Sexual Addiction Therapists in Eldersburg, MD

Photo of George M Forsythe, Counselor, MS, LCPC
George M Forsythe
Counselor, MS, LCPC
Verified Verified
1 Endorsed
Eldersburg, MD 21784
There can be times in our life where we feel stuck, or in a pit without a way out. This may be life's normal rhythm or could be unresolved trauma, anxiety, depression, substance abuse, addictions, relationship conflict, or grief / loss. It's possible you do not even know why you feel stuck. Maybe you tried to climb out on your own, only to slip back deeper than before. In my 25 year career as a police officer, I have been where many of you are. I have now dedicated my life to helping individuals find the strength and resiliency to move towards healing. I can help you find your path forward as well.
There can be times in our life where we feel stuck, or in a pit without a way out. This may be life's normal rhythm or could be unresolved trauma, anxiety, depression, substance abuse, addictions, relationship conflict, or grief / loss. It's possible you do not even know why you feel stuck. Maybe you tried to climb out on your own, only to slip back deeper than before. In my 25 year career as a police officer, I have been where many of you are. I have now dedicated my life to helping individuals find the strength and resiliency to move towards healing. I can help you find your path forward as well.
(443) 234-8416 View (443) 234-8416
Photo of Nicholas Palmieri - New Path Counseling Center LLC, Drug & Alcohol Counselor, LCADC, CCDC
New Path Counseling Center LLC
Drug & Alcohol Counselor, LCADC, CCDC
Verified Verified
1 Endorsed
Serves Area
We treat Adolescents and Adults in the area of Addiction, Substance Abuse, Dual-Diagnosis, Anxiety, Depression, Stress, Trauma (EMDR), and Relationship difficulties. We offer a straightforward, friendly, effective approach to assist you in accomplishing your goals for counseling. We work with individuals, couples and families.
We treat Adolescents and Adults in the area of Addiction, Substance Abuse, Dual-Diagnosis, Anxiety, Depression, Stress, Trauma (EMDR), and Relationship difficulties. We offer a straightforward, friendly, effective approach to assist you in accomplishing your goals for counseling. We work with individuals, couples and families.
(410) 305-7232 View (410) 305-7232

More Therapists Nearby

Photo of Elizabeth Raeder Freeland Forensic Treatment And Assessment, Clinical Social Work/Therapist, LCSW-C, CSOTP
Elizabeth Raeder Freeland Forensic Treatment And Assessment
Clinical Social Work/Therapist, LCSW-C, CSOTP
Verified Verified
Online Only
I specialize in the treatment of sexual problems like pornography and sexual addiction, and treatment for pre and post- adjudicated sexual offenders.
Prior to creating my own practice, I was the executive director/co-owner of Freeland and Hildembrand Clinical and Forensic Associates, a community-based, full service forensic mental health clinic that worked exclusively with adults and juveniles with sexual behavior problems.
I specialize in the treatment of sexual problems like pornography and sexual addiction, and treatment for pre and post- adjudicated sexual offenders.
Prior to creating my own practice, I was the executive director/co-owner of Freeland and Hildembrand Clinical and Forensic Associates, a community-based, full service forensic mental health clinic that worked exclusively with adults and juveniles with sexual behavior problems.
(301) 517-9419 View (301) 517-9419
Photo of Michael A Vigorito, Marriage & Family Therapist, MFT, CGP, CST-S
Michael A Vigorito
Marriage & Family Therapist, MFT, CGP, CST-S
Verified Verified
4 Endorsed
Serves Area
As a sexual health psychotherapist, I treat what is commonly labeled as " sexual addiction" or "compulsive sexual behavior" as a problem of competing motivations - men wanting to both stop and continue their sexual behavior despite harmful consequences.
How do you know if your sexual behavior is out of control? It's a subjective question that many men unfortunately wait until relationship, occupational or medical consequences accumulate before considering. I believe the most important person to evaluate concerns with regulating sexual behavior is the man experiencing the dilemma. I start with two basic questions: "What is your conflict with your sexual behavior?" and "What is your vision for your sexual health?" Since 2001, I have provided a safe, informed and confidential space for sexual health conversations with heterosexual, gay and bisexual men.
As a sexual health psychotherapist, I treat what is commonly labeled as " sexual addiction" or "compulsive sexual behavior" as a problem of competing motivations - men wanting to both stop and continue their sexual behavior despite harmful consequences.
How do you know if your sexual behavior is out of control? It's a subjective question that many men unfortunately wait until relationship, occupational or medical consequences accumulate before considering. I believe the most important person to evaluate concerns with regulating sexual behavior is the man experiencing the dilemma. I start with two basic questions: "What is your conflict with your sexual behavior?" and "What is your vision for your sexual health?" Since 2001, I have provided a safe, informed and confidential space for sexual health conversations with heterosexual, gay and bisexual men.
(202) 949-7872 View (202) 949-7872
Photo of Russell Beebe, Counselor, LCMHC, CSAT
Russell Beebe
Counselor, LCMHC, CSAT
Verified Verified
Online Only
Certified Sex Addiction Therapist (CSAT) helping men struggling with sexual addiction and/or porn addiction stop their compulsive sexual behavior and live healthy productive lives.
I offer personally tailored sexual addiction coaching program designed to help you stop problematic sexual behavior while healing the underlying issues that cause the acting out behavior.Having 15+ years of sobriety and recovery, I understand the pain of not being able to stop. And worse not knowing what to do to stop. With a deep understanding of the natur
Certified Sex Addiction Therapist (CSAT) helping men struggling with sexual addiction and/or porn addiction stop their compulsive sexual behavior and live healthy productive lives.
I offer personally tailored sexual addiction coaching program designed to help you stop problematic sexual behavior while healing the underlying issues that cause the acting out behavior.Having 15+ years of sobriety and recovery, I understand the pain of not being able to stop. And worse not knowing what to do to stop. With a deep understanding of the natur
(240) 820-2716 View (240) 820-2716
Photo of Monica J Smith, MA, BCC, CAC, CAPP
Monica J Smith
MA, BCC, CAC, CAPP
Verified Verified
Fallston, MD 21047
I also love to work with couples repairing trust, communication, and connection—especially after sexual addiction or betrayal.
I am a Board-Certified Coach with a Master’s in Forensic Psychology, advanced training in counseling, sexual health, and sexual addiction coaching, and certifications in resilience and positive psychology. I blend science-based tools to support healing, intimacy, and addiction recovery in a unique, holistic way focused on strengths and well-being research.
I also love to work with couples repairing trust, communication, and connection—especially after sexual addiction or betrayal.
I am a Board-Certified Coach with a Master’s in Forensic Psychology, advanced training in counseling, sexual health, and sexual addiction coaching, and certifications in resilience and positive psychology. I blend science-based tools to support healing, intimacy, and addiction recovery in a unique, holistic way focused on strengths and well-being research.
(443) 951-3368 View (443) 951-3368
Photo of David J Cruzan, Licensed Clinical Professional Counselor, MS, LCPC, SRT, CSAT
David J Cruzan
Licensed Clinical Professional Counselor, MS, LCPC, SRT, CSAT
Verified Verified
5 Endorsed
Frederick, MD 21701
I specialize in working with individuals and couples struggling with pornography, sexual addiction and intimacy disorders.
Things have a way of not working out the way they we thought they would. The stories of our lives begin in the families we are given with all of their foibles and experiences. Pages that become chapters of pain, trauma or loss can engulf the one that feels trapped in the narrative. After a plot twist of epic proportions, I left a 16-year career in the intelligence community and began a new chapter. I’ve had to confront the sources, rewrite the narrative, consult the author and find myself in the pages. The refinement process can be a horrific one but in the truth, freedom is found. Together, we can find healing.
I specialize in working with individuals and couples struggling with pornography, sexual addiction and intimacy disorders.
Things have a way of not working out the way they we thought they would. The stories of our lives begin in the families we are given with all of their foibles and experiences. Pages that become chapters of pain, trauma or loss can engulf the one that feels trapped in the narrative. After a plot twist of epic proportions, I left a 16-year career in the intelligence community and began a new chapter. I’ve had to confront the sources, rewrite the narrative, consult the author and find myself in the pages. The refinement process can be a horrific one but in the truth, freedom is found. Together, we can find healing.
(301) 327-2020 View (301) 327-2020
Photo of Scott Kampschaefer, Clinical Social Work/Therapist, LCSW, EMDR-C
Scott Kampschaefer
Clinical Social Work/Therapist, LCSW, EMDR-C
Verified Verified
2 Endorsed
Frederick, MD 21702
Waitlist for new clients
Do you feel like you are continually battling uphill due to depression, anxiety, trauma, or sexual addiction issues and it seems like nothing you do helps?
Do you sometimes feel compelled to engage in certain behaviors like a moth to a flame? I can help with that. If you are also struggling emotionally because of either past or recent traumatic experiences, I can show you gentle, but effective ways to cope with the effects of them and be a key support on your recovery journey.
Do you feel like you are continually battling uphill due to depression, anxiety, trauma, or sexual addiction issues and it seems like nothing you do helps?
Do you sometimes feel compelled to engage in certain behaviors like a moth to a flame? I can help with that. If you are also struggling emotionally because of either past or recent traumatic experiences, I can show you gentle, but effective ways to cope with the effects of them and be a key support on your recovery journey.
(301) 205-5629 View (301) 205-5629
Photo of Chris Kraft, Psychologist, PhD
Chris Kraft
Psychologist, PhD
Verified Verified
Baltimore, MD 21210
As a psychologist/sexologist and AASECT Certified Sex Therapist on faculty at Johns Hopkins University, I specialize in marital sexual functioning, problematic Internet sexual behaviors, and sexual addiction and compulsivity.
I conduct a comprehensive evaluation with both members of a couple along with taking a detailed sexual and relationship history. Couples are evaluated over a 3 hour time period where they are interviewed together and separately. Individuals not coupled are evaluated in 2 hour sessions.
As a psychologist/sexologist and AASECT Certified Sex Therapist on faculty at Johns Hopkins University, I specialize in marital sexual functioning, problematic Internet sexual behaviors, and sexual addiction and compulsivity.
I conduct a comprehensive evaluation with both members of a couple along with taking a detailed sexual and relationship history. Couples are evaluated over a 3 hour time period where they are interviewed together and separately. Individuals not coupled are evaluated in 2 hour sessions.
(410) 656-4485 View (410) 656-4485
Photo of Binu Abraham, Clinical Social Work/Therapist, MSW, MPhil, ACFSW, CCTT, LCSW-C
Binu Abraham
Clinical Social Work/Therapist, MSW, MPhil, ACFSW, CCTT, LCSW-C
Verified Verified
Serves Area
I specialize in growth-driven folks that are dealing with life - particularly stress, anxiety, depression, loneliness, grief and loss associated with COVID-19, difficult life transitions, anger management, PTSD, ADHD, couples therapy, supporting emotional health during child bearing years, infidelity recovery, internet sexual addiction, gambling addiction, substance use disorders, chronic pain, and psycho-social problems of elderly, gay, lesbian, transsexual issues and desires to live your best life.
I enjoy working with the cultural diversity that is humanity, and I believe that no man is an island by her/himself. Therefore, collaborating with my clients to individualize each session by cultivating hidden strengths and cultivating the tools, and skills needed to navigate through life will be our goal every session.
I specialize in growth-driven folks that are dealing with life - particularly stress, anxiety, depression, loneliness, grief and loss associated with COVID-19, difficult life transitions, anger management, PTSD, ADHD, couples therapy, supporting emotional health during child bearing years, infidelity recovery, internet sexual addiction, gambling addiction, substance use disorders, chronic pain, and psycho-social problems of elderly, gay, lesbian, transsexual issues and desires to live your best life.
I enjoy working with the cultural diversity that is humanity, and I believe that no man is an island by her/himself. Therefore, collaborating with my clients to individualize each session by cultivating hidden strengths and cultivating the tools, and skills needed to navigate through life will be our goal every session.
(240) 571-2599 View (240) 571-2599
Photo of Dr. Tenille Richardson-Quamina, Clinical Social Work/Therapist, PhD, LCSW, CSAT, DBT-C
Dr. Tenille Richardson-Quamina
Clinical Social Work/Therapist, PhD, LCSW, CSAT, DBT-C
Verified Verified
1 Endorsed
Online Only
If pornography or sex addiction is damaging your relationship and stopping feels impossible, there is help. If hours spent gaming, scrolling social media, or online shopping are pulling you away from loved ones or your goals, there is help. Has an online affair turned your world upside down, shattering trust, leaving you unsure if it can be rebuilt? There is help! If the emotional scars from cyberbullying still hurt, there is help. If you’re here, this is your turning point. You don’t have to face this alone. I’m here to help and support you. Reach out today and book via my website!
If pornography or sex addiction is damaging your relationship and stopping feels impossible, there is help. If hours spent gaming, scrolling social media, or online shopping are pulling you away from loved ones or your goals, there is help. Has an online affair turned your world upside down, shattering trust, leaving you unsure if it can be rebuilt? There is help! If the emotional scars from cyberbullying still hurt, there is help. If you’re here, this is your turning point. You don’t have to face this alone. I’m here to help and support you. Reach out today and book via my website!
(301) 287-5082 View (301) 287-5082
Photo of Jason Hovey, Licensed Clinical Professional Counselor, LCPC, CSAT
Jason Hovey
Licensed Clinical Professional Counselor, LCPC, CSAT
Verified Verified
5 Endorsed
Serves Area
"Fear lives in the head. And courage lives in the heart. The job is to get from one to the other" - Louis Penny. It is inevitable that we will be wounded during the journey of life. Many of those wounds generally heal on their own. However some wounds cut deeper. They are unable to heal themselves and leave scars causing broken relationships, anxiety, addiction, insecurity, fear, and pain. Facing these wounds can be frightening and overwhelming, especially when facing them alone. Together we find the courage and strength to face and heal these wounds.
"Fear lives in the head. And courage lives in the heart. The job is to get from one to the other" - Louis Penny. It is inevitable that we will be wounded during the journey of life. Many of those wounds generally heal on their own. However some wounds cut deeper. They are unable to heal themselves and leave scars causing broken relationships, anxiety, addiction, insecurity, fear, and pain. Facing these wounds can be frightening and overwhelming, especially when facing them alone. Together we find the courage and strength to face and heal these wounds.
(410) 734-2187 View (410) 734-2187
Photo of Dylan Hartmann, Clinical Social Work/Therapist, MSW, LCSW-C, LISW-CP
Dylan Hartmann
Clinical Social Work/Therapist, MSW, LCSW-C, LISW-CP
Verified Verified
6 Endorsed
Online Only
I’m a licensed therapist having worked with a diverse range of clients and struggles. I'm confident and dedicated to helping you reach your desired goals, and offer a laid-back, non-judgemental approach. I am able to offer a Christian perspective in therapy for those who desire it; however, it is always at the request of the client. I do indeed work with individuals of all different faiths, religions, and backgrounds though.
I’m a licensed therapist having worked with a diverse range of clients and struggles. I'm confident and dedicated to helping you reach your desired goals, and offer a laid-back, non-judgemental approach. I am able to offer a Christian perspective in therapy for those who desire it; however, it is always at the request of the client. I do indeed work with individuals of all different faiths, religions, and backgrounds though.
(240) 213-4245 View (240) 213-4245
Photo of Lauren Silberman, Marriage & Family Therapist, LCMFT
Lauren Silberman
Marriage & Family Therapist, LCMFT
Verified Verified
6 Endorsed
Silver Spring, MD 20910
My office is a place where individuals, couples, families and more can talk through all kinds of relationships with a healthy dose of warmth, encouragement, kindness and humor. I take an active approach, meaning I offer honest dialogue rather than passive listening. I pro-actively help connect the different threads of your life–because no one’s troubles exist in a vacuum. I also respect that while I have expertise in my field, you are the foremost expert on yourself. Whether or not you've been to therapy before, you are welcome.
My office is a place where individuals, couples, families and more can talk through all kinds of relationships with a healthy dose of warmth, encouragement, kindness and humor. I take an active approach, meaning I offer honest dialogue rather than passive listening. I pro-actively help connect the different threads of your life–because no one’s troubles exist in a vacuum. I also respect that while I have expertise in my field, you are the foremost expert on yourself. Whether or not you've been to therapy before, you are welcome.
(301) 960-5531 View (301) 960-5531
Photo of Jason Hovey - Rogue River Counseling and Recovery Group, Licensed Clinical Professional Counselor, LCPC, CSAT
Rogue River Counseling and Recovery Group
Licensed Clinical Professional Counselor, LCPC, CSAT
Verified Verified
1 Endorsed
Serves Area
We are dedicated to walking alongside clients from all backgrounds who are struggling with the burden of trauma, particularly those traumas which stem from broken relationships, betrayal, neglect, sexual or behavioral addictions, and abuse in its many forms. These can wreak havoc on one's own life, and leave a wake of pain, betrayal and trauma in the lives of those who are connected with them. If you relate to this chaos, we are very aware of the shame, pain and confusion you feel. If you are the partner or family member of someone weighed down with this trauma, we understand your despair, confusion, betrayal, and anger, too.
We are dedicated to walking alongside clients from all backgrounds who are struggling with the burden of trauma, particularly those traumas which stem from broken relationships, betrayal, neglect, sexual or behavioral addictions, and abuse in its many forms. These can wreak havoc on one's own life, and leave a wake of pain, betrayal and trauma in the lives of those who are connected with them. If you relate to this chaos, we are very aware of the shame, pain and confusion you feel. If you are the partner or family member of someone weighed down with this trauma, we understand your despair, confusion, betrayal, and anger, too.
(410) 421-7371 View (410) 421-7371
Photo of Kristina Stannard, Psychologist, Psy D, CSAT, NATC
Kristina Stannard
Psychologist, Psy D, CSAT, NATC
Verified Verified
Online Only
It takes incredible strength and courage to realize that you are struggling and need support. It’s even more tiring doing the same thing over and over again and having the same outcome. Are you struggling with unresolved trauma? Are you questioning if your current relationship is healthy for you? Are you struggling with relationships or setting boundaries but you’re not really sure why? Are you struggling with love, sex, or porn addiction or are a partner of someone with such an addiction? Does your partner think you have NPD? My goal is to provide a safe environment to explore and empower yourself as you work towards your goals.
It takes incredible strength and courage to realize that you are struggling and need support. It’s even more tiring doing the same thing over and over again and having the same outcome. Are you struggling with unresolved trauma? Are you questioning if your current relationship is healthy for you? Are you struggling with relationships or setting boundaries but you’re not really sure why? Are you struggling with love, sex, or porn addiction or are a partner of someone with such an addiction? Does your partner think you have NPD? My goal is to provide a safe environment to explore and empower yourself as you work towards your goals.
(240) 540-5070 View (240) 540-5070
Photo of Ken Ovitz, Clinical Social Work/Therapist, LCSW, CSAT
Ken Ovitz
Clinical Social Work/Therapist, LCSW, CSAT
Verified Verified
Online Only
I am honored that my clients share their deepest secrets with me every day. I am grateful for the trust they place in me and I value their need for confidentiality. I make an effort to listen to my clients and hear what they say to learn what they need to grow. Every client is a person who is much greater than their problem behavior or diagnosis. While I have extensive training in treating trauma and sexual behavior problems, I also have experience and training in treating other mental health problems such as: Depression, Anxiety, Post Traumatic Stress Disorder, Panic Disorder, ADHD, and chemical as well as process addictions.
I am honored that my clients share their deepest secrets with me every day. I am grateful for the trust they place in me and I value their need for confidentiality. I make an effort to listen to my clients and hear what they say to learn what they need to grow. Every client is a person who is much greater than their problem behavior or diagnosis. While I have extensive training in treating trauma and sexual behavior problems, I also have experience and training in treating other mental health problems such as: Depression, Anxiety, Post Traumatic Stress Disorder, Panic Disorder, ADHD, and chemical as well as process addictions.
(301) 381-4439 View (301) 381-4439
Photo of Dr. Vanessa Rojas, Clinical Social Work/Therapist, CSAT, C-PD, CCTP-II, LCSW-C, PhD
Dr. Vanessa Rojas
Clinical Social Work/Therapist, CSAT, C-PD, CCTP-II, LCSW-C, PhD
Verified Verified
5 Endorsed
Bethesda, MD 20814
I have 26 years of experience specializing in marital/couples counseling, helping partners transform high conflict into harmony. My expertise covers a wide range of issues, including avoidant and anxious attachment styles, neurodiversity, and infidelity. I offer tailored 1-2 day couples intensives and therapeutic disclosures to foster deep healing and connection. The other half of my time is dedicated to helping individuals recover from childhood trauma, betrayal trauma, personality disorders, anxiety, depression, and various addictions. My clients value my training in both relationship dynamics and trauma to aid in complex cases.
I have 26 years of experience specializing in marital/couples counseling, helping partners transform high conflict into harmony. My expertise covers a wide range of issues, including avoidant and anxious attachment styles, neurodiversity, and infidelity. I offer tailored 1-2 day couples intensives and therapeutic disclosures to foster deep healing and connection. The other half of my time is dedicated to helping individuals recover from childhood trauma, betrayal trauma, personality disorders, anxiety, depression, and various addictions. My clients value my training in both relationship dynamics and trauma to aid in complex cases.
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Photo of Michael Wenisch, Licensed Clinical Professional Counselor, LCPC, PhD, Phlsphy
Michael Wenisch
Licensed Clinical Professional Counselor, LCPC, PhD, Phlsphy
Verified Verified
Online Only
I specialize in sex and internet pornography addiction. I work one-on-one with indivuals, couples, families, and those attracted to minors. My primary treatment goal is to help the sexually addicted individual overcome the addiction and find inner healing. Additionally, I work to promote healing within badly damaged intimate relationships. Initially, I aim to help clients gain immediate relief from the feelings of overwhelm and distress that brought them to counseling to begin with. Subsequently, I collaborate with clients to diagnose and heal the deeper sources and causes of their suffering and addiction.
I specialize in sex and internet pornography addiction. I work one-on-one with indivuals, couples, families, and those attracted to minors. My primary treatment goal is to help the sexually addicted individual overcome the addiction and find inner healing. Additionally, I work to promote healing within badly damaged intimate relationships. Initially, I aim to help clients gain immediate relief from the feelings of overwhelm and distress that brought them to counseling to begin with. Subsequently, I collaborate with clients to diagnose and heal the deeper sources and causes of their suffering and addiction.
(301) 684-6443 View (301) 684-6443
Photo of Larry Stouter, Licensed Clinical Professional Counselor, MA, LCPC
Larry Stouter
Licensed Clinical Professional Counselor, MA, LCPC
Verified Verified
Frederick, MD 21701
I am a practical consultant for getting movement towards the life you want. I have enjoyed being a practicing psychotherapist for over 25 years having worked with thousands of clients. This experience enables me to quickly clarify issues and help you develop a plan to have the life you want. Being gentle and simultaneously direct is my forte so I will use your time effectively. I use Acceptance and Commitment Therapy as a primary intervention with other approaches woven in as needed. I do not take myself too seriously and laughter is an essential therapeutic ingredient.
I am a practical consultant for getting movement towards the life you want. I have enjoyed being a practicing psychotherapist for over 25 years having worked with thousands of clients. This experience enables me to quickly clarify issues and help you develop a plan to have the life you want. Being gentle and simultaneously direct is my forte so I will use your time effectively. I use Acceptance and Commitment Therapy as a primary intervention with other approaches woven in as needed. I do not take myself too seriously and laughter is an essential therapeutic ingredient.
(301) 256-0340 View (301) 256-0340

See more therapy options for Eldersburg

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.