Sex Addiction Intensive Outpatient Program for Men in Texas
A structured intensive outpatient program designed and clinically directed by Ian Birdwell, LPC, CSAT — providing addiction clinical support for men returning home from treatment or needing more structure than weekly individual therapy can offer on its own.
Not a sex addiction track. A sex addiction program.
Most IOPs run a sex addiction track inside a larger mental health or substance use program. The groups are mixed, the curriculum is borrowed, and the clinical depth gets diluted. Iron Ridge runs no other tracks. Every clinical hour is built specifically for compulsive sexual behavior, with partner and family care fully integrated.
You will not be expected to share the most intimate details of how you blew up your marriage in a group where the man next to you is being treated for a Minecraft addiction. That is what happens in mixed-diagnosis IOPs that bolt a sex addiction track onto a broader program. The clinical conditions for honesty — group composition, shared stakes, shared vocabulary, shared shame — do not exist there. Iron Ridge built the program around what compulsive sexual behavior actually requires: a group of men dealing with the same thing, working with clinicians who specialize in it, in a setting designed for the level of honesty the work demands.
When the problem continues despite consequences.
The Iron Ridge IOP is built for men whose lives look intact on the outside but have quietly run out of road on the inside.
- High-functioning professional men — executives, founders, physicians, attorneys, operators
- Men returning home from inpatient or residential treatment who need a clinically serious next step
- Men whose weekly individual therapy has plateaued or never reached the underlying compulsion
- Men in post-discovery crisis whose marriages are in acute distress
- Men who have tried to stop on their own — sometimes for years — and cannot
“Structure is the part most men were never given. We provide it without apology.”
— Ian Birdwell, LPC, CSAT · Clinical Director
More support. More structure. More containment.
Compulsive sexual behavior thrives in privacy and erodes under structure. The Iron Ridge IOP creates a clinical container that weekly therapy simply cannot replicate — multiple touchpoints per week, group accountability, partner involvement, and a curriculum that moves clients through identifiable stages of recovery.
Treatment includes
- Twice-weekly process group with male peers
- Weekly individual therapy with a CSAT-trained clinician
- Psychoeducation curriculum on CSBD, attachment, and trauma
- Partner & family track (MPTM-informed) when applicable
- Structured accountability architecture and clinical containment
- Step-down and continuing-care planning
What we actually work on.
- Compulsive Sexual Behavior Disorder (CSBD) & pornography addiction
- Infidelity, serial affairs, and double-life patterns
- Online sex addiction and cybersex behaviors
- Love addiction and attachment-driven compulsivity
- Identity, integrity, and values-aligned masculinity
- Partner trauma support and family-system repair (MPTM-informed)
- Couples stabilization and nervous system safety, sequenced to readiness
- Co-occurring substance use and sexual compulsivity
- Underlying trauma, attachment wounds, and shame
- Relapse prevention and accountability architecture
The family is part of the treatment, not an afterthought.
When one person enters treatment, the entire family is in crisis. Iron Ridge connects partners and family to clinical care alongside the Men’s IOP — led by Roxcy Brown, LMFT-A, APSAT-C, grounded in the Multidimensional Partner Trauma Model. A weekly individual session and a weekly partner & family group, run in coordination with the man’s IOP team. Both treatment plans are adjusted in tandem as the clinical picture evolves.
- Weekly individual session — 1:1 clinical work with Roxcy Brown, LMFT-A, APSAT-C
- Weekly partner & family group, grounded in MPTM
- Nervous system stabilization and grounded reality-testing
- Couples sessions, when clinically indicated — case-by-case
Practical questions, answered plainly.
Is Iron Ridge a residential rehab?
Who is the IOP for?
Do you take insurance? How does payment work?
Is the program in-person or virtual?
What about partners and families?
How long does the program last?
How do I know if this is the right level of care?
Take the first step.
Confidential. No obligation. Read by a member of the clinical team.
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