Sexual Addiction Therapists in Middlesex County, CT

Photo of Core Psychotherapy Counseling Services, LLC, Licensed Professional Counselor in Middlesex County, CT
Core Psychotherapy Counseling Services, LLC
Licensed Professional Counselor, MA, LPC
Verified Verified
1 Endorsed
Middletown, CT 06457  (Online Only)
I specialized in treating a variety of issues including, trauma, sexual abuse, sexual addiction, depression, anxiety, anger management, family violence prevention, parenting education, substance abuse, coping skills, and antisocial disorder.
I have over ten years of experience working with adults and adolescents. Building resiliency in children and adults is essential for me. I have the drive and passion for helping people in need. I enjoy working with different clients from all walks of life. My goal is to help clients create a better version of themselves. I use cognitive behavioral therapy, person-centered therapy, and narrative therapy approach. Once you can change your thinking patterns, you can change your behaviors, resulting in a better outcome.
I specialized in treating a variety of issues including, trauma, sexual abuse, sexual addiction, depression, anxiety, anger management, family violence prevention, parenting education, substance abuse, coping skills, and antisocial disorder.
I have over ten years of experience working with adults and adolescents. Building resiliency in children and adults is essential for me. I have the drive and passion for helping people in need. I enjoy working with different clients from all walks of life. My goal is to help clients create a better version of themselves. I use cognitive behavioral therapy, person-centered therapy, and narrative therapy approach. Once you can change your thinking patterns, you can change your behaviors, resulting in a better outcome.
(860) 590-9824 View (860) 590-9824
Photo of Leigh Ann Smith-Gary, Clinical Social Work/Therapist in Middlesex County, CT
Leigh Ann Smith-Gary
Clinical Social Work/Therapist, LCSW
Verified Verified
Middletown, CT 06457
*Please note: I am unable to accept new clients at this time.* My approach to therapy is humanistic and my aim is to work with honesty, gentleness, and in a collaborative spirit. My hope is that the process of therapy will result in your ability to live with less anxiety and depression, a stronger sense of well-being, and deeper self-understanding and self-acceptance. My background is in work with clients in university (CAPS), community, and residential settings. I collaborate extensively with other providers (psychiatrists, home therapists, etc.).
*Please note: I am unable to accept new clients at this time.* My approach to therapy is humanistic and my aim is to work with honesty, gentleness, and in a collaborative spirit. My hope is that the process of therapy will result in your ability to live with less anxiety and depression, a stronger sense of well-being, and deeper self-understanding and self-acceptance. My background is in work with clients in university (CAPS), community, and residential settings. I collaborate extensively with other providers (psychiatrists, home therapists, etc.).
(833) 910-0645 View (833) 910-0645
Photo of Richard V. Daly, Clinical Social Work/Therapist in Middlesex County, CT
Richard V. Daly
Clinical Social Work/Therapist, MSW, LCSW
Verified Verified
1 Endorsed
Middletown, CT 06457
Warm greetings, I am happy that you have found your way here and I am looking forward to helping. It is important for you to know that my approach to therapy is solution focused and strength based. I am a highly experienced therapist with over 40 years of clinical treatment experience. My main interests and expertise as a therapist center around Individual therapy, Couples Therapy, Parenting and Substance Abuse. During my long and rewarding career I have worked as a primary therapist with individual adults, families, children, couples and groups and as a parenting coach. I thoroughly enjoy my work and look forward to helping you.
Warm greetings, I am happy that you have found your way here and I am looking forward to helping. It is important for you to know that my approach to therapy is solution focused and strength based. I am a highly experienced therapist with over 40 years of clinical treatment experience. My main interests and expertise as a therapist center around Individual therapy, Couples Therapy, Parenting and Substance Abuse. During my long and rewarding career I have worked as a primary therapist with individual adults, families, children, couples and groups and as a parenting coach. I thoroughly enjoy my work and look forward to helping you.
(959) 210-0115 View (959) 210-0115
Photo of Patrick Russolillo, Psychologist in Middlesex County, CT
Patrick Russolillo
Psychologist, PhD
Verified Verified
Middletown, CT 06457
I am a licensed psychologist. I have been practicing psychology for 40 years and have been in private practice for 30 years. The vast majority of my training during the course of my career has been in the area of behavioral assessment, behavioral interventions and cognitive-behavioral techniques. I take a directive and problem solving approach to counseling. I offer the following services: cognitive and behavior therapy for children, adolescents and adults, psychological evaluations, evaluation of autism, interventions and treatment for anxiety, and depression. Behavioral intervention for sleep and insomnia.
I am a licensed psychologist. I have been practicing psychology for 40 years and have been in private practice for 30 years. The vast majority of my training during the course of my career has been in the area of behavioral assessment, behavioral interventions and cognitive-behavioral techniques. I take a directive and problem solving approach to counseling. I offer the following services: cognitive and behavior therapy for children, adolescents and adults, psychological evaluations, evaluation of autism, interventions and treatment for anxiety, and depression. Behavioral intervention for sleep and insomnia.
(860) 552-6383 View (860) 552-6383
Photo of Gregory Vaughn Besek in Middlesex County, CT
Gregory Vaughn Besek
CH
Verified Verified
Middletown, CT 06457
There is an old saying: "Never give a sword to a person who can't dance". This wisdom speaks directly to minds that are stuck and cannot move rhythmically but are bound to fear, anxiety and neglect. When our minds become inflexible, we cut ourselves away from our intuitive self, causing suffering and pain. Only with the experience of standing unbiased and naked in "another's shoes" can we really know we are clear and authentic. When we become authentic, we receive confidence. Confidence begets creativity and with creativity we discover our life.
There is an old saying: "Never give a sword to a person who can't dance". This wisdom speaks directly to minds that are stuck and cannot move rhythmically but are bound to fear, anxiety and neglect. When our minds become inflexible, we cut ourselves away from our intuitive self, causing suffering and pain. Only with the experience of standing unbiased and naked in "another's shoes" can we really know we are clear and authentic. When we become authentic, we receive confidence. Confidence begets creativity and with creativity we discover our life.
(860) 331-8106 View (860) 331-8106
Photo of Kathleen Watanabe, Clinical Social Work/Therapist in Middlesex County, CT
Kathleen Watanabe
Clinical Social Work/Therapist, LCSW, LADC
Verified Verified
Middletown, CT 06457
TELETHERAPY AVAILABLE - AS A LICENSED CLINICAL SOCIAL WORKER I STRIVE TO PROVIDE A CONFIDENTIAL AND SAFE ENVIRONMENT IN WHICH INDIVIDUALS ARE FREE TO GROW AT THEIR OWN PACE. I WORK WITH INDIVIDUALS AND COUPLES TO RESOLVE RELATIONSHIP PROBLEMS, REDUCE ANXIETY AND DEPRESSION AND ADDRESS TRAUMA. I HAVE A SUB SPECIALTY OF TREATING SUBSTANCE USE DISORDERS AND THE FAMILIES THAT ARE AFFECTED.
TELETHERAPY AVAILABLE - AS A LICENSED CLINICAL SOCIAL WORKER I STRIVE TO PROVIDE A CONFIDENTIAL AND SAFE ENVIRONMENT IN WHICH INDIVIDUALS ARE FREE TO GROW AT THEIR OWN PACE. I WORK WITH INDIVIDUALS AND COUPLES TO RESOLVE RELATIONSHIP PROBLEMS, REDUCE ANXIETY AND DEPRESSION AND ADDRESS TRAUMA. I HAVE A SUB SPECIALTY OF TREATING SUBSTANCE USE DISORDERS AND THE FAMILIES THAT ARE AFFECTED.
(860) 317-2815 View (860) 317-2815
Photo of Dr. Leonard Lev Md - Psychiatrist, Drug & Alcohol Counselor in Middlesex County, CT
Dr. Leonard Lev Md - Psychiatrist
Drug & Alcohol Counselor, MD, LCSW, LPC, LADC
Not Verified Not Verified
Middletown, CT 06457  (Online Only)
TELEMEDICINE AVAILABLE—Immediate Openings!!! Our experienced team of therapists, prescribers, and support staff are here to help you clarify your goals, recognize your strength, and take the next step in your personal journey. We will listen attentively to the unique challenges you are facing, and work to support you in choosing the best path for you. We have immediate openings for individual therapy, group therapy, and medication management. Almost all insurances accepted. Follow this link to speak with someone TODAY: Doxy.me/MiddletownOpenAccess
TELEMEDICINE AVAILABLE—Immediate Openings!!! Our experienced team of therapists, prescribers, and support staff are here to help you clarify your goals, recognize your strength, and take the next step in your personal journey. We will listen attentively to the unique challenges you are facing, and work to support you in choosing the best path for you. We have immediate openings for individual therapy, group therapy, and medication management. Almost all insurances accepted. Follow this link to speak with someone TODAY: Doxy.me/MiddletownOpenAccess
(860) 854-1725 View (860) 854-1725
Photo of Sarah Gerrish, Pre-Licensed Professional in Middlesex County, CT
Sarah Gerrish
Pre-Licensed Professional, LPC-A
Verified Verified
1 Endorsed
Middletown, CT 06457
Hi there! I’m Sarah, a Licensed Professional Counselor Associate and graduate of the University of Saint Joseph’s Clinical Mental Health Counseling program. If you are exploring this page, I assume you are taking a step towards your healing journey. Whether you have been in therapy before or are just starting the process, I hope to acknowledge the strength it took you to get here and meet you where you are. With all of the uncertainty that comes along with life, it is key to have safe places to express your fears, hopes and vulnerabilities.
Hi there! I’m Sarah, a Licensed Professional Counselor Associate and graduate of the University of Saint Joseph’s Clinical Mental Health Counseling program. If you are exploring this page, I assume you are taking a step towards your healing journey. Whether you have been in therapy before or are just starting the process, I hope to acknowledge the strength it took you to get here and meet you where you are. With all of the uncertainty that comes along with life, it is key to have safe places to express your fears, hopes and vulnerabilities.
(860) 831-3510 View (860) 831-3510
Photo of Scott Tordoff, Marriage & Family Therapist in Middlesex County, CT
Scott Tordoff
Marriage & Family Therapist, MS, LMFT, LADC
Verified Verified
Centerbrook, CT 06409
I am a compassionate, empathetic, and solution-focused professional, who believes everyone can achieve their goals. I have over 10 years experience working with individuals, couples, and families in diverse settings from substance use facilities to the Department of Correction as well as a Youth and Family Services, and a program director for an eating disorder facility. I enjoy working with adults and adolescents and use evidence-based therapeutic approaches to connect clients with hope and belief in themselves.
I am a compassionate, empathetic, and solution-focused professional, who believes everyone can achieve their goals. I have over 10 years experience working with individuals, couples, and families in diverse settings from substance use facilities to the Department of Correction as well as a Youth and Family Services, and a program director for an eating disorder facility. I enjoy working with adults and adolescents and use evidence-based therapeutic approaches to connect clients with hope and belief in themselves.
(860) 530-6532 View (860) 530-6532
Photo of Jean Watson, Clinical Social Work/Therapist in Middlesex County, CT
Jean Watson
Clinical Social Work/Therapist, LMSW, RYT500
Verified Verified
Chester, CT 06412
Everyone has a story incredibly personal to them; a story that is full of many chapters. These chapters hold celebrations, accomplishments, losses, successes, pain, joy, sorrow, hardships, victories, and desires. We often find ourselves stuck in a chapter of our lives requiring support. Our journeys are unique to ourselves yet they are fundamentally connected to one another.
Everyone has a story incredibly personal to them; a story that is full of many chapters. These chapters hold celebrations, accomplishments, losses, successes, pain, joy, sorrow, hardships, victories, and desires. We often find ourselves stuck in a chapter of our lives requiring support. Our journeys are unique to ourselves yet they are fundamentally connected to one another.
(959) 777-9450 View (959) 777-9450
Photo of Matthew Morris-Wood, Clinical Social Work/Therapist in Middlesex County, CT
Matthew Morris-Wood
Clinical Social Work/Therapist, LCSW
Verified Verified
1 Endorsed
East Haddam, CT 06423  (Online Only)
My passion is helping people overcome barriers to living happy and fulfilled lives - both within themselves and in relationships with others. I have 10 years of experience working with both adults and teens conducting individual, group, family and relationship therapy. My goal is to provide clients a safe and comfortable space to talk about their problems, while also guiding them toward solutions. I am experienced working with a variety of concerns including depression, anxiety, and life stressors. In addition, I specialize in helping people overcome challenges in relationships, whether romantic, social, or professional.
My passion is helping people overcome barriers to living happy and fulfilled lives - both within themselves and in relationships with others. I have 10 years of experience working with both adults and teens conducting individual, group, family and relationship therapy. My goal is to provide clients a safe and comfortable space to talk about their problems, while also guiding them toward solutions. I am experienced working with a variety of concerns including depression, anxiety, and life stressors. In addition, I specialize in helping people overcome challenges in relationships, whether romantic, social, or professional.
(860) 854-7870 View (860) 854-7870
Photo of Creative Hearts Counseling, LLC, Clinical Social Work/Therapist in Middlesex County, CT
Creative Hearts Counseling, LLC
Clinical Social Work/Therapist, LCSW, ADS
Verified Verified
Clinton, CT 06413
Waitlist for new clients
Do you suffer low self-esteem because you have difficulty maintaining daily responsibilities at school, work, or home? Do you struggle with sitting for long periods or staying on task? Do you sometimes feel as though you are "controlled" by strong waves of emotion or anger? Maybe you're discovering trouble in your relationships with others due to forgetfulness, time management, impulsiveness, substance abuse, or general communication issues.
Do you suffer low self-esteem because you have difficulty maintaining daily responsibilities at school, work, or home? Do you struggle with sitting for long periods or staying on task? Do you sometimes feel as though you are "controlled" by strong waves of emotion or anger? Maybe you're discovering trouble in your relationships with others due to forgetfulness, time management, impulsiveness, substance abuse, or general communication issues.
(860) 390-4861 View (860) 390-4861
Photo of Walter Van Sambeck, Licensed Professional Counselor in Middlesex County, CT
Walter Van Sambeck
Licensed Professional Counselor, DplPsy, LPC, LADC
Verified Verified
1 Endorsed
East Hampton, CT 06424
Grounded in the belief that knowing and being true to oneself is the key to mental health and a meaningful existence, I attempt to provide a safe environment enabling my clients to explorer their deepest feelings, thought, and beliefs. Having a compassionate understanding of human nature and psyche I facilitate the process of self discovery and healing with genuineness and expertise.In the last decade I have gained a particular interest and expertise in working with trauma. Work as well as training has taught me deep appreciation and empathy for the suffering that stems from such extraordinary experience.
Grounded in the belief that knowing and being true to oneself is the key to mental health and a meaningful existence, I attempt to provide a safe environment enabling my clients to explorer their deepest feelings, thought, and beliefs. Having a compassionate understanding of human nature and psyche I facilitate the process of self discovery and healing with genuineness and expertise.In the last decade I have gained a particular interest and expertise in working with trauma. Work as well as training has taught me deep appreciation and empathy for the suffering that stems from such extraordinary experience.
(860) 578-2412 View (860) 578-2412
Photo of Gabrielle Wynschenk, Marriage & Family Therapist in Middlesex County, CT
Gabrielle Wynschenk
Marriage & Family Therapist, LMFT, MFT, CSTIP
Verified Verified
Middletown, CT 06457  (Online Only)
Hi, I’m Gabbie. I am a Licensed Marriage and Family Therapist and Certified Sex Therapy Informed Professional with years of experience working with individuals, couples, and families navigating a wide-range of challenges. My therapeutic passions include: working with fellow members of the queer community, people of alternative relationship styles and structures (poly/ENM), and individuals or families touched by addiction. I am person-centered, affirming, non-judgmental, and passionate about what I do. In addition to my clinical work, I am equally driven to educate and supervise new providers.
Hi, I’m Gabbie. I am a Licensed Marriage and Family Therapist and Certified Sex Therapy Informed Professional with years of experience working with individuals, couples, and families navigating a wide-range of challenges. My therapeutic passions include: working with fellow members of the queer community, people of alternative relationship styles and structures (poly/ENM), and individuals or families touched by addiction. I am person-centered, affirming, non-judgmental, and passionate about what I do. In addition to my clinical work, I am equally driven to educate and supervise new providers.
(860) 485-7872 View (860) 485-7872
Photo of Stephanie Krulewitz, Drug & Alcohol Counselor in Middlesex County, CT
Stephanie Krulewitz
Drug & Alcohol Counselor, MA, LADC
Verified Verified
Middletown, CT 06457  (Online Only)
My clients tell me that the most surprising part of therapy is seeking help for one problem, and uncovering other symptoms or life events that contribute, usurp, or impact the original problem in ways they never knew. Therapy is exactly that. It starts with one thought or concern and moves toward resolution using rapport, trust, and open communication between the therapist and the client. Together we work to identify areas needing change, learning and practicing skills to get you there, celebrating the wins (every little one), supporting the misses, and finally providing you with the tools to meet your goals.
My clients tell me that the most surprising part of therapy is seeking help for one problem, and uncovering other symptoms or life events that contribute, usurp, or impact the original problem in ways they never knew. Therapy is exactly that. It starts with one thought or concern and moves toward resolution using rapport, trust, and open communication between the therapist and the client. Together we work to identify areas needing change, learning and practicing skills to get you there, celebrating the wins (every little one), supporting the misses, and finally providing you with the tools to meet your goals.
(860) 345-5814 View (860) 345-5814
Photo of Cara Billman, Licensed Professional Counselor in Middlesex County, CT
Cara Billman
Licensed Professional Counselor, MA, LPC
Verified Verified
Middletown, CT 06457  (Online Only)
Life is challenging, and sometimes those challenges can feel like too much to overcome alone. I work with individuals, couples and families to explore the obstacles they face to live their best life. I want to help you focus on the strengths you have, find the positivity in your life, and lead you on the path to happiness. As a Licensed Professional Counselor, my specialties include Addictions, Eating Disorders, Abuse/ Domestic Violence, Trauma, Codependency, Depression, and Anxiety Disorders. I over 15 years of working with children, adolescents and adults providing individual, couples and family therapy.
Life is challenging, and sometimes those challenges can feel like too much to overcome alone. I work with individuals, couples and families to explore the obstacles they face to live their best life. I want to help you focus on the strengths you have, find the positivity in your life, and lead you on the path to happiness. As a Licensed Professional Counselor, my specialties include Addictions, Eating Disorders, Abuse/ Domestic Violence, Trauma, Codependency, Depression, and Anxiety Disorders. I over 15 years of working with children, adolescents and adults providing individual, couples and family therapy.
(475) 250-1367 View (475) 250-1367
Photo of Beth Breck, Clinical Social Work/Therapist in Middlesex County, CT
Beth Breck
Clinical Social Work/Therapist, LCSW, CEAP, SAP
Verified Verified
Clinton, CT 06413
Are you looking for an experienced therapist? I work with a range of issues. Behavioral problems, work/ family balance, grief, marital/ relationship issues, family therapy, parent-child, infidelity, sexual issues, alcohol/ drug abuse, domestic violence, depression, anxiety/ panic, emotional/ mental disorders, financial difficulties, life transitions, loss, PTSD, anger management and issues within judicial systems. Acknowledge the problem...Experience the solution. I love my work and problem solving with clients. My work strives to achieve a healthy lifestyle for my clients. I help clients achieve their behavioral goals within the brief compass of six to ten sessions.
Are you looking for an experienced therapist? I work with a range of issues. Behavioral problems, work/ family balance, grief, marital/ relationship issues, family therapy, parent-child, infidelity, sexual issues, alcohol/ drug abuse, domestic violence, depression, anxiety/ panic, emotional/ mental disorders, financial difficulties, life transitions, loss, PTSD, anger management and issues within judicial systems. Acknowledge the problem...Experience the solution. I love my work and problem solving with clients. My work strives to achieve a healthy lifestyle for my clients. I help clients achieve their behavioral goals within the brief compass of six to ten sessions.
(475) 224-4670 View (475) 224-4670
Photo of Orquidea Burgos-Jimenez, Licensed Professional Counselor in Middlesex County, CT
Orquidea Burgos-Jimenez
Licensed Professional Counselor, LPC
Verified Verified
Middletown, CT 06457
Licensed Professional Counselor (Bilingual-English, Spanish speaker). I specialize in anxiety, trauma, sexuality, substance abuse, depression, and relationship struggles. Through my many years of experience, I believe that everyone has the power to find their own strengths and solutions to attain success in their lives. I am committed to helping you overcome your struggles and accomplish your optimum goals. My focus is to help the individual find inner strengths to overcome difficult challenges by providing psychoeducation and specific skill sets to guide you through the process in reaching your therapeutic goals.
Licensed Professional Counselor (Bilingual-English, Spanish speaker). I specialize in anxiety, trauma, sexuality, substance abuse, depression, and relationship struggles. Through my many years of experience, I believe that everyone has the power to find their own strengths and solutions to attain success in their lives. I am committed to helping you overcome your struggles and accomplish your optimum goals. My focus is to help the individual find inner strengths to overcome difficult challenges by providing psychoeducation and specific skill sets to guide you through the process in reaching your therapeutic goals.
(860) 579-1392 View (860) 579-1392
Photo of Amy Pinnock-Robinson, Clinical Social Work/Therapist in Middlesex County, CT
Amy Pinnock-Robinson
Clinical Social Work/Therapist, LCSW
Verified Verified
1 Endorsed
East Hampton, CT 06424
Not able to take new clients at this time- We believe in partnering with you to find the best way to help you deal with your daily stressors. If you could use someone that won’t share your thoughts with your friends and family, reach out to us and take a chance on getting to know a therapist that won’t go anywhere. Hear 2 Figure it Out, LLC is a private practice for counseling and conservatorship services. We started this business after the COVID-19 Pandemic continued after 2020. Seeing the impact it had on so many people’s mental health inspired us to help more.
Not able to take new clients at this time- We believe in partnering with you to find the best way to help you deal with your daily stressors. If you could use someone that won’t share your thoughts with your friends and family, reach out to us and take a chance on getting to know a therapist that won’t go anywhere. Hear 2 Figure it Out, LLC is a private practice for counseling and conservatorship services. We started this business after the COVID-19 Pandemic continued after 2020. Seeing the impact it had on so many people’s mental health inspired us to help more.
(860) 390-5088 View (860) 390-5088
Photo of Gretchen L Berke, Marriage & Family Therapist in Middlesex County, CT
Gretchen L Berke
Marriage & Family Therapist, MA, LMFT
Verified Verified
Middletown, CT 06457
From a sex-positive framework, I guide, collaborate and walk with my clients toward satisfying, better connected relationships and improved sexual functioning. My integrative approach combines psycho-sexual education with cognitive-behavioral techniques to address obstacles that stand in the way of achieving good health, healing and happiness. My holistic model is embracive and all-inclusive ensuring that your voice is heard and validated. I enjoy working with all genders, orientations and relationship statuses.
From a sex-positive framework, I guide, collaborate and walk with my clients toward satisfying, better connected relationships and improved sexual functioning. My integrative approach combines psycho-sexual education with cognitive-behavioral techniques to address obstacles that stand in the way of achieving good health, healing and happiness. My holistic model is embracive and all-inclusive ensuring that your voice is heard and validated. I enjoy working with all genders, orientations and relationship statuses.
(860) 785-2014 View (860) 785-2014

See more therapy options for Middlesex County

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.