Kink, Sexual Wellness & Intimacy Dr. Jami Kerr Kink, Sexual Wellness & Intimacy Dr. Jami Kerr

Kink as Healing: When It Helps and When It's Harmful

Kink can be healing when it’s intentional—helping you reclaim control, rewrite old stories, and build trust. But if it feels compulsive, blurs boundaries, or leaves you feeling worse, it may be reenacting trauma. With curiosity, consent, and care, kink can support both pleasure and growth.

For many people, kink is more than just a way to explore pleasure—it can be a powerful tool for self-discovery, healing, and even trauma processing. Whether it's reclaiming control, rewriting painful narratives, or connecting more deeply with oneself and others, kink can offer a unique path toward psychological growth. But not all kink is healing, and it’s important to know the difference between conscious exploration and unconscious reenactment of trauma.

Let’s explore both sides of the coin: how kink can help, and when it might be hurting more than helping.

How Kink Can Be Healing

1. Reclaiming Agency and Control
For those who’ve experienced powerlessness—such as survivors of abuse or trauma—consensual power exchange can offer a way to take back control on their terms. Whether you’re topping or bottoming, negotiating a scene creates space for autonomy, choice, and boundaries. Saying "yes" and "no" with clarity and being heard can be deeply reparative.

2. Playing With Power in a Safe Container
Kink allows people to consciously engage with dynamics that may have once felt threatening. For example, consensually exploring dominance and submission, restraint, or even role-play involving fear or shame can give someone a sense of mastery over what used to overwhelm them. With a trusted partner and aftercare, these experiences can reduce the emotional charge of past wounds.

3. Rewriting the Story
Trauma can freeze us in time. Through kink, some people are able to symbolically rewrite the script. If someone was silenced in their past, they might explore consensual objectification in a way that gives them a voice behind the scenes: scripting the scene, using safe words, and calling the shots.

4. Deepened Connection
Many kink practices require high levels of communication, trust, and vulnerability—qualities that foster emotional intimacy. When done thoughtfully, kink can be a bonding experience that helps heal relational wounds.

When Kink Isn’t Helping: Signs of Trauma Reenactment

While kink can be therapeutic, it’s not therapy—and it’s not always healing. Sometimes, people are drawn to certain dynamics or behaviors not to process trauma, but to replay it in ways that reinforce harm or numb emotion.

Here are signs that kink might be a reenactment, not a release:

1. You Feel Compelled, Not Curious
If you’re engaging in scenes or dynamics that feel more like a compulsion than a choice, that may be a red flag. Healing kink usually comes with a sense of agency. Trauma reenactment often feels driven, automatic, or difficult to stop—even when it hurts.

2. The Aftermath Feels Worse
After a scene, do you feel grounded and cared for, or do you feel shame, confusion, or emotionally flooded? While drop is real and common, persistent feelings of disconnection or distress could indicate the scene echoed trauma rather than transformed it.

3. Boundaries Feel Blurry or Nonexistent
In healthy kink, limits are honored. If you or your partner are consistently overriding your own boundaries, ignoring red flags, or neglecting negotiation and aftercare, you may be recreating an environment of harm rather than healing.

4. You’re Avoiding the Underlying Pain
Sometimes kink can become a coping mechanism—one that distracts from pain rather than helps you process it. If you’re using kink to avoid feelings, rather than explore them safely and intentionally, it may be worth unpacking what’s underneath with a therapist.

How to Stay Grounded in Healing Kink

  • Get Curious: Ask yourself what you're drawn to and why. What emotions come up before, during, and after scenes?

  • Talk It Out: A kink-affirming therapist can help you explore whether your practices feel like healing or harm—and how to tell the difference.

  • Prioritize Consent and Communication: Intentional negotiation, clear boundaries, and safe words are not just safety tools—they're acts of care.

  • Practice Aftercare: Emotional processing doesn’t stop when the scene ends. Build in time to connect, regulate, and reflect.

  • Stay Open to Change: What felt healing at one time might not always serve you. Your relationship to kink can evolve—and that’s okay.

Final Thoughts

Kink can be a beautiful way to reclaim your body, your story, and your sense of self. It can also be a way we unconsciously relive wounds. The difference lies in awareness, intention, and support. You don’t have to choose between kink and healing—you can have both.

If you’re interested in exploring this more, I work with clients who are navigating trauma, identity, and kink in affirming, shame-free ways. Whether you’re curious about how your desires connect to your past, or you want to deepen your relationship with yourself through conscious play, you don’t have to do it alone.

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Obsessive Compulsive Disorder Dr. Jami Kerr Obsessive Compulsive Disorder Dr. Jami Kerr

Torn Between Chaos and Control: When OCD and ADHD Coexist

OCD and ADHD are often misunderstood as total opposites—one driven by over-control, the other by impulsivity. But for those who live with both, the experience can feel like a constant tug-of-war between chaos and control. In this post, Dr. Jami Kerr explores how these two conditions overlap, why OCD can become a coping tool for ADHD, and how therapy can help untangle the complexity with compassion and clarity.

Imagine a brain that won’t stop looping distressing thoughts... and also struggles to stay focused long enough to finish a simple task. It might sound contradictory, but for people living with both Obsessive-Compulsive Disorder (OCD) and Attention-Deficit/Hyperactivity Disorder (ADHD), this is daily life.

While these two conditions seem like opposites—one marked by rigidity and control, the other by impulsivity and inattention—they often show up together. And when they do, the experience can be deeply confusing, especially when treatment is only targeting one part of the picture.

OCD vs. ADHD: Opposites… or Overlapping?

Let’s start with the basics.

  • OCD is an anxiety disorder driven by intrusive thoughts (obsessions) and repetitive behaviors or mental acts (compulsions) meant to reduce distress or prevent feared outcomes.

  • ADHD is a neurodevelopmental disorder that affects executive functioning—things like focus, planning, working memory, and emotional regulation.

Here’s the twist: Both conditions involve difficulties with regulation. They just show up in very different ways.

  • In OCD, the brain gets stuck—looping thoughts, rituals, and fears.

  • In ADHD, the brain skips around—jumping from one thing to the next without finishing.

For someone living with both, it can feel like being mentally trapped and mentally chaotic at the same time. This internal push-pull is exhausting—and can leave people wondering what’s wrong with them when nothing seems to fit.

Signs You Might Be Dealing with Both

Because OCD and ADHD can mask or mimic each other, they’re often missed in assessments—or misdiagnosed altogether. Here are some common signs that both may be at play:

  • Difficulty following through on compulsions due to inattention or forgetfulness

  • Feeling torn between obsessively needing to “get it right” and impulsively rushing through tasks

  • Trouble sticking with ERP (Exposure and Response Prevention) or therapy homework because of ADHD-related avoidance or disorganization

  • Rumination over “mistakes,” real or imagined—especially when executive functioning issues lead to actual consequences

When OCD Becomes a Coping Strategy for ADHD

For many people, OCD rituals start to feel like a way to manage their ADHD—especially if they’ve spent years being criticized for forgetfulness, lateness, or “careless” mistakes. Compulsions can offer a (false) sense of control in a brain that often feels out of control.

This can lead to a fear that treating OCD will make things worse.

“If I stop checking everything five times, I will make a mistake.”
“If I don’t obsessively plan, I’ll forget something important.”
“My OCD is the only thing keeping me functional.”

In these cases, OCD becomes a compensatory strategy—one that’s anxiety-driven and unsustainable, but also deeply tied to a fear of ADHD-related failure. That fear is real, and it deserves attention in treatment.

Treating OCD and ADHD Together

When both conditions are present, therapy needs to be flexible, compassionate, and strategic.

  • ADHD treatment (like structure, medication, or behavior strategies) can help—but sometimes fuels compulsions if not monitored.

  • OCD treatment (like ERP or ICBT) is essential—but may need to be adapted for brains that struggle with follow-through, focus, or internal motivation.

As a therapist who specializes in both OCD and ADHD, here are a few strategies I use in my work:

  • Incorporating visual reminders, timers, and external cues for exposure tasks

  • Breaking therapy goals into small, achievable steps

  • Helping clients differentiate between OCD-related guilt and ADHD-related forgetfulness

  • Validating the distress while untangling what’s driven by anxiety vs. executive dysfunction

  • Supporting clients through the fear of losing their coping mechanisms as OCD treatment begins

This is where self-compassion becomes just as important as any skill or tool.

You’re Not “Too Much.” You’re Not Alone.

OCD and ADHD can make the world feel like a maze with no map. You might feel like you’re always behind, constantly second-guessing, or trying to do things “right” without knowing what that even means anymore.

But you’re not broken. You’re navigating a brain that processes the world differently—and it’s possible to build skills, find relief, and move forward without having to choose between chaos and control.

Looking for an OCD and ADHD-Affirming Therapist?

I specialize in working with people who live at the intersection of OCD and ADHD. Whether you're struggling with compulsions, attention challenges, or both, therapy can help you build clarity, flexibility, and self-compassion.

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