Sexual Addiction Therapists in Monmouth Junction, NJ

Photo of Natasha R. Davalt, LCADC, LAMFT, CCS, CCTP, GC-C
Natasha R. Davalt
Verified Verified
Serves Area
I am a Licensed Associate Marriage and Family Therapist as well as a Licensed Clinical Alcohol and Drug Counselor. I also hold certifications in both trauma therapy and grief counseling. In addition, I can serve as a clinical supervisor for CADC/LCADC candidates.
I am a Licensed Associate Marriage and Family Therapist as well as a Licensed Clinical Alcohol and Drug Counselor. I also hold certifications in both trauma therapy and grief counseling. In addition, I can serve as a clinical supervisor for CADC/LCADC candidates.
(856) 386-4370 View (856) 386-4370
Photo of Roberto Schiraldi, Licensed Professional Counselor, EdD, LPC, LCADC
Roberto Schiraldi
Licensed Professional Counselor, EdD, LPC, LCADC
Online Only
I have been providing counseling and consulting services for over 35 years. My office is conveniently located in the Princeton area. I am a Licensed Professional Counselor and Licensed Clinical Alcohol and Drug Counselor in the State of New Jersey, offering counseling to individuals seeking help for emotional issues that are affecting their sense of satisfaction and well-being in their lives. My priority in treatment is to provide a safe, relaxing, non-threatening atmosphere, where individuals will feel "listened to/really understood", in examining whatever issues or concerns might be preventing them from experiencing happy, peaceful, and fulfilling lives.
I have been providing counseling and consulting services for over 35 years. My office is conveniently located in the Princeton area. I am a Licensed Professional Counselor and Licensed Clinical Alcohol and Drug Counselor in the State of New Jersey, offering counseling to individuals seeking help for emotional issues that are affecting their sense of satisfaction and well-being in their lives. My priority in treatment is to provide a safe, relaxing, non-threatening atmosphere, where individuals will feel "listened to/really understood", in examining whatever issues or concerns might be preventing them from experiencing happy, peaceful, and fulfilling lives.
(609) 375-8051 View (609) 375-8051
Photo of Heather Brooke, Psychologist, PsyD
Heather Brooke
Psychologist, PsyD
Serves Area
Are you weighed down by past pain, unhealthy patterns, or conflict that seems to follow you? Many people long for healthy, lasting relationships yet they shut down, push others away, or repeat cycles that bring stress, sadness, or loneliness. You may be carrying unresolved trauma or present struggles that leave you anxious, fearful, or uncertain about how to move forward. Perhaps you are wrestling with questions of faith, sexuality, or gender, or supporting a loved one who is. What you desire is clarity, healing, and hope—a safe, supportive space to be understood, restore balance, and move toward peace, resilience, and freedom.
Are you weighed down by past pain, unhealthy patterns, or conflict that seems to follow you? Many people long for healthy, lasting relationships yet they shut down, push others away, or repeat cycles that bring stress, sadness, or loneliness. You may be carrying unresolved trauma or present struggles that leave you anxious, fearful, or uncertain about how to move forward. Perhaps you are wrestling with questions of faith, sexuality, or gender, or supporting a loved one who is. What you desire is clarity, healing, and hope—a safe, supportive space to be understood, restore balance, and move toward peace, resilience, and freedom.
(609) 245-6116 View (609) 245-6116
Photo of Randy Robert Radd, Clinical Social Work/Therapist, MSW, LCSW
Randy Robert Radd
Clinical Social Work/Therapist, MSW, LCSW
Serves Area
Each individual has the ability to make healthy changes to address areas they find of concern. Dealing with these life challenges on your own can be very difficult. Fortunately, counseling can help. My specialties include but are not limited to, depression, addiction, anxiety, codependency, and anger management. I have much experience with the gay and lesbian population. I work from a client centered, eclectic and humanistic model to address your individual needs. We will collaborate and develop a treatment approach that will best address your needs.
Each individual has the ability to make healthy changes to address areas they find of concern. Dealing with these life challenges on your own can be very difficult. Fortunately, counseling can help. My specialties include but are not limited to, depression, addiction, anxiety, codependency, and anger management. I have much experience with the gay and lesbian population. I work from a client centered, eclectic and humanistic model to address your individual needs. We will collaborate and develop a treatment approach that will best address your needs.
(732) 820-0937 View (732) 820-0937

More Therapists Nearby

Photo of Christopher Collins, Clinical Social Work/Therapist, LCSW, CSAT, MCAP, EMDR
Christopher Collins
Clinical Social Work/Therapist, LCSW, CSAT, MCAP, EMDR
8 Endorsed
Serves Area
Serving Clients in Washington DC (Telehealth), New Jersey (Telehealth) and Florida (Telehealth and In-person). Navigating trauma and loss can be an incredibly challenging journey. I work with individuals and couples facing a range of issues, including PTSD, complex PTSD (CPTSD), traumatic loss, and prolonged bereavement. My approach is rooted in empathy and a genuine desire to help you heal from childhood trauma, abuse, neglect, and attachment wounds. I believe that everyone deserves a safe space to explore their experiences and emotions, and I am here to support you in that process.
Serving Clients in Washington DC (Telehealth), New Jersey (Telehealth) and Florida (Telehealth and In-person). Navigating trauma and loss can be an incredibly challenging journey. I work with individuals and couples facing a range of issues, including PTSD, complex PTSD (CPTSD), traumatic loss, and prolonged bereavement. My approach is rooted in empathy and a genuine desire to help you heal from childhood trauma, abuse, neglect, and attachment wounds. I believe that everyone deserves a safe space to explore their experiences and emotions, and I am here to support you in that process.
(561) 559-4898 View (561) 559-4898
Photo of Mike Reilly - Healthy Sex Consultants New Jersey, Clinical Social Work/Therapist, LCSW, CSAT
Healthy Sex Consultants New Jersey
Clinical Social Work/Therapist, LCSW, CSAT
Online Only
Work with a Certified Sex Addiction Therapist (CSAT) to heal from sex and/or porn addiction. Sex/porn addiction is a clinical disorder which has ruined countless lives and families but responds to effective treatment. If you are struggling with sex/porn addiction, you know how debilitating it can be--shame, self-loathing, unable to stop your problematic behaviors and facing consequences. If you are the partner of a sex/porn addict, you may be wondering where to turn, bewildered and betrayed by the one you love. Good news: you do not have to continue suffering.
Work with a Certified Sex Addiction Therapist (CSAT) to heal from sex and/or porn addiction. Sex/porn addiction is a clinical disorder which has ruined countless lives and families but responds to effective treatment. If you are struggling with sex/porn addiction, you know how debilitating it can be--shame, self-loathing, unable to stop your problematic behaviors and facing consequences. If you are the partner of a sex/porn addict, you may be wondering where to turn, bewildered and betrayed by the one you love. Good news: you do not have to continue suffering.
(727) 353-6142 View (727) 353-6142
Photo of Robert A Axel, Psychologist, PhD, CSAT
Robert A Axel
Psychologist, PhD, CSAT
1 Endorsed
Roosevelt, NJ 08555
You want emotional intimacy but disappointment and blame distance you. You withdraw or act out sexually to avoid pain? Do romantic obsessions or resentment towards your partner/spouse fuel your inability to connect and feel loved? I reach out from my decades of experience with individuals and couples who are intimacy avoidant and I help resolve your past and present blocks to intimacy by facilitating the examination and change of life-long patterns in my safe office space. My willingness to listen, to observe, to enter your world with a structured understanding is my therapeutic strength that has transferred to online sessions.
You want emotional intimacy but disappointment and blame distance you. You withdraw or act out sexually to avoid pain? Do romantic obsessions or resentment towards your partner/spouse fuel your inability to connect and feel loved? I reach out from my decades of experience with individuals and couples who are intimacy avoidant and I help resolve your past and present blocks to intimacy by facilitating the examination and change of life-long patterns in my safe office space. My willingness to listen, to observe, to enter your world with a structured understanding is my therapeutic strength that has transferred to online sessions.
(646) 490-9986 View (646) 490-9986
Photo of Barbara Costlow, Licensed Professional Counselor
Barbara Costlow
Licensed Professional Counselor
Somerville, NJ 08876
Welcome to my practice. I specialize in treatment with children, adolescents, and adults using a relational/cognitive behavioral approach. I work with anxiety/ depressive disorders, trauma disorders, sexual behavior problems, marital/family matters, and high conflict situations, including post-divorce issues. I am happy to offer confidential, professional counseling in a safe and relaxed setting. With 20 years of practice, I am confident that people can work toward change and really make it happen. I believe in evidence based treatment with goals. After all, you are coming to therapy to get better. You deserve to gain the results you want.
Welcome to my practice. I specialize in treatment with children, adolescents, and adults using a relational/cognitive behavioral approach. I work with anxiety/ depressive disorders, trauma disorders, sexual behavior problems, marital/family matters, and high conflict situations, including post-divorce issues. I am happy to offer confidential, professional counseling in a safe and relaxed setting. With 20 years of practice, I am confident that people can work toward change and really make it happen. I believe in evidence based treatment with goals. After all, you are coming to therapy to get better. You deserve to gain the results you want.
(908) 271-4583 View (908) 271-4583
Photo of James Wadley, Licensed Professional Counselor, PhD, LPC, NCC, CSTS, IMHF
James Wadley
Licensed Professional Counselor, PhD, LPC, NCC, CSTS, IMHF
3 Endorsed
Serves Area
Do you have trust issues in your relationship? Are you afraid to be honest with your partner or tired of trying to be someone you're not? Neither you or your partner are really talking about your hurt or resentments over pornography and infidelity. You've tried over and over again and the current situation isn't working for you and/or your relationship. Contact me and we will talk about how you feel about your challenges and we will come up with a behavioral and emotional strategy for you to move forward! By the end of our FIRST session, you will be given therapeutic goals that you and I will work on.
Do you have trust issues in your relationship? Are you afraid to be honest with your partner or tired of trying to be someone you're not? Neither you or your partner are really talking about your hurt or resentments over pornography and infidelity. You've tried over and over again and the current situation isn't working for you and/or your relationship. Contact me and we will talk about how you feel about your challenges and we will come up with a behavioral and emotional strategy for you to move forward! By the end of our FIRST session, you will be given therapeutic goals that you and I will work on.
(267) 888-4202 View (267) 888-4202
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 Mordechai Weiss, Clinical Social Work/Therapist, LCSW, CSAT-C
Mordechai Weiss
Clinical Social Work/Therapist, LCSW, CSAT-C
1 Endorsed
Lakewood, NJ 08701
As a psychotherapist with extensive training and experience working with the adolescent and adult population, I’ve helped many individuals suffering from OCD, Anxiety, and Sex Addiction. My clients have seen powerful results as they learn to transform negative patterns towards living calm, productive, and meaningful lives. Having received training from Dr. Jonathan Grayson and Dr. Reid Wilson, world renowned OCD and Anxiety experts respectively, I have gained particular expertise in the treatment of these disorders.
As a psychotherapist with extensive training and experience working with the adolescent and adult population, I’ve helped many individuals suffering from OCD, Anxiety, and Sex Addiction. My clients have seen powerful results as they learn to transform negative patterns towards living calm, productive, and meaningful lives. Having received training from Dr. Jonathan Grayson and Dr. Reid Wilson, world renowned OCD and Anxiety experts respectively, I have gained particular expertise in the treatment of these disorders.
(732) 360-5173 View (732) 360-5173
Photo of Harry Levin, Licensed Professional Counselor, MCMHW, LPC, NCC, MHL, DD
Harry Levin
Licensed Professional Counselor, MCMHW, LPC, NCC, MHL, DD
Online Only
It won’t take long: You’ve found strong insightful support in tough times. We’ll focus on your real progress, on choices which enhance your life and the lives of those whom you love. We’ll laugh together more than you might expect... "Harry is the man to call in times of crisis." Dr. Richard Biagioli, clinical psychologist....... "Harry exhibits remarkable ability to untie the knots of life." Janis Siegel, 9-time Grammy winner... For 25 years my counseling skills have been refined, strengthening folks of all backgrounds, teens to seniors, who are anxious, saddened by experience, searching for vibrant life and inner peace.
It won’t take long: You’ve found strong insightful support in tough times. We’ll focus on your real progress, on choices which enhance your life and the lives of those whom you love. We’ll laugh together more than you might expect... "Harry is the man to call in times of crisis." Dr. Richard Biagioli, clinical psychologist....... "Harry exhibits remarkable ability to untie the knots of life." Janis Siegel, 9-time Grammy winner... For 25 years my counseling skills have been refined, strengthening folks of all backgrounds, teens to seniors, who are anxious, saddened by experience, searching for vibrant life and inner peace.
(732) 638-4197 View (732) 638-4197
Photo of Nadia Ghnaim - Lifebulb, Clinical Social Work/Therapist, LCSW
Lifebulb
Clinical Social Work/Therapist, LCSW
Hamilton, NJ 08691
Your growth starts with the right support. At Lifebulb, we believe that great therapy begins with therapists who truly love what they do and who they do it for. That’s why we’ve built an organization where clinicians can thrive, reconnect with their purpose, and focus on what matters most: you. Whether you meet with us in person or through telehealth, you’ll work with a highly trained, licensed therapist committed to helping you reach your goals.
Your growth starts with the right support. At Lifebulb, we believe that great therapy begins with therapists who truly love what they do and who they do it for. That’s why we’ve built an organization where clinicians can thrive, reconnect with their purpose, and focus on what matters most: you. Whether you meet with us in person or through telehealth, you’ll work with a highly trained, licensed therapist committed to helping you reach your goals.
(609) 403-3266 View (609) 403-3266
Photo of Allan J Katz, Licensed Professional Counselor, LPCMHSP, CSAT, BBA
Allan J Katz
Licensed Professional Counselor, LPCMHSP, CSAT, BBA
7 Endorsed
Serves Area
Certified Sex Addiction Therapist. Discover Freedom from out-of-control sexual behavior & Improve Intimacy and communication in your relationship. When the empty "hole in your soul" can no longer be filled with risky behaviors, realize that there is hope and a proven solution. You will discover how to overcome urges, manage cravings and create healthy alternatives. You'll have the tools to rebuild trust and intimacy in your relationship with acceptance and non-judgement. You'll rediscover your authentic self, feel freedom again and regain your own personal power to live a rich, fulfilled life worth living.
Certified Sex Addiction Therapist. Discover Freedom from out-of-control sexual behavior & Improve Intimacy and communication in your relationship. When the empty "hole in your soul" can no longer be filled with risky behaviors, realize that there is hope and a proven solution. You will discover how to overcome urges, manage cravings and create healthy alternatives. You'll have the tools to rebuild trust and intimacy in your relationship with acceptance and non-judgement. You'll rediscover your authentic self, feel freedom again and regain your own personal power to live a rich, fulfilled life worth living.
(901) 295-2983 View (901) 295-2983
Photo of Peter D. Ruffini, Licensed Professional Counselor, EdS, MA, LPC,ACS, CSAT, CAN, DIDATE
Peter D. Ruffini
Licensed Professional Counselor, EdS, MA, LPC,ACS, CSAT, CAN, DIDATE
6 Endorsed
Princeton, NJ 08540
No waitlist as of 3/2026! Even capable men can get stuck. On the outside, things look good. You’re handling things and providing well for those you care about. But inside, you’re fighting a losing battle—unwanted porn use or other sexual behaviors that continue despite your best efforts. You’ve tried stopping on your own. Pushing through works for a while, then the pattern and the shame return. You’re worn down, worried about where this leads, and what it may cost your relationship. This isn’t a lack of discipline or willpower. In addiction, something deeper is driving the cycle. Real change requires more than generic therapy.
No waitlist as of 3/2026! Even capable men can get stuck. On the outside, things look good. You’re handling things and providing well for those you care about. But inside, you’re fighting a losing battle—unwanted porn use or other sexual behaviors that continue despite your best efforts. You’ve tried stopping on your own. Pushing through works for a while, then the pattern and the shame return. You’re worn down, worried about where this leads, and what it may cost your relationship. This isn’t a lack of discipline or willpower. In addiction, something deeper is driving the cycle. Real change requires more than generic therapy.
(267) 323-4754 View (267) 323-4754
Photo of Binyamin Nussbaum, Clinical Social Work/Therapist, LCSW
Binyamin Nussbaum
Clinical Social Work/Therapist, LCSW
Lakewood, NJ 08701
Thank you for visiting my page! Let me tell you about myself. I am honored to work with individuals struggling with the effects of trauma, whether relational or complex trauma, parental abuse, neglect, sexual abuse or any other of the various forms of trauma. I help those working to create stability in their lives, learn how to trust and thrive in close and intimate relationships. If you are impacted by trauma and feeling hindered in your daily living whether dealing with symptoms of anxiety, depression or struggling with an addiction I would be honored to be a part of your journey to get back to your inner self and thrive in life.
Thank you for visiting my page! Let me tell you about myself. I am honored to work with individuals struggling with the effects of trauma, whether relational or complex trauma, parental abuse, neglect, sexual abuse or any other of the various forms of trauma. I help those working to create stability in their lives, learn how to trust and thrive in close and intimate relationships. If you are impacted by trauma and feeling hindered in your daily living whether dealing with symptoms of anxiety, depression or struggling with an addiction I would be honored to be a part of your journey to get back to your inner self and thrive in life.
(908) 795-8107 View (908) 795-8107
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
Morristown, NJ 07960
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
(201) 379-6085 View (201) 379-6085
Photo of Nicole Otis, Marriage & Family Therapist, MA, LMFT, CSAT
Nicole Otis
Marriage & Family Therapist, MA, LMFT, CSAT
Serves Area
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.
(619) 350-0103 View (619) 350-0103
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.
(662) 686-8877 View (662) 686-8877
Photo of Dr. Stephanie Zeman - Turn Leaf Wellness, Clinical Social Work/Therapist, PhD, MEd, LCSW, LCADC, CST
Turn Leaf Wellness
Clinical Social Work/Therapist, PhD, MEd, LCSW, LCADC, CST
2 Endorsed
Springfield, NJ 07081
As the founder of TLW, Stephanie and her team have dedicated their lives in aiding others. As systems therapists, the TLW team believes that it is integral to identify both internal and external systems when working with each client or couple. Their aspiration is to provide a non-judgmental environment for individuals, couples, and families for processing concerns through the use of an integrative approach. This approach allows individuals and couples to openly discuss concerns with their sexual functioning, expression, and trauma. A Mind, Body, Spirit approach!
As the founder of TLW, Stephanie and her team have dedicated their lives in aiding others. As systems therapists, the TLW team believes that it is integral to identify both internal and external systems when working with each client or couple. Their aspiration is to provide a non-judgmental environment for individuals, couples, and families for processing concerns through the use of an integrative approach. This approach allows individuals and couples to openly discuss concerns with their sexual functioning, expression, and trauma. A Mind, Body, Spirit approach!
(862) 505-2551 View (862) 505-2551

See more therapy options for Monmouth Junction

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.