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Clinical Research Library

Mental Health & Substance Abuse

A curated library of licensed peer-reviewed scholarly articles, selected and clinically reviewed by Joseph W. LaFleur Jr., LICSW, MBA, C-PATP for their direct relevance to the populations we serve.

About This Library

Clinically Reviewed. Evidence-Based. Human-Curated.

The articles in this library are selected and clinically reviewed by Joseph W. LaFleur Jr., LICSW, MBA, C-PATP, Clinical Director of District Counseling and Psychotherapy at Joseph LaFleur and Associates. Joseph brings over 25 years of clinical experience in psychotherapy, trauma, LGBTQ+ affirming care, psychedelic integration, somatic therapy, and substance abuse treatment.

Each article is selected because it directly informs active clinical practice — not to fill a content calendar. Joseph's clinical director's note on each article reflects his own clinical perspective: why the research matters, what it means for the patients he sees, and how it shapes his therapeutic approach.

Articles cover the full range of mental health and substance abuse topics treated at the practice, including anxiety, depression, trauma and PTSD, LGBTQ+ mental health, psychedelic integration, somatic therapy, young adult counseling, relationship counseling, and co-occurring substance use disorders.

Licensing notice: Articles in this library are reproduced under open access terms from peer-reviewed repositories such as SSRN, PubMed Central, PLOS ONE, Frontiers, and BMC, or under explicit written license where required. The specific licensing basis for each article is recorded in its Living Clinical Ledger. Canonical source links are provided with every article, and this practice does not claim authorship of licensed content.
This library is part of District Counseling's commitment to evidence-based, clinician-verified content. Abstracts are reproduced for scholarly commentary and clinical education; full texts are available at source links in each article's Living Clinical Ledger. No visitor data is collected on this page.  ·  Privacy-First Architecture™ — Patent Pending.

Questions about this research?

Our clinical team reviews every article in this library. If you have questions about how this research applies to your situation, reach out confidentially.

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MH-01  ·  Mental Health & Substance Abuse Living Content — Verified April 2026
● Living Clinical Ledger  ·  Verified: April 2026  ·  Reviewer: Joseph W. LaFleur Jr., LICSW, MBA, C-PATP  ·  License: Open Access — SSRN  ·  Source →

Mental Health & Substance Abuse — 2024

Sex and the Executive: The Drama of Sexual Addiction

Compulsive behavior, attachment wounds, and the longing beneath the pattern

Kets de Vries, Manfred F.R.  ·  INSEAD Working Paper No. 2024/25/EFE  ·  2024

When sexual thoughts and activities completely consume a person's life, compulsive sexual behavior emerges as a form of self-medication for underlying emotional conflicts. Kets de Vries argues that beneath the pattern lies a deep desire to be loved and to assuage feelings of loneliness.

Clinical Director's Note — Joseph W. LaFleur Jr., LICSW, MBA, C-PATP

"What presents as sexual compulsivity is often, at its root, an attachment wound. The work is relational, not behavioral — and it requires a clinical environment where shame can be examined without judgment."

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