The fact that Dwayne doesn't acknowledge that his behavior is problematic is the problem, Dr. Smith says. "When we have a problem, and we don't know that we have it—even when you just described that you get embarrassed but not until afterwards—that's part of what happens when we're out of control."
Dr. Smith adds that you're out of control and really have a problem if you're unaware of your behavior until after you've done it. "[When you realize] 'It's caught up on me. I believe I've acted out, I've embarrassed my children, I've embarrassed my fiancée who won't even come to games any longer, and I don't even know that I've done it until afterwards'— that is a problem."