Services Provided
Psychosexual Assessment and Evaluation (more)
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Treatment for Sexually Addictive Behaviors (more)
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Court Mandated Psychosexual Risk Assessment (more)
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Court Mandated Sex Offender Treatment Services (more)
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Assessment for Deviant Sexual Arousal utilizing the FDA approved Monarch 21 PPG (this service is also offered as a stand alone service (more) (video on Monarch 21 PPG)
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Assessment for Deviant Sexual Interest utilizing The Abel Assessment for Sexual Interest-2 ( this service is also offered as a stand alone service)(more)
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Polygraph - Polygraph services may be requested by employers, attorneys, others in the legal system, or a concerned spouse or family member. (more)
Psychosexual Evaluation
The evaluation process establishes a foundation to develop a treatment plan and appropriate treatment goals. We utilize a comprehensive approach to risk assessment and evaluation. Our approach is grounded in the latest research as well as legal and ethical standards. We have the ability to incorporate specialized testing instruments such as the Monarch 21 Penile Plethysmograph, The Abel Assessment of Sexual Interest, and polygraph evaluations. The service is intended for individuals that may be required to participate in a psychosexual evaluation due to legal problems or other life circumstances. Others may be concerned about sexual thoughts and behaviors that are creating difficulties in their lives and may be escalating to the degree of causing irreversible life consequences. We are here to help! If you are interested in more information regarding consultation please click here for referral instructions.
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Treatment for Sexually Addictive Behaviors
Some people use sex to medicate their feelings and/or cope with stress much in the same way as others would use alcohol or drugs. Lack of sexual self-control can manifest in the form of excessive use of porn sites, phone sex, sexting, sexual related chat, and strip bars; it can lead to multiple infidelities, risky sexual behavior, bankruptcy, harm to those in your life, self-harm, or the loss of a job due to out of control behaviors. Rooted in factors such as shame and low self-esteem, there is little satisfaction gained from the sexual activities and rarely an interest in intimacy or emotional connection. Treatment allows individuals to address the lack of sexual self-control where their behavior is interfering with their relationship, job, and reputation. Treatment involves teaching relapse prevention methods, increasing motivation to change, addressing underlying issues such as cognitive distortions (the need for immediate gratification, deviant sexual fantasizing) and developing healthy emotional and sexual intimacy. If you or a loved one is struggling with a sexual addiction and would be interested in more information regarding a consultation or treatment. Click here for referral instructions.
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Pornography Time Statistics
Every second - $3,075.64 is being spent on pornography
Every second - 28,258 Internet users are viewing pornography
Every second - 372 Internet users are typing adult search terms into search engines
Every 39 minutes: a new pornographic video is being created in the United States
Children Internet Pornography Statistics
Average age of first Internet exposure to pornography |
11 years old |
Largest consumer of Internet pornography |
35 - 49 age group |
15-17 year olds having multiple hard-core exposures |
80% |
8-16 year olds having viewed porn online |
90% (most while doing homework) |
7-17 year olds who would freely give out home address |
29% |
7-17 year olds who would freely give out email address |
14% |
Children's character names linked to thousands of porn links |
26% (Including Pokemon & Action Man) |
Adult Internet Pornography Statistics
Men admitting to accessing pornography at work |
20% |
US adults who regularly visit Internet pornography websites |
40 million |
Christians who said pornography is a major problem in the home |
47% |
Adults admitting to Internet sexual addiction |
10% |
Breakdown of male/female visitors to pornography sites |
72% male - 28% female |
Women and Pornography
Women keeping their cyber activities secret |
70% |
Women struggling with pornography addiction |
17% |
Ratio of women to men favoring chat rooms |
2X |
Percentage of visitors to adult websites who are women |
1 in 3 visitors |
Women accessing adult websites each month |
9.4 million |
Women admitting to accessing pornography at work |
13% |
Women, far more than men, are likely to act out their behaviors in real life, such as having multiple partners, casual sex, or affairs. |
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40 million adults in the United States regularly visit pornography sites. Of those 40 million only 10% (four million adults) admitted to having a sexual addiction to pornography. Of the four million adults who admitted to having a sexual addiction problem, 680,000 are women. 17% of the 680,000 women say they struggle with pornography addiction. This is the same number of women who are addicted to alcohol or drugs.
Porn revenue is larger than all combined revenues of all football, baseball, and basketball franchises. Every 39 seconds a new pornographic video is being made. There are 1.5 billion pornographic Internet downloads a month. Between the years 2005 and 2006 the pornography business increased by an almost a billion dollars.
The United states has 244,661,900 pornographic web pages which makes up 89% of pornographic web pages in the world. Germany is second with 10,030, 200.
$3.63 billion dollars was spent in the US in 2006 on adult video sales and rentals.
Click here for referral instructions.
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Court Mandated Evaluation and Treatment Services for Adults and Adolescents
Individuals that have been charged or convicted of a sexually related offense are often encouraged or required to comply with a psychosexual risk assessment and/or sex offense specific treatment. The evaluation and psychosexual risk assessment process is based on extensive research and a best practices standard protocol designed to assess the individuals static risk factors, dynamic risk factors, sexually deviant thoughts/behaviors, deviant sexual interests, and deviant sexual arousal. Treatment is provided in an individual or group format as clinically indicated. The goal of treatment is to ensure public safety, reduce the risk factors associated with recidivism, educate the client regarding the pathways of committing a sexual offense, enhancing the individual’s motivation and commitment to change, challenging cognitive distortions, encouraging accountability, developing and enhancing empathy, addressing underlying factors that may contribute to offending such as mental health issues and unresolved trauma. Interested in more information regarding a consultation or treatment? Click here for referral instructions.
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The Domestic Violence alternatives Program (DVAP)
The Domestic Violence Alternatives Program (DVAP) is a Virginia Certified Batterer Intervention Program. DVAP is a specialized program that provides treatment ot individuals that utilize emotional or physical violence in their relationships. Visit BlueRidgeCounseling.com for more information. If you are interested in more information regarding a consultation or treatment click here for referral instructions.
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Substance Abuse Treatment Program (SATP)
Certified Substance Abuse Counselor on staff to provide substance abuse assessment and treatment. Individual and group treatment programs are available. For information regarding a consultation or treatment click here for referral instructions.
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Mental Health Evaluation and Treatment
Our caring professionals are available to assess and treat a wide range of mental health diagnosis. Our treatment professionals specialize in the treatment of mood disorders (depression and Bipolar Disorder), Anxiety Disorders, Panic Disorder, PTSD, and adolescent behavioral issues. For information regarding a consultation or treatment click here for referral instructions.
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Treatment Program for Adolescents
For information regarding a consultation or treatment click here for referral instructions.
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Polygraph - Risk Management of Virginia
Polygraph Examiner – Jeffrey A. McCorkindale
Occupation: Engaged in the field of Detection of Deception to determine the truthfulness of individuals involved in Criminal, Civil, and Domestic matters.
Training: Involved in insurance and commercial investigation from 1960 to 1989, specializing in theft, fraud and embezzlement cases as a professional investigator. Educated at Roanoke College Institute of Applied Sciences, and Backster School of Lie Detection in New York, NY, in licensed since 1973 in the Commonwealth of Virginia through the Department of Professional and Occupational Regulation. Served as auxiliary officer with the Roanoke City Police Department for 21 years, retiring in 1985 with the rank of lieutenant. Attended and completed numerous polygraph seminars in professional education through the American Polygraph Association and the Virginia Polygraph Association. Also completed the certification requirements for Forensic Polygraph Examiner at the Argenbright International Institute of Polygraph, Atlanta, GA for the Polygraph Monitoring of Sex Offenders. Also was involved as an instructor for Mr. William Franklin in the Virginia School of Polygraph in teaching in the course required by the Commonwealth of Virginia for Examiners involved in the monitoring of sex offenders in Virginia. In 2008 was one of the authors of the book "Sex-Offender Therapy," published by The Hawthorn Press, Taylor & Francis Groups.
Testimony Given as a Polygraph Examiner: In Courts of Record in City of Roanoke, City of Lynchburg, Roanoke County and Bedford County.
Representative Clients: Woods, Rogers and Hazlegrove, Attorneys; Bird, Kinder and Huffman, Attorneys; Harry F. Bosen, Attorney; Deborah Caldwell-Bono, Attorney; Frith, Anderson & Peake, Attorneys; John E. Lichtenstein, Attorney; Public Defender's Office, Roanoke, Virginia; Department of Corrections, Probation & Parole, Commonwealth of Virginia (Districts 13, 14, 15, 16, 17, and 22); Community Corrections of Virginia, Inc. (Roanoke Area Sex Offender Program); North Roanoke Family Counselors; Shenandoah Valley Sex Offender's Treatment Program; Flora Counseling Services; Federal Probation & Parole, Western District.
Professional Membership: American Polygraph Association.
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Meet Our Staff of Caring Professionals
Roanoke Area Manager - Angela Hall
Angela Hall has been involved in the field for approximately fifteen years. She will provide information on services and assist you in scheduling an appointment for services. She also serves as the main point of contact for referral sources. She will provide timely information and assist with any questions that you may have.
To contact please email kfender@radfordcounseling.com (specific to therapists)
To schedule an appointment email ahall@radfordcounseling.com
Daniel E. Karnes, MSW, LCSW, CSOTP
BS Radford College
MSW Virginia Commonwealth University
MPA Virginia Tech
Graduate US Army Command and General Staff College
Academy of Certified Social Workers
Licensed Clinical Social Worker
Certified Sex Offender Treatment Provider
27 years with the Department of Veterans Affairs, last 10 years as Manager of the Roanoke Veterans Outreach Center
Chairman of the Virginia Board of Mental Health, Mental Retardation and Substance Abuse Services
Vice Chairman Board of Commissioners Roanoke Redevelopment and Housing Authority
Vice Chairman Board of Directors Blue Ridge Behavioral Healthcare
President Military Officers Association of America Southwest Virginia Chapter
Trained Mediator
Member Kiwanis Club of Roanoke
Special Interests: Social Policy regarding the Mentally Ill, Intellectually Disabled and other marginalized populations.
Reintegration of Combat Veterans into American Society
Keith E. Fender, Ph.D., MSW, LCSW, CSOTP
Keith E. Fender is a Licensed Clinical Social Worker and a Certified Sex Offender Treatment Provider in the Commonwealth of Virginia. He is also a Certifed Domestic Violence Counselor. His education includes: PhD honor graduate from LaSalle University, MSW honor graduate from Virginia Commonwealth University, and a BSW from Ferrum College. Dr. Fender has been adjunct faculty member in the School of Social Work at Radford University since 1998 and is currently the Chair of the Virginia Batterer Intervention Certification Board.