Sexual Addiction Therapists in San Francisco, CA

Photo of JL Zbacnik, Marriage & Family Therapist, MFT
JL Zbacnik
Marriage & Family Therapist, MFT
San Francisco, CA 94102
I work compassionately and creatively with clients, to help them identify areas in their lives in which they feel stuck. Many times, clients come to therapy because they feel something in their life isn't working, or they feel a pain in which they cannot find the root of. I help clients identify the obstacles that keep them feeling stuck, and work collaboratively to help them work through these barriers. My work is client centered, and I work dynamically with each individual or couple I see.
I work compassionately and creatively with clients, to help them identify areas in their lives in which they feel stuck. Many times, clients come to therapy because they feel something in their life isn't working, or they feel a pain in which they cannot find the root of. I help clients identify the obstacles that keep them feeling stuck, and work collaboratively to help them work through these barriers. My work is client centered, and I work dynamically with each individual or couple I see.
(415) 539-1922 View (415) 539-1922
Photo of David Albright, Marriage & Family Therapist, MA, LMFT
David Albright
Marriage & Family Therapist, MA, LMFT
Online Only
I work with boys & men - Straight, GBTQA. Most clients arrive feeling lost, isolated, stuck, hidden, nearly dead, depressed, and/or stressed. Years later, they leave my office tearfully for the last time after having crafted a spectacular life for themselves. I am a gifted guide who can help you reclaim your original heart and soul. Areas of Expertise: Teaching Love of Self & Others. Sex, Relationships and Intimacy. Porn Use, Video Games, Compulsive Behaviors: Fear and Avoidance. Family Issues. Career and Vocational Changes. Substance Abuse. Soulful Recovery. Religious Wounds. Psychedelic Journey Facilitation and Integration.
I work with boys & men - Straight, GBTQA. Most clients arrive feeling lost, isolated, stuck, hidden, nearly dead, depressed, and/or stressed. Years later, they leave my office tearfully for the last time after having crafted a spectacular life for themselves. I am a gifted guide who can help you reclaim your original heart and soul. Areas of Expertise: Teaching Love of Self & Others. Sex, Relationships and Intimacy. Porn Use, Video Games, Compulsive Behaviors: Fear and Avoidance. Family Issues. Career and Vocational Changes. Substance Abuse. Soulful Recovery. Religious Wounds. Psychedelic Journey Facilitation and Integration.
(415) 997-0813 View (415) 997-0813
Photo of James Foley - Sexual Addiction Sex Misbehavior Infidelity Expert, Clinical Social Work/Therapist, LCSW, SOTS
Sexual Addiction Sex Misbehavior Infidelity Expert
Clinical Social Work/Therapist, LCSW, SOTS
1 Endorsed
San Francisco, CA 94102
I am a Sexual addiction elite level expert 31 years & 46,000 hrs sexual misbehavior specialist psychotherapy.
My preeminent expert status had "The Adam Friedland Show” put me on 1st episode of 2nd season re: sexual addiction behaviors, I was interviewed by Rolling Stone Magazine on "virtual companions". I enjoy being the go to clinician and thought leader on high functioning men acting out sexual misbehaviors such as Infidelity, Prostitution use, Sugar Babies, etc
I am a Sexual addiction elite level expert 31 years & 46,000 hrs sexual misbehavior specialist psychotherapy.
My preeminent expert status had "The Adam Friedland Show” put me on 1st episode of 2nd season re: sexual addiction behaviors, I was interviewed by Rolling Stone Magazine on "virtual companions". I enjoy being the go to clinician and thought leader on high functioning men acting out sexual misbehaviors such as Infidelity, Prostitution use, Sugar Babies, etc
(415) 639-5474 View (415) 639-5474
Photo of Greg Clinton, Psychologist, PhD
Greg Clinton
Psychologist, PhD
San Francisco, CA 94114
A lot of us have a hard time asking for help. Fear, shame, or needing to be self-sufficient are feelings that can get in the way of recognizing when we need help--and reaching out and asking for it. My approach to therapy creates a safe place where sensitive, painful or scary feelings can be openly explored without judgment. We form a partnership to figure out what is going on and how to move forward. I'm actively engaged in our work--it's a partnership, after all--to help you overcome problem behaviors and develop better ways of coping.
A lot of us have a hard time asking for help. Fear, shame, or needing to be self-sufficient are feelings that can get in the way of recognizing when we need help--and reaching out and asking for it. My approach to therapy creates a safe place where sensitive, painful or scary feelings can be openly explored without judgment. We form a partnership to figure out what is going on and how to move forward. I'm actively engaged in our work--it's a partnership, after all--to help you overcome problem behaviors and develop better ways of coping.
(415) 692-5691 View (415) 692-5691
Photo of Cynthia Rinker, Marriage & Family Therapist, MA, LMFT, CSAT
Cynthia Rinker
Marriage & Family Therapist, MA, LMFT, CSAT
Online Only
My specialty is working with those struggling with sexual compulsivity, sexual problematic behavior, sexual addiction or have been arrested for sex offenses.
My therapeutic style is grounded in a humanistic approach and Cognitive-Behavioral therapy with a pragmatic, down-to-earth style. Each client's therapy is individualized, collaborative, and strengths based. I help clients learn to regulate and manage feelings that overwhelm them and negatively affect their thoughts, moods, and attitudes that, in turn, lead to destructive behavior. Whether it is anxiety, depression, diminished self-esteem, or relationship issues, individual clients come to understand their present circumstances in light of their past. I am committed to helping clients improve relationships and gain self knowledge.
My specialty is working with those struggling with sexual compulsivity, sexual problematic behavior, sexual addiction or have been arrested for sex offenses.
My therapeutic style is grounded in a humanistic approach and Cognitive-Behavioral therapy with a pragmatic, down-to-earth style. Each client's therapy is individualized, collaborative, and strengths based. I help clients learn to regulate and manage feelings that overwhelm them and negatively affect their thoughts, moods, and attitudes that, in turn, lead to destructive behavior. Whether it is anxiety, depression, diminished self-esteem, or relationship issues, individual clients come to understand their present circumstances in light of their past. I am committed to helping clients improve relationships and gain self knowledge.
(415) 578-7639 View (415) 578-7639
Photo of Drew Tillotson, Psychologist, PsyD
Drew Tillotson
Psychologist, PsyD
San Francisco, CA 94115
People get caught in cycles of porn/ sexual addiction, video games or online surfing that derails them.
I have over 30 years experience with sexuality, intimacy, anxiety, depression, problematic work concerns. I have specialities in porn and/or sexual addiction, mens' issues, careers in high tech, finance, and law. My background is in high pressured corporate environments; I'm adept with executive pressures, staff/team dynamics, and management.
People get caught in cycles of porn/ sexual addiction, video games or online surfing that derails them.
I have over 30 years experience with sexuality, intimacy, anxiety, depression, problematic work concerns. I have specialities in porn and/or sexual addiction, mens' issues, careers in high tech, finance, and law. My background is in high pressured corporate environments; I'm adept with executive pressures, staff/team dynamics, and management.
(415) 226-6834 View (415) 226-6834
Photo of Angelica Leanne Carlsen, Clinical Social Work/Therapist, LCSW, MSW
Angelica Leanne Carlsen
Clinical Social Work/Therapist, LCSW, MSW
1 Endorsed
Online Only
Feeling anxious, empty, trapped, or stuck in a pattern that feels impossible to break? Often, our current struggles signify deeper wounds that, when nurtured, can bring profound healing and empowerment. I believe every individual has inherent purpose and value and my goal is to help you align with yours—whether through clarifying values, making behavioral changes, or shifting thought patterns. My approach is strengths-based and nonjudgmental. I understand that healing is a deeply personal journey, and I work collaboratively with you to ensure that you feel understood and supported.
Feeling anxious, empty, trapped, or stuck in a pattern that feels impossible to break? Often, our current struggles signify deeper wounds that, when nurtured, can bring profound healing and empowerment. I believe every individual has inherent purpose and value and my goal is to help you align with yours—whether through clarifying values, making behavioral changes, or shifting thought patterns. My approach is strengths-based and nonjudgmental. I understand that healing is a deeply personal journey, and I work collaboratively with you to ensure that you feel understood and supported.
(415) 853-9789 View (415) 853-9789
Photo of Nicole Otis, Marriage & Family Therapist, MA, LMFT, CSAT
Nicole Otis
Marriage & Family Therapist, MA, LMFT, CSAT
Online Only
Are you struggling with pornography or sexual compulsivity? Is secrecy, broken trust or loss of intimacy hurting your relationship? Or maybe you’re not in crisis, but you know your marriage could be stronger, more connected, more alive? You’re not alone–we have been through these issues personally and know what it’s like. I’m a Certified Sex Addiction Therapist (CSAT), and Hunter is a Certified Mentor Coach in long-term recovery. Together, we help men break free (porn, sexting, affairs, prostitution, etc) and we help couples rebuild trust and real intimacy.
Are you struggling with pornography or sexual compulsivity? Is secrecy, broken trust or loss of intimacy hurting your relationship? Or maybe you’re not in crisis, but you know your marriage could be stronger, more connected, more alive? You’re not alone–we have been through these issues personally and know what it’s like. I’m a Certified Sex Addiction Therapist (CSAT), and Hunter is a Certified Mentor Coach in long-term recovery. Together, we help men break free (porn, sexting, affairs, prostitution, etc) and we help couples rebuild trust and real intimacy.
(516) 646-7969 View (516) 646-7969
Photo of Seth Prosterman, Marriage & Family Therapist
Seth Prosterman
Marriage & Family Therapist
San Francisco, CA 94123
Dr. Seth Prosterman brings over 25 years of experience helping individuals and couples overcome sex, intimacy and relationship issues. You deserve to have a healthy and satisfying sex life as it is an essential component for a balanced and fulfilled life and relationship. Being able to guide my clients to greater intimacy, better sex, stronger relationships and a clearer sense of self is the foundation of my practice. ***SKPE SESSIONS ARE ALSO AVAILABLE***
Dr. Seth Prosterman brings over 25 years of experience helping individuals and couples overcome sex, intimacy and relationship issues. You deserve to have a healthy and satisfying sex life as it is an essential component for a balanced and fulfilled life and relationship. Being able to guide my clients to greater intimacy, better sex, stronger relationships and a clearer sense of self is the foundation of my practice. ***SKPE SESSIONS ARE ALSO AVAILABLE***
(650) 209-7901 View (650) 209-7901
Photo of Vernon Lee, Psychologist, PhD, CSAT-S
Vernon Lee
Psychologist, PhD, CSAT-S
Online Only
In a field with very few recognized experts, Dr. Lee is an acknowledged professional in the assessment and treatment of persons with addictive sexual disorders and domestic violence.Clients come to us for professional and compassionate guidance in creating the most appropriate treatment plan for their success.
In a field with very few recognized experts, Dr. Lee is an acknowledged professional in the assessment and treatment of persons with addictive sexual disorders and domestic violence.Clients come to us for professional and compassionate guidance in creating the most appropriate treatment plan for their success.
(415) 842-4206 View (415) 842-4206
Photo of Nicole Otis, Marriage & Family Therapist, MA, LMFT, CSAT
Nicole Otis
Marriage & Family Therapist, MA, LMFT, CSAT
Online Only
Are you struggling with pornography or sexual compulsivity? Is secrecy, broken trust or loss of intimacy hurting your relationship? Or maybe you’re not in crisis, but you know your marriage could be stronger, more connected, more alive? You’re not alone–we have been through these issues personally and know what it’s like. I’m a Certified Sex Addiction Therapist (CSAT), and Hunter is a Certified Mentor Coach in long-term recovery. Together, we help men break free (porn, sexting, affairs, prostitution, etc) and we help couples rebuild trust and real intimacy.
Are you struggling with pornography or sexual compulsivity? Is secrecy, broken trust or loss of intimacy hurting your relationship? Or maybe you’re not in crisis, but you know your marriage could be stronger, more connected, more alive? You’re not alone–we have been through these issues personally and know what it’s like. I’m a Certified Sex Addiction Therapist (CSAT), and Hunter is a Certified Mentor Coach in long-term recovery. Together, we help men break free (porn, sexting, affairs, prostitution, etc) and we help couples rebuild trust and real intimacy.
(515) 606-1690 View (515) 606-1690
Photo of Nicole Otis, Marriage & Family Therapist, MA, LMFT, CSAT
Nicole Otis
Marriage & Family Therapist, MA, LMFT, CSAT
San Francisco, CA 94129
Are you struggling with pornography or sexual compulsivity? Is secrecy, broken trust or loss of intimacy hurting your relationship? Or maybe you’re not in crisis, but you know your marriage could be stronger, more connected, more alive? You’re not alone–we have been through these issues personally and know what it’s like. I’m a Certified Sex Addiction Therapist (CSAT), and Hunter is a Certified Mentor Coach in long-term recovery. Together, we help men break free (porn, sexting, affairs, prostitution, etc) and we help couples rebuild trust and real intimacy.
Are you struggling with pornography or sexual compulsivity? Is secrecy, broken trust or loss of intimacy hurting your relationship? Or maybe you’re not in crisis, but you know your marriage could be stronger, more connected, more alive? You’re not alone–we have been through these issues personally and know what it’s like. I’m a Certified Sex Addiction Therapist (CSAT), and Hunter is a Certified Mentor Coach in long-term recovery. Together, we help men break free (porn, sexting, affairs, prostitution, etc) and we help couples rebuild trust and real intimacy.
(415) 851-9643 View (415) 851-9643
Photo of Erin Campbell, Pre-Licensed Professional, ACSW
Erin Campbell
Pre-Licensed Professional, ACSW
Online Only
I work with adults who may be juggling life, stagnant sex lives, and trying to find joy again. No matter if your issues show up in the bedroom, with your partner(s), or just flying solo. We can talk honestly about things like low desire, mismatched interest with a partner, erection or orgasm issues, and feeling 'broken' around sex. My goal is to help you have a sexual life that actually feels safe, doable, and maybe even fun again. Mostly, you just need a therapist who won't flinch at the real stuff. I have a special place in my heart for LGBTQIA+ and trans folks, but you don't have to share those identities to work with me.
I work with adults who may be juggling life, stagnant sex lives, and trying to find joy again. No matter if your issues show up in the bedroom, with your partner(s), or just flying solo. We can talk honestly about things like low desire, mismatched interest with a partner, erection or orgasm issues, and feeling 'broken' around sex. My goal is to help you have a sexual life that actually feels safe, doable, and maybe even fun again. Mostly, you just need a therapist who won't flinch at the real stuff. I have a special place in my heart for LGBTQIA+ and trans folks, but you don't have to share those identities to work with me.
(628) 265-5169 View (628) 265-5169
Photo of Randy Weled, Marriage & Family Therapist, LMFT
Randy Weled
Marriage & Family Therapist, LMFT
1 Endorsed
San Francisco, CA 94102
The most important questions is: "What pain brought you here? What is the hardest issue for you to deal with?" The most important result of the first session is that you walk out feeling that I understand you and will be able to be your ally in working through your issues. In other words we need to like each other and you need to feel that I have the expertise to handle your problems and not judge you.
The most important questions is: "What pain brought you here? What is the hardest issue for you to deal with?" The most important result of the first session is that you walk out feeling that I understand you and will be able to be your ally in working through your issues. In other words we need to like each other and you need to feel that I have the expertise to handle your problems and not judge you.
(415) 967-7209 View (415) 967-7209
Photo of Nicole Otis, Marriage & Family Therapist, MA, LMFT, CSAT
Nicole Otis
Marriage & Family Therapist, MA, LMFT, CSAT
Online Only
Are you struggling with pornography or sexual compulsivity? Is secrecy, broken trust or loss of intimacy hurting your relationship? Or maybe you’re not in crisis, but you know your marriage could be stronger, more connected, more alive? You’re not alone–we have been through these issues personally and know what it’s like. I’m a Certified Sex Addiction Therapist (CSAT), and Hunter is a Certified Mentor Coach in long-term recovery. Together, we help men break free (porn, sexting, affairs, prostitution, etc) and we help couples rebuild trust and real intimacy.
Are you struggling with pornography or sexual compulsivity? Is secrecy, broken trust or loss of intimacy hurting your relationship? Or maybe you’re not in crisis, but you know your marriage could be stronger, more connected, more alive? You’re not alone–we have been through these issues personally and know what it’s like. I’m a Certified Sex Addiction Therapist (CSAT), and Hunter is a Certified Mentor Coach in long-term recovery. Together, we help men break free (porn, sexting, affairs, prostitution, etc) and we help couples rebuild trust and real intimacy.
(651) 314-1708 View (651) 314-1708
Photo of Mark Hirschfield, Marriage & Family Therapist, MFT
Mark Hirschfield
Marriage & Family Therapist, MFT
San Francisco, CA 94123
Hello! I work with individuals who wish to create lasting, positive changes in their lives and relationships. I offer safe, compassionate and supportive counseling in an atmosphere that deepens understanding, promotes healing, and releases potential. Unresolved emotional issues can stifle creativity, confidence, ambition, and our ability for good relationships. Trauma and loss can cause sadness, depression and pain that inhibit and block. My personal style is interactive, empathic, non-judgmental and respectful of individual values and choices.
Hello! I work with individuals who wish to create lasting, positive changes in their lives and relationships. I offer safe, compassionate and supportive counseling in an atmosphere that deepens understanding, promotes healing, and releases potential. Unresolved emotional issues can stifle creativity, confidence, ambition, and our ability for good relationships. Trauma and loss can cause sadness, depression and pain that inhibit and block. My personal style is interactive, empathic, non-judgmental and respectful of individual values and choices.
(415) 326-1276 View (415) 326-1276
Photo of Khinmaysoe Chu - KC - Behavioral Addiction, Trauma, Neurodivergence, Associate Professional Clinical Counselor, aMFT, APCC
KC - Behavioral Addiction, Trauma, Neurodivergence
Associate Professional Clinical Counselor, aMFT, APCC
1 Endorsed
Online Only
Are you feeling stuck in self-sabotaging behaviors that feel out of control? In crisis in your relationship and don’t know what to do next? You are not alone. There is hope and a future to help you find peace, wholeness, and change towards a path to healing. You can break the cycles of shame, addiction, abuse, and trauma that may have trapped you in your emotional pain. You were created to live to your fullest potential, and I want want to help you to know that and live in that potential. I am a certified associate sex addiction and trauma trained therapist.
Are you feeling stuck in self-sabotaging behaviors that feel out of control? In crisis in your relationship and don’t know what to do next? You are not alone. There is hope and a future to help you find peace, wholeness, and change towards a path to healing. You can break the cycles of shame, addiction, abuse, and trauma that may have trapped you in your emotional pain. You were created to live to your fullest potential, and I want want to help you to know that and live in that potential. I am a certified associate sex addiction and trauma trained therapist.
(510) 800-7282 View (510) 800-7282
Photo of Walker Witte, Marriage & Family Therapist, LMFT
Walker Witte
Marriage & Family Therapist, LMFT
1 Endorsed
San Francisco, CA 94114
Are you looking to change stubborn patterns or heal old wounds? Perhaps you would like to feel more connected with others and to yourself? However challenges show up in your life – maybe as depression, grief and loss, addictive patterns, anxiety, the impact of trauma, relationship struggles - there is always the potential for healing and growth waiting to be accessed. If the light in the tunnel seems dim or nonexistent, I’d like to offer you the torch that deep therapeutic inquiry has to offer.
Are you looking to change stubborn patterns or heal old wounds? Perhaps you would like to feel more connected with others and to yourself? However challenges show up in your life – maybe as depression, grief and loss, addictive patterns, anxiety, the impact of trauma, relationship struggles - there is always the potential for healing and growth waiting to be accessed. If the light in the tunnel seems dim or nonexistent, I’d like to offer you the torch that deep therapeutic inquiry has to offer.
(628) 265-8134 View (628) 265-8134
Photo of Nicole Otis, Marriage & Family Therapist, MA, LMFT, CSAT
Nicole Otis
Marriage & Family Therapist, MA, LMFT, CSAT
San Francisco, CA 94127
Are you struggling with pornography or sexual compulsivity? Is secrecy, broken trust or loss of intimacy hurting your relationship? Or maybe you’re not in crisis, but you know your marriage could be stronger, more connected, more alive? You’re not alone–we have been through these issues personally and know what it’s like. I’m a Certified Sex Addiction Therapist (CSAT), and Hunter is a Certified Mentor Coach in long-term recovery. Together, we help men break free (porn, sexting, affairs, prostitution, etc) and we help couples rebuild trust and real intimacy.
Are you struggling with pornography or sexual compulsivity? Is secrecy, broken trust or loss of intimacy hurting your relationship? Or maybe you’re not in crisis, but you know your marriage could be stronger, more connected, more alive? You’re not alone–we have been through these issues personally and know what it’s like. I’m a Certified Sex Addiction Therapist (CSAT), and Hunter is a Certified Mentor Coach in long-term recovery. Together, we help men break free (porn, sexting, affairs, prostitution, etc) and we help couples rebuild trust and real intimacy.
(320) 339-0830 View (320) 339-0830
Photo of Scott Church, Licensed Professional Counselor, MA, LPC/MHC, NCC, CST
Scott Church
Licensed Professional Counselor, MA, LPC/MHC, NCC, CST
5 Endorsed
Online Only
I am an (AASECT) Certified Sex Therapist and Couple/Relationship Counselor, licensed in Colorado, California and Hawaii. I help individuals and those in traditional, or non-traditional, relationships, explore issues surrounding: sex, sexuality/sexual orientation, gender, sexual performance/functioning, desire discrepancy, kink/fetishes, compulsive sexual behavior/sex addiction, sexual abuse/trauma, communication, intimacy, and betrays of trust/infidelity. I celebrate diversity and approach our work together with empathy and non-judgment.
I am an (AASECT) Certified Sex Therapist and Couple/Relationship Counselor, licensed in Colorado, California and Hawaii. I help individuals and those in traditional, or non-traditional, relationships, explore issues surrounding: sex, sexuality/sexual orientation, gender, sexual performance/functioning, desire discrepancy, kink/fetishes, compulsive sexual behavior/sex addiction, sexual abuse/trauma, communication, intimacy, and betrays of trust/infidelity. I celebrate diversity and approach our work together with empathy and non-judgment.
(720) 636-8939 View (720) 636-8939

See more therapy options for San Francisco

Sexual Addiction Therapists
When should someone seek treatment for sex addiction?
People should seek treatment for sex addiction if they cannot control their sexual thoughts or behaviours to the point that it disrupts their ability to function in daily life, for example by threatening their finances, career, or relationships. This may include spending an excessive amount of time obsessing over sex, planning sex, watching pornography, or masturbating, as well as consistently engaging in risky sexual activities, using sex to escape distressing feelings, or attempting yet failing to control sexual behavior.

What are the most common treatment options for sex addiction?
Psychotherapy is the most common treatment for sex addiction; therapy helps patients better understand their compulsive thoughts and behaviors and develop strategies to manage their desires. Therapy may be supplemented by medications, such as antidepressants, mood stabilizers, anti-androgens, and the alcohol and substance use medication Naltrexone, as well as support groups, such as 12-step programs.

How long does therapy take for sex addiction?
Recovering from compulsive behavior takes time and effort. There’s no precise timeline for treatment, but research suggests 12 therapy sessions may be enough to see change. Treatment for sexual compulsions requires honesty in therapy, a commitment to understanding triggers and developing coping skills, and potential lifestyle changes such as cutting out alcohol or drugs.

What if sex addiction is left untreated?
Compulsive sexual behavior can have serious repercussions if left unaddressed. For example, if sexual obsessions consume the vast majority of a person’s time, they may lose their job. If they can’t stop paying for sex, their finances may suffer. If they’re dishonest in their relationships, their partner may leave them. If they consistently feel shame, they may struggle with anxiety, depression, or loneliness. Therapy can help people develop the tools to manage sexual thoughts and behaviors that feel uncontrollable.