What is Iron Ridge's success rate?

We do not publish one yet. Iron Ridge opened in September 2026, and a success rate measured at discharge, defined by the program, and reported without the men who stopped answering is meaningless. We will publish aggregate outcomes when enough six-month follow-ups exist, with the definition and the follow-up rate stated.

How does Iron Ridge measure whether treatment is working?

The same instruments at baseline, week four, week eight and six months after the arc: the SAST-R, PATHOS and CSBD-19 for the sexual pattern, mental health screening for what travels with it, the behavior against the man's own sobriety definition, and function at work, sleep and in the relationship.

What happens if the numbers have not moved by week four?

The case formulation gets another look, most often for a co-occurring condition the behavior was also managing. The mid-arc assessment exists to change what happens in weeks five and six, not to grade the man.

Treatment programs

How we know it is working: outcomes, measurement, and what we will not claim

Q: Is compulsive sexual behavior curable?

It is treatable. Men a year into recovery still describe the pull under the conditions that drove the original use; what changes is whether the pull is a signal or a command. No honest program uses the word cure.

Q: Does recovery end at eight weeks?

No. The arc is the intensive phase. The step-down plan and the six-month follow-up exist because the durable change happens in the months after, inside the life the man kept.

What Iron Ridge measures at baseline, week 4, week 8 and six months, what the numbers are for, and why we publish no success rate until the follow-ups exist.

Most programs in this field say they work. Very few say how they would know. Iron Ridge measures every man at four points, uses the same instruments the assessment used at intake, and tells him what the numbers say. This page describes what is measured, when, what the measurements are for, and the limits of what any program can honestly claim about outcomes in compulsive sexual behavior.

What is measured, and when

Assessment happens at baseline, week four, week eight, and six months after the arc ends. The same instruments are used each time so that change is measured against the man's own starting point rather than against a general population.

Sexual behavior instruments. The SAST-R, the PATHOS, and the CSBD-19, which together cover the severity of the compulsive pattern, the loss of control that defines it, and its consequences.
Mental health screening appropriate to the presenting picture: depression, anxiety, trauma symptoms, and attention where ADHD is in question. Compulsive sexual behavior rarely travels alone, and a man whose depression score has not moved by week eight has a problem the sexual-behavior numbers will not show.
The behavior itself, against his own definition of sobriety: what he is stopping, what he is keeping, and what counts. Self-report, in a program built to make honesty easier than concealment.
Function. Sleep, work, and the relationship, in the man's own account and, where she is in the partner program and consents, in hers.

What the measurements are for

Three things, in order of importance.

Treatment decisions during the arc. The week-four measurement is the one that matters most clinically. A man whose scores have not moved by the midpoint is not a man who has failed; he is a man whose case formulation needs another look, most often for a co-occurring condition that the behavior was also managing. That is what the mid-arc assessment is for, and it changes what happens in weeks five and six.

The step-down plan. The week-eight numbers, alongside the relapse-sequence map built in weeks seven and eight, decide what continuing care looks like: how often individual work continues, and what the six-month check is watching for.

Program honesty. Aggregated and de-identified, the measurements are how we find out whether the program does what it says. That is the only way to know, and a program that does not measure is guessing.

What we will not claim

A success rate. Not because the numbers are bad, but because the ones that get published in this field are usually meaningless: measured at discharge rather than six months out, defined by the program rather than by the man, and reported without the men who stopped answering. Iron Ridge opened in September 2026. We will publish aggregate outcomes when there are enough completed six-month follow-ups to make the figure honest, with the definition of success and the follow-up rate stated alongside it, and not before.

A cure. Compulsive sexual behavior is a pattern that responds to treatment; it is not an infection that clears. Men a year into recovery still describe the pull under the conditions that drove the original use. What changes is whether the pull is a signal or a command.

That eight weeks is the whole of it. The arc is the intensive phase. The step-down plan and the six-month follow-up exist because the durable change happens in the months after, inside the life the man kept.

What a man should expect to see

By the man's own account and by the instruments: the acute craving that dominates the first weeks becoming intermittent by the second month; sleep returning before mood; the behavior interrupted and, where a lapse happens, disclosed and worked rather than hidden; and, by week eight, a map of his own relapse sequence that he did not have on day one. What he should not expect is to feel finished, because the men who feel finished at week eight are the ones the six-month check is most concerned about.

If you want to see the instruments

The self-assessment on this site is a screener informed by the SAST-R; it is not the clinical instrument and it is not diagnostic. The instruments used in the program are administered by a clinician and discussed with you at each point. Ask about them on the consultation call.

If you are in immediate danger or thinking about harming yourself, call or text 988 — the Suicide and Crisis Lifeline, available 24 hours a day — or call 911.