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One of the benefits of being a member of the IITAP community is access to some of the best assessment tools available for problematic sexual behaviors, trauma, and addiction interaction. Each of our assessments has been through or is in the process of being normed. All assessment tools are available on Recovery Zone, however, not all are available to the public and may require an IITAP-trained therapist to administer.

Below is a description of each of the assessments that IITAP has available, if you are an IITAP certified therapist please login to Recovery Zone to gain access to these tools. The Recovery Start Kit can be ordered through the Gentle Path Press website.

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The Recovery Start Kit (RSK) was created by Dr. Patrick Carnes and is considered “inpatient for the outpatient,” containing materials for the first 130 days of recovery. The therapist is able to assist the client to focus on the recovery tasks, plan recovery, and reclaim a positive sexual focus. When the Kit is methodically used, rituals of recovery replace rituals of addiction. These these recovery rituals involve daily reading, writing and sharing self with others. People who “work” the RSK report the following results.

  • Abstinence from sexually addictive behaviors
  • Anxiety reduction
  • Increased understanding of themselves and the addiction
  • Formation of discipline and focus
  • Creating fellowship with other recovering peoples
  • The emergence of hope
  • The building of a lifelong recovery

The Sexual Dependency Inventory (SDI) 4.0 is a battery of relevant tests organized into one cohesive report. Additionally, the SDI gathers data on various aspects of problematic sexual behavior including typical patterns of consequences, evolution and timing of behavior and thought patterns, as well as therapy readiness. Information is also collected and evaluated on drug use, masturbation, paraphilias, and internet usage behaviors. The results portrayed within the SDI are extremely important for clinicians when establishing a treatment plan for their clients. Having all of this information available in one report and being able to address 144 different sexual behaviors is essential when treating a complex process addiction such as sex addiction. Therapist and Client reports available.

The SDI is available only to clinicians who are completing the CSAT training and certification program.


The Post-Traumatic Stress Index (PTSI) is an assessment appropriate for most clientele. First published in Dr. Patrick Carnes’ book, The Betrayal Bond, the assessment is designed to assess how trauma has impacted a client’s life. The results are broken down into eight different categories representing specific ways in which trauma affects a client’s current level of function. For example, a client who repeats certain behaviors similar to early trauma experiences may score high in the Trauma Repetition category.

Typically, trauma tests and questionnaires are designed for a specific population in mind which may preclude certain clinical features or co-occurring populations. The Post-Traumatic Stress Index-Revised (PTSI-R) was designed to avoid these issues and assess for other manifestations of trauma, such depression. Another unique feature of the PTSI-R is that it includes previously excluded populations such as sexual addiction. The PTSI-R is not tied to any particular clinical theoretical orientation such as psychoanalytic, humanistic, or behavioral, and instead employs the most current research in the field of trauma from an interdisciplinary social neuroscience perspective.

The Money and Work Adaptive Styles Index (MAWASI®) evolved out the initial work of Bonnie DenDooven’s search to help others with issues surrounding money and work. Utilizing theories in attachment, neuromarketing, and behavioral economics Ms. Dendooven had originally designed the test with 9 subscales. A factor analysis revealed 12 subscales. These 12 subscales represent the various ways (behaviorally, emotionally, and cognitively) that money and/or work has affected an individual’s life. Moreover, they show how the individual has adapted his or her life to those thoughts, feelings, and behaviors.

The discovery of sex addiction can be highly traumatizing for the partner of the addict. The Partner Sexuality Survey (PSS) was designed by Dr. Stefanie Carnes to assist partners in identifying the areas of their own sexuality that may be impacted by their relationship with the sex addict.

The Inventory for Partner Anxiety, Stress, and Trauma (IPAST) is a battery of assessments that examine the partner’s traumatic reactions, family of origin, resiliency, and attachment styles. This assessment is appropriate for both men and women and provides clinicians with an overall look at the ways in which an addict’s behaviors has affected their client and his or her ability to overcome and move past the trauma.

The Sexual Addiction Screening Test (SAST) is designed to assist in the assessment of sexually compulsive behavior which may indicate the presence of sex addiction. Developed in cooperation with hospitals, treatment programs, private therapists, and community groups, the SAST provides a profile of responses which help to discriminate between addictive and non-addictive behavior. This is a simple assessment that does not assess for specific behaviors, but can provide a clinically significant tool to see if a problem exists.

The Sexual Addiction Risk Assessment (SARA) has been developed to help the client better understand his or her behaviors. The assessment consists of 88 questions, which will take approximately 25 minutes to finish. Results are available immediately and a detailed, personalized 23-page report is provided to assist the client in determining the best course of action. This assessment is designed specifically for the client as it is but a small portion of the information covered in the Sexual Dependency Inventory.

The Internet Sex Screening Test (ISST) asks questions about the sexual thoughts and experiences while using the internet. Some individuals may experience discomfort when reflecting on current or past sexual experiences. In addition, the instrument asks questions about illegal sexual behaviors. This tool is specifically designed for people who think they may have a problem with online sexual behaviors and does not provide a listing of the clients answers, only a score and rating scale.

Adapted from Dr. Patrick Carnes’ work in the Betrayal Bond, the Betrayal Bond Index (BBI) is a brief questionnaire is designed to look at the types of relationships a client repetitively has in his or her life. In addition to the information collected in other assessments that examine attachment styles and relationship issues, the Betrayal Bond Index may assist therapists with individualizing treatment plans by assisting in the identification of a client’s relationships partners: are they more supportive or detrimental in nature? It is also an opportunity to show clients how there may be a need to break away from relationships in order to stop the addiction cycle.

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