On August 17, 2009, a home video was posted on the website Gawker showing Peniche with married actors Eric Dane and Rebecca Gayheart. All three are naked, though the video does not contain any sex acts. Though it is unknown how the video was made public, it had been stored on a hard drive that was the subject of a dispute between Peniche and Mindy McCready during their time on Celebrity Rehab.
Starting in November 2009, Peniche appeared as a patient on the VH1 reality television spinoff series, Sex Rehab with Dr. Drew (a documentary about the treatment process for sexual addiction patients [filmed in April 2009] at the Pasadena Recovery Center). Peniche described herself as having had hundreds of lovers, but being unable to emotionally connect with anyone in any kind of relationship. Peniche's participation in the treatment program was marred by her aggressive and erratic behavior: verbally abusing the staff and other patients; refusing to participate in group discussions, or obey the clinic's rules; forcefully demanding that the staff fetch her fruit juice and bring it to her bedside; accusing people of laughing at her when they clearly were not; and, compulsively smiling (as a beauty pageant contestant might, in order to maintain a facade of well-being) -- even when discussing her own past traumas and pain. Dr. Drew Pinsky, the treating physician, became suspicious that she was using illicit substances such as methamphetamine, or had been prior to being admitted. The PRC's staff psychiatrist diagnosed her as having borderline personality disorder (BPD). It was indicated that both the substance abuse and BPD had to be treated before any treatment for sexual addiction could begin. Eventually, Peniche was involuntarily discharged for failing to comply with the program's guidelines. She refused Pinsky's offer of an alternative program at a nearby psychiatric hospital, and during the process of being evicted from her home, she made suicidal gestures and became abusive toward the show's production staff (e.g., throwing a container of water onto a technician).