Sexual Addiction Therapists in Saint Louis, MO

Julian D Affrime
Licensed Professional Counselor, MA, LPC
Online Only
Are you struggling with unwanted thoughts, feelings, or behaviors? Does life feel out of control? Do you feel terrified of getting close to people? Or do you lose your sense of self in relationships and feel unable to say “no?” We live in a society that tends to shame people for these struggles, implying or demanding that they “shape up” and do better. But the reality is, it’s not that simple – because each and every one of us has our own unique “traumas” in life. We all have ways in which our hearts were missed, wounded, or neglected; and thus we have all found ways of coping in a hurting world.
Are you struggling with unwanted thoughts, feelings, or behaviors? Does life feel out of control? Do you feel terrified of getting close to people? Or do you lose your sense of self in relationships and feel unable to say “no?” We live in a society that tends to shame people for these struggles, implying or demanding that they “shape up” and do better. But the reality is, it’s not that simple – because each and every one of us has our own unique “traumas” in life. We all have ways in which our hearts were missed, wounded, or neglected; and thus we have all found ways of coping in a hurting world.
(314) 912-4114 View (314) 912-4114
Sam Buettner
Licensed Professional Counselor, MA, LPC, SRT
Saint Louis, MO 63132
Waitlist for new clients
Today our lives are full of challenges and obstacles that can feel difficult to overcome. Are you eager to figure out how to make sustainable changes in your life? Do you feel stuck and unsure which direction to take? If so, let's chat. Entering counseling can feel scary and overwhelming but it is also a courageous step in the right direction. As your counselor, I will provide you with a safe, non-judgmental space to process what is preventing you from moving forward in life. My goal is to help you make the most of your life and find a sense of purpose and peace.
Today our lives are full of challenges and obstacles that can feel difficult to overcome. Are you eager to figure out how to make sustainable changes in your life? Do you feel stuck and unsure which direction to take? If so, let's chat. Entering counseling can feel scary and overwhelming but it is also a courageous step in the right direction. As your counselor, I will provide you with a safe, non-judgmental space to process what is preventing you from moving forward in life. My goal is to help you make the most of your life and find a sense of purpose and peace.
(314) 463-4824 View (314) 463-4824
Jim Gerber
Licensed Professional Counselor, PhD, ATR
1 Endorsed
Saint Louis, MO 63117
Many people experience injuries in life that do not subside with the passage of time. The residue of these injuries can result in depression, intrusive thoughts and desperate ways of coping. We can fall into patterns of being that feel too hard to change. All of this then interferes with connection to others and intimacy. One does not have to live this way. It can be different.
Many people experience injuries in life that do not subside with the passage of time. The residue of these injuries can result in depression, intrusive thoughts and desperate ways of coping. We can fall into patterns of being that feel too hard to change. All of this then interferes with connection to others and intimacy. One does not have to live this way. It can be different.
(636) 303-1492 View (636) 303-1492
Samuel Bearer
Licensed Professional Counselor, LPC, MAC
Saint Louis, MO 63143
I work with interpersonal, relationship issues including: family of origin dynamics, trauma and maladaptive coping patterns, marriage and pre-marital counseling, improving communication skills, self-image and identity, managing anger, and men's sexual addiction.
My counseling is based on a client-centered approach, and group counseling experience. I also seek to maintain a profound respect for the beliefs of my clients, no matter what their personal values or religious worldview.
I work with interpersonal, relationship issues including: family of origin dynamics, trauma and maladaptive coping patterns, marriage and pre-marital counseling, improving communication skills, self-image and identity, managing anger, and men's sexual addiction.
My counseling is based on a client-centered approach, and group counseling experience. I also seek to maintain a profound respect for the beliefs of my clients, no matter what their personal values or religious worldview.
(314) 310-1898 View (314) 310-1898
Eric Gregory
Licensed Professional Counselor, MDiv, MAC, LPC, CSAT-C
2 Endorsed
Saint Louis, MO 63116
I meet with individuals wrestling with anxiety, depression, past or present abuse, sexual confusion, sexual addiction, and spiritual and emotional health in general.
I listen very carefully, and work hard to understand how you feel. With over ten years of experience as a counselor and pastor, I know very well the joys and pains of life as a Christian. But I also have extensive experience walking gently and humbly with people of different faiths, or with those who don't know what they believe.
I meet with individuals wrestling with anxiety, depression, past or present abuse, sexual confusion, sexual addiction, and spiritual and emotional health in general.
I listen very carefully, and work hard to understand how you feel. With over ten years of experience as a counselor and pastor, I know very well the joys and pains of life as a Christian. But I also have extensive experience walking gently and humbly with people of different faiths, or with those who don't know what they believe.
(314) 207-5890 View (314) 207-5890
Russell Beebe
Counselor, LCMHC, CSAT
Online Only
If you're a man struggling with porn addiction, sexual addiction, infidelity, or compulsive sexual behaviors despite repeated promises to yourself or the people you love, you're not alone.
As a Certified Sex Addiction Therapist (CSAT) with over 17 years of personal recovery, I understand how painful it is to feel stuck and not know what to do next. Recovery is possible. With the right support and accountability, you can overcome compulsive behaviors, rebuild trust, and create lasting change.
If you're a man struggling with porn addiction, sexual addiction, infidelity, or compulsive sexual behaviors despite repeated promises to yourself or the people you love, you're not alone.
As a Certified Sex Addiction Therapist (CSAT) with over 17 years of personal recovery, I understand how painful it is to feel stuck and not know what to do next. Recovery is possible. With the right support and accountability, you can overcome compulsive behaviors, rebuild trust, and create lasting change.
(314) 648-2894 View (314) 648-2894
Dawn Jones
Licensed Professional Counselor, MA, LPC, EMDR
6 Endorsed
Saint Louis, MO 63105
Waitlist for new clients
I work with people of diverse beliefs, backgrounds, and cultures. I would love to work with you, not only to help you resolve the situations which brought you to counseling, but also to help you grow more into who you actually are. I utilize EMDR and DBT to help both teens and adults with life transitions, identity issues, abuse recovery, sex addictions, and life skills. I bring a balance to my counseling sessions. Clients can expect me to be honest and forward focused, while creating a space that feels at ease and judgment free. Please call to see if my services might be a fit for your needs.
I work with people of diverse beliefs, backgrounds, and cultures. I would love to work with you, not only to help you resolve the situations which brought you to counseling, but also to help you grow more into who you actually are. I utilize EMDR and DBT to help both teens and adults with life transitions, identity issues, abuse recovery, sex addictions, and life skills. I bring a balance to my counseling sessions. Clients can expect me to be honest and forward focused, while creating a space that feels at ease and judgment free. Please call to see if my services might be a fit for your needs.
(314) 207-4490 View (314) 207-4490
Helen R Friedman
Psychologist, PhD
Online Only
Dr. Helen Friedman is a compassionate and interactive clinical psychologist with 10 years of additional formal training after her Ph.D. and 45 years in practice. She works with anxiety, stress, depression, grief, divorce, sexual and relationship issues. Specialty areas are child sexual abuse (children, adults, victims and perpetrators), compulsive sexual behavior (including porn addiction and partners), dissociative identity disorder, and gender identity. Trained in a variety of therapeutic modalities (family systems, psychodynamic, cognitive-behavioral, gestalt, etc.), she tailors her approach to the individual, couple, and family.
Dr. Helen Friedman is a compassionate and interactive clinical psychologist with 10 years of additional formal training after her Ph.D. and 45 years in practice. She works with anxiety, stress, depression, grief, divorce, sexual and relationship issues. Specialty areas are child sexual abuse (children, adults, victims and perpetrators), compulsive sexual behavior (including porn addiction and partners), dissociative identity disorder, and gender identity. Trained in a variety of therapeutic modalities (family systems, psychodynamic, cognitive-behavioral, gestalt, etc.), she tailors her approach to the individual, couple, and family.
(314) 781-4500 View (314) 781-4500
Haddon Kellahan
Licensed Professional Counselor, MA, LPC
4 Endorsed
Saint Louis, MO 63118
Many of us get to a point in life where we realize that we cannot keep doing what we've always done. We are tired, discouraged, and unsure of how things could ever change. Maybe you've been fighting addictive behavior, or perhaps you are feeling weighed down by relentless depression/anxiety? Maybe you and your spouse are constantly arguing and wonder if things could ever get back to the way they used to be? Maybe you're watching your family fall apart and you feel helpless to save it? You have tried and hoped for things to be different, but they just aren't...
Many of us get to a point in life where we realize that we cannot keep doing what we've always done. We are tired, discouraged, and unsure of how things could ever change. Maybe you've been fighting addictive behavior, or perhaps you are feeling weighed down by relentless depression/anxiety? Maybe you and your spouse are constantly arguing and wonder if things could ever get back to the way they used to be? Maybe you're watching your family fall apart and you feel helpless to save it? You have tried and hoped for things to be different, but they just aren't...
(636) 442-0427 View (636) 442-0427
Nicole Otis
Marriage & Family Therapist, MA, LMFT, CSAT
Saint Louis, MO 63101
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.
(925) 690-1541 View (925) 690-1541
Josiah Greever
Licensed Professional Counselor, MA, LPC, NCC, EMDR
1 Endorsed
Saint Louis, MO 63131
I assist clients to navigate trauma, manage anxiety, address sexual addiction, develop self-esteem, and resolve marital/couples issues as they move forward.
Are your past experiences or current struggles leading you to lash out, withdraw, make unwise decisions, or disrupt your relationships? Maybe it feels like no matter what you try, you just can't get it right. Life has a (not so funny) way of bringing difficulties that leave us wounded and disconnected. As our pain deepens, we develop coping strategies to numb and protect ourselves. These painful experiences and defense patterns can have long-lasting detrimental effects that deprive us of joy and meaning. However, although painful, these places of darkness can be catalysts to rewrite our story and move us towards healing.
I assist clients to navigate trauma, manage anxiety, address sexual addiction, develop self-esteem, and resolve marital/couples issues as they move forward.
Are your past experiences or current struggles leading you to lash out, withdraw, make unwise decisions, or disrupt your relationships? Maybe it feels like no matter what you try, you just can't get it right. Life has a (not so funny) way of bringing difficulties that leave us wounded and disconnected. As our pain deepens, we develop coping strategies to numb and protect ourselves. These painful experiences and defense patterns can have long-lasting detrimental effects that deprive us of joy and meaning. However, although painful, these places of darkness can be catalysts to rewrite our story and move us towards healing.
(720) 446-8439 View (720) 446-8439
John M Kane
Marriage & Family Therapist, LMFT
1 Endorsed
Saint Louis, MO 63105
Book a free professional consultation now by clicking the website link! Are you struggling in your marriage or romantic relationship? Do you find yourself wondering why you and your partner can’t stop the cycle of arguing and withdrawal, even when you both want things to be different? Are you tired of feeling like you're walking on eggshells in your own home? Maybe you have even tried therapy before with no progress, giving you little hope. I help couples in dire circumstances put their relationships back together. I have found that couples who failed Marriage Therapy before find success in my 12 week Relationship Recovery Process.
Book a free professional consultation now by clicking the website link! Are you struggling in your marriage or romantic relationship? Do you find yourself wondering why you and your partner can’t stop the cycle of arguing and withdrawal, even when you both want things to be different? Are you tired of feeling like you're walking on eggshells in your own home? Maybe you have even tried therapy before with no progress, giving you little hope. I help couples in dire circumstances put their relationships back together. I have found that couples who failed Marriage Therapy before find success in my 12 week Relationship Recovery Process.
(417) 390-3117 View (417) 390-3117
Ken Ovitz
Clinical Social Work/Therapist, LCSW, CSAT, CMAT
Saint Louis, MO 63101
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.
(856) 651-6640 View (856) 651-6640
Dr. Sandra Shachar, Ph.D.
Psychologist, PhD
Online Only
Relationships are my expertise, especially issues of broken trust, communication, intimacy and addiction. Perfect partners don't exist, but intimate partnerships should be a safe haven of affection and support. Whether you are dating or engaged, married or contemplating divorce, "straight" or LGBTQIA, monogamous, poly, kinky or vanilla, Millenial or retired, you CAN restore safety, trust and joyful connection! With 40+ years of clinical experience, my toolbox is full of skills and concepts to take your relationship from struggling to strong! Telehealth only. No insurance accepted, but receipts are provided for OON use.
Relationships are my expertise, especially issues of broken trust, communication, intimacy and addiction. Perfect partners don't exist, but intimate partnerships should be a safe haven of affection and support. Whether you are dating or engaged, married or contemplating divorce, "straight" or LGBTQIA, monogamous, poly, kinky or vanilla, Millenial or retired, you CAN restore safety, trust and joyful connection! With 40+ years of clinical experience, my toolbox is full of skills and concepts to take your relationship from struggling to strong! Telehealth only. No insurance accepted, but receipts are provided for OON use.
(215) 461-3604 View (215) 461-3604
Nicole Otis
Marriage & Family Therapist, MA, LMFT, CSAT
Saint Louis, MO 63101
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
Jeff Fish
Clinical Social Work/Therapist, LCSW
Online Only
I’m a Licensed Clinical Social Worker (LCSW), dedicated to helping individuals and families navigate life’s challenges and find paths toward healing and growth. My approach is rooted in understanding, empathy, and a genuine desire to help others make meaningful changes in their lives. I earned my Master of Social Work (MSW) degree from the University of Illinois at Urbana-Champaign, where I received comprehensive training in mental health and clinical social work. Since becoming a licensed clinical social worker, I’ve continued to refine my skills and stay current with new therapeutic approaches and techniques. Throughout my caree
I’m a Licensed Clinical Social Worker (LCSW), dedicated to helping individuals and families navigate life’s challenges and find paths toward healing and growth. My approach is rooted in understanding, empathy, and a genuine desire to help others make meaningful changes in their lives. I earned my Master of Social Work (MSW) degree from the University of Illinois at Urbana-Champaign, where I received comprehensive training in mental health and clinical social work. Since becoming a licensed clinical social worker, I’ve continued to refine my skills and stay current with new therapeutic approaches and techniques. Throughout my caree
(816) 310-4044 View (816) 310-4044
Mike Diller
Licensed Professional Counselor, LPC, NCC
1 Endorsed
Online Only
I am a Certified Clinical Telemental Health Provider and currently provide video and teletherapy counseling. With 20+ years experience in the counseling field, I have witnessed couples, adults, and adolescents achieve renewed hope and happiness. Personal change happens through short-term therapy and may last a lifetime. If you are tired of working hard and achieving little or no success, it's probably time to receive professional help. My specialty areas include marriage counseling, anxiety, depression, family counseling, sexual addiction and pornography, and spiritual issues.
I am a Certified Clinical Telemental Health Provider and currently provide video and teletherapy counseling. With 20+ years experience in the counseling field, I have witnessed couples, adults, and adolescents achieve renewed hope and happiness. Personal change happens through short-term therapy and may last a lifetime. If you are tired of working hard and achieving little or no success, it's probably time to receive professional help. My specialty areas include marriage counseling, anxiety, depression, family counseling, sexual addiction and pornography, and spiritual issues.
(314) 315-4193 View (314) 315-4193
David Barton
Licensed Professional Counselor, MA, LPC
3 Endorsed
Serves Area
I am committed to providing a safe, nurturing, and nonjudgmental environment where your well-being and personal growth are my priority. After empathically listening as you identify, explore, and gain understanding of the issues you are facing, we will work together to establish manageable goals that can help you better utilize your internal strengths and external resources while creating meaningful, positive changes in your life.
I am committed to providing a safe, nurturing, and nonjudgmental environment where your well-being and personal growth are my priority. After empathically listening as you identify, explore, and gain understanding of the issues you are facing, we will work together to establish manageable goals that can help you better utilize your internal strengths and external resources while creating meaningful, positive changes in your life.
(314) 328-0520 View (314) 328-0520
Stephanie Bono
Psychologist, JD, PhD
4 Endorsed
Saint Louis, MO 63127
You may be here because life feels harder than it should. Perhaps you spend a lot of energy hiding parts of yourself and trying to keep up appearances while feeling disconnected or exhausted inside. You might feel weighed down by old wounds, complicated relationships, or patterns you cannot seem to change. You may long for relief, clarity, and a stronger sense of self but feel unsure how to get there. Whatever brings you here, you do not have to navigate it alone.
You may be here because life feels harder than it should. Perhaps you spend a lot of energy hiding parts of yourself and trying to keep up appearances while feeling disconnected or exhausted inside. You might feel weighed down by old wounds, complicated relationships, or patterns you cannot seem to change. You may long for relief, clarity, and a stronger sense of self but feel unsure how to get there. Whatever brings you here, you do not have to navigate it alone.
(314) 582-9832 View (314) 582-9832
Amy Goldstein
Licensed Professional Counselor, LPC, CSAT, CSAM, CCBRT, CHT
5 Endorsed
Saint Louis, MO 63132
I provide a warm, safe, and supportive environment where my clients can explore their issues and challenges they face. I see a wide array of clients with anxiety, depression, grief, stress, relationship issues, anger issues etc. I feel privileged to be able to offer my assistance to others on this shared journey and commend you for reaching out for help to make things better. I am currently accepting new clients, and my services are offered at a reduced rate which makes affordability an option. My location is in Creve Coeur which is 20 minutes from O'Fallon, 15 minutes to Chesterfield, and approx 25 minutes to downtown.
I provide a warm, safe, and supportive environment where my clients can explore their issues and challenges they face. I see a wide array of clients with anxiety, depression, grief, stress, relationship issues, anger issues etc. I feel privileged to be able to offer my assistance to others on this shared journey and commend you for reaching out for help to make things better. I am currently accepting new clients, and my services are offered at a reduced rate which makes affordability an option. My location is in Creve Coeur which is 20 minutes from O'Fallon, 15 minutes to Chesterfield, and approx 25 minutes to downtown.
(636) 577-2397 View (636) 577-2397

See more therapy options for Saint Louis

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.