Dr. Fender has proved to be a great asset in my cases. He is very thorough in his analysis and breaks down the data in a way easy to understand and present to the court. I recommend his services highly and will be using him again

Terry G. Kilgore
Kilgore Law Office
Gate City VA

My firm hired Dr. Fender in a case a few years back that involved false child molestation allegations. Dr. Fender completely turned my case around. He took the courtroom, including the prosecutor, by surprise. Dr. Fender’s ethics and integrity were easy to see. His testimony showed his vast knowledge of the subject and his simple explanations of how it all worked and why the defendant was absolutely not guilty were crystal clear. Dr. Fender’s testimony convinced everyone. He left the courtroom with the utmost respect of all present. I highly recommend Dr. Fender and would use him again in a New York minute.

Thomas W. Lawson
Lawson & Beasley, Attorneys at Law

In today’s world, cases involving accusations of sexual assault or domestic violence are without a doubt the toughest. When a client is accused of serious sexual crimes or being physically abusive, the modern-day lawyer more than ever needs to understand the scientific testing available to better understand the client; the attorney can no longer simply trust their own instincts when protecting their client’s interests.

I have been so lucky to have used Dr. Keith Fender in a variety of legal scenarios. Here are a few examples:

• In a criminal matter that involved a father falsely accused of sexually assaulting his child, Dr. Fender was instrumental in testing my client, which showed my client was a low risk for deviant behavior. Dr. Fender eventually testified in a jury trial about the variety of tests he administered to my client which helped get an acquittal.
• In a Title IX hearing in which the client was facing expulsion from college, the client went through several psycho-sexual tests, including a polygraph (not admissible in most settings, but helpful nonetheless), that helped me understand the client better and further helped provide an outcome that was beneficial to all parties.
• In a custody case involving a protective order, Dr. Fender’s testing and counseling helped my client face his issues, ultimately resulting in him saving the relationship while becoming a better father.

Suffice it to say, allegations of sexual violence or domestic violence now demand that every attorney find a professional like Keith Fender to help better understand the needed legal strategy for the case. I can’t recommend Dr. Fender enough to my colleagues.

Richard W. Davis, Jr., Esq.
DAVIS, DAVIS, & DAVIS ATTORNEYS

I primarily refer criminal defense and domestic clients to Dr. Fender for Substance Abuse Assessments. When negotiating with prosecutors, favorable SAAs can be used to obtain a better plea deal if the offense involves drugs or alcohol. As elected officials, prosecutors are always concerned about accountability to their constituents. When the prosecutor has a copy of the favorable assessment in his file, he can use it to justify making a fair plea offer, one which may not otherwise be made.

If my custody and visitation clients are facing allegations of drug or alcohol abuse, a favorable SAA is an effective tool which I use to redirect the Court’s focus to other issues. To avoid hearsay objections I like to ask opposing counsel to stipulate admissibility. Typically the other side prefers to deal with a written report as opposed to Dr. Fender’s live expert testimony.

Dr. Fender enjoys a highly respected reputation with attorneys and judges in the 27th District. Although his favorable reports can be a great asset, obviously not all of his reports are favorable and are therefore not always used when I advocate for a better outcome. Over the years, my clients, colleagues and I have enjoyed working with Dr. Fender. He has my highest recommendation.

John Dalton

It is my extreme pleasure to write and enthusiastically endorse Dr. Keith Fender, PhD, LSCW as an expert in the field of psycho-sexual evaluations and as a provider of sexual offender treatments.

I have had the pleasure to work with Dr. Fender for many years in a variety of areas which includes willful possession of child pornography, allegations of chat room conversations between adults and minors, and sexual assault allegations.

Dr. Fender's evaluations are based on fact and science and consequently, he is respected by individuals on both sides of the courtroom demeanor only enhances has fact-based and scientific opinions. I would not hesitate to use his services whenever they are required.

Thank you for allowing me to submit this endorsement. Please feel free to contact me if you have any questions. With best regards, I am

Very truly yours,
Anthony Anderson