Sexual Addiction Therapists in Pittsburgh, PA
Should I stay or should I go? It’s the heavy question keeping you awake and straining your spirit. You’re exhausted by the status quo and a relationship that feels like more work than reward. Whether it’s communication breakdowns, career stress, or the collision of your "stuff" and their "stuff," you feel stuck. You want real change—better sex, deeper intimacy, and a genuine connection—but the old patterns won't budge. I work with high-achieving individuals and couples who are finally ready to stop drifting and start taking charge of their lives. If you are ready to trade "fine" for "flourishing," we should talk.
Should I stay or should I go? It’s the heavy question keeping you awake and straining your spirit. You’re exhausted by the status quo and a relationship that feels like more work than reward. Whether it’s communication breakdowns, career stress, or the collision of your "stuff" and their "stuff," you feel stuck. You want real change—better sex, deeper intimacy, and a genuine connection—but the old patterns won't budge. I work with high-achieving individuals and couples who are finally ready to stop drifting and start taking charge of their lives. If you are ready to trade "fine" for "flourishing," we should talk.
Caring, attentiveness, and good listening skills are the basics for any relationship. The therapeutic relationship is a relationship based on positive regard and respect. I strive to meet everyone where they are and help support them moving forward toward their goals. Some common goals include decreasing compulsive behaviors, increasing self worth/self esteem, improving the ability to identify and manage feelings, and learning to be more emotionally intimate and vulnerable with others.
Caring, attentiveness, and good listening skills are the basics for any relationship. The therapeutic relationship is a relationship based on positive regard and respect. I strive to meet everyone where they are and help support them moving forward toward their goals. Some common goals include decreasing compulsive behaviors, increasing self worth/self esteem, improving the ability to identify and manage feelings, and learning to be more emotionally intimate and vulnerable with others.
John Impavido is a Licensed Professional Counselor and a Certified Advanced Alcohol and Drug Counselor. he received his Master's Degree from the University of Pittsburgh in Counselor Education. his Bachelor's Degree is from Toccoa Falls College, where he majored in Bible and Theology, with minors in Pastoral Ministries and Christian Education. Mr. Impavido has been a pioneer in the treatment of SEXUAL and PORNOGRAPHY ADDICTION since 1985. he has been very influential in establishing the Sexaholics Anonymous and Every Man's Battle meetings in the Greater Pittsburgh area.
John Impavido is a Licensed Professional Counselor and a Certified Advanced Alcohol and Drug Counselor. he received his Master's Degree from the University of Pittsburgh in Counselor Education. his Bachelor's Degree is from Toccoa Falls College, where he majored in Bible and Theology, with minors in Pastoral Ministries and Christian Education. Mr. Impavido has been a pioneer in the treatment of SEXUAL and PORNOGRAPHY ADDICTION since 1985. he has been very influential in establishing the Sexaholics Anonymous and Every Man's Battle meetings in the Greater Pittsburgh area.
My main specialties are substance abuse, sex addiction, anxiety, and depression. If you are a person in Recovery (or you think you may need to get into Recovery) from substance abuse, sex addiction, disordered eating, or another addiction, I think I can help. I also work with the family members of addicted persons. Contact me and we'll chat to see if we're a good fit for each other. I use a variety of treatment modalities according the the needs and preferences of each client: CBT, DBT, Motivational Interviewing, Internal Family Systems, and Psychodynamic Therapy.
My main specialties are substance abuse, sex addiction, anxiety, and depression. If you are a person in Recovery (or you think you may need to get into Recovery) from substance abuse, sex addiction, disordered eating, or another addiction, I think I can help. I also work with the family members of addicted persons. Contact me and we'll chat to see if we're a good fit for each other. I use a variety of treatment modalities according the the needs and preferences of each client: CBT, DBT, Motivational Interviewing, Internal Family Systems, and Psychodynamic Therapy.
You're navigating one of life's most difficult relationship challenges. Whether the discovery was recent or ongoing, you're experiencing intense emotional pain, intrusive thoughts, difficulty sleeping, and uncertainty about your relationship's future. You may feel overwhelmed by competing emotions—anger, grief, confusion, fear. You're wondering if healing is possible, whether individually or as a couple. You need more than general relationship counseling; you're seeking specialized support that acknowledges the complexity of betrayal trauma and offers evidence-based pathways forward.
You're navigating one of life's most difficult relationship challenges. Whether the discovery was recent or ongoing, you're experiencing intense emotional pain, intrusive thoughts, difficulty sleeping, and uncertainty about your relationship's future. You may feel overwhelmed by competing emotions—anger, grief, confusion, fear. You're wondering if healing is possible, whether individually or as a couple. You need more than general relationship counseling; you're seeking specialized support that acknowledges the complexity of betrayal trauma and offers evidence-based pathways forward.
Therapists do many things, including helping people develop awareness and insight into challenging thoughts, emotions, and behaviors. I can help with stress management, relationship difficulties, the effects of living with a mental health symptoms. Knowing what therapists do can help you learn how to choose the right therapist for you. I can assist you to do many things, including helping you develop awareness and insight into bothersome thoughts, emotions, and behaviors.
Therapists do many things, including helping people develop awareness and insight into challenging thoughts, emotions, and behaviors. I can help with stress management, relationship difficulties, the effects of living with a mental health symptoms. Knowing what therapists do can help you learn how to choose the right therapist for you. I can assist you to do many things, including helping you develop awareness and insight into bothersome thoughts, emotions, and behaviors.
Being in therapy with me is like being in a book club. That's a little exaggerated, but I do like to recommend reading material and other media sources to supplement the work we do in session. As a therapist, I'm curious and analytical. I like to think of treatment as a puzzle we're solving together.
Choosing the right therapist for you, someone who fits with your personality and understands where you're coming from, will support a positive therapy experience. I am someone who likes to employ whimsy and humor, when appropriate, to help clients feel at ease.
Being in therapy with me is like being in a book club. That's a little exaggerated, but I do like to recommend reading material and other media sources to supplement the work we do in session. As a therapist, I'm curious and analytical. I like to think of treatment as a puzzle we're solving together.
Choosing the right therapist for you, someone who fits with your personality and understands where you're coming from, will support a positive therapy experience. I am someone who likes to employ whimsy and humor, when appropriate, to help clients feel at ease.
James Wadley
Licensed Professional Counselor, PhD, LPC, NCC, CSTS, IMHF
3 Endorsed
Pittsburgh, PA 15219
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.
I am a Christian counselor/coach and I am passionate about helping men experience freedom from compulsive behaviors and, as a result, a deeper connection with God, themselves, and others. I specialize in helping men struggling with addictive and compulsive behaviors like pornography, sex, drugs, alcohol, food, work, video games, relationships, etc.
After more than 20 years of experience, I have found that true lasting healing does not happen in isolation. Weekly recovery groups provide the accountability, honesty, and brotherhood required for lasting transformation. That is why I now fully focus on the power of group work.
I am a Christian counselor/coach and I am passionate about helping men experience freedom from compulsive behaviors and, as a result, a deeper connection with God, themselves, and others. I specialize in helping men struggling with addictive and compulsive behaviors like pornography, sex, drugs, alcohol, food, work, video games, relationships, etc.
After more than 20 years of experience, I have found that true lasting healing does not happen in isolation. Weekly recovery groups provide the accountability, honesty, and brotherhood required for lasting transformation. That is why I now fully focus on the power of group work.
Are you struggling with betrayal trauma, sex addiction, porn addiction, infidelity, loss of trust & intimacy in your relationship, narcissistic abuse and/or coercive control. Are you feeling stuck & that life is missing meaning or purpose. My goal is to provide a strong mental platform for you. This may be a very difficult journey that you are on at the moment. Let me support & walk along side of you. Learn to create a less challenging present for a more fulfilling future. Let's start from what feels real & build on it. Let’s have a free meet and greet. Email me to set up an appointment. Please view my website for more information.
Are you struggling with betrayal trauma, sex addiction, porn addiction, infidelity, loss of trust & intimacy in your relationship, narcissistic abuse and/or coercive control. Are you feeling stuck & that life is missing meaning or purpose. My goal is to provide a strong mental platform for you. This may be a very difficult journey that you are on at the moment. Let me support & walk along side of you. Learn to create a less challenging present for a more fulfilling future. Let's start from what feels real & build on it. Let’s have a free meet and greet. Email me to set up an appointment. Please view my website for more information.
In a world where we often feel outnumbered and overwhelmed, it’s important to have a support network that includes a trusted and knowledgeable confidant. I am here to help you become the captain of your own life as you navigate through the mental storms. I’ve found fulfillment during my professional journey working with adult and adolescent males navigating problematic behaviors.
In a world where we often feel outnumbered and overwhelmed, it’s important to have a support network that includes a trusted and knowledgeable confidant. I am here to help you become the captain of your own life as you navigate through the mental storms. I’ve found fulfillment during my professional journey working with adult and adolescent males navigating problematic behaviors.
I have successfully treated people struggling with a variety of issues including depression, anxiety, addiction, trauma/PTSD, loss of a loved one, sexual difficulties, and relationship distress. I work with individuals, couples, and families, with the goal of helping people become more aware of and more comfortable with themselves and others. Life is complex, and I enjoy the challenges of assisting people through their unpredictable journeys. I create a supportive therapeutic environment where my clients feel safe to explore themselves, their relationships, and the world around them.
I have successfully treated people struggling with a variety of issues including depression, anxiety, addiction, trauma/PTSD, loss of a loved one, sexual difficulties, and relationship distress. I work with individuals, couples, and families, with the goal of helping people become more aware of and more comfortable with themselves and others. Life is complex, and I enjoy the challenges of assisting people through their unpredictable journeys. I create a supportive therapeutic environment where my clients feel safe to explore themselves, their relationships, and the world around them.
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.
Hi! I am a Licensed Professional Counselor from Northeast Pennsylvania. I received my master's in clinical psychology from Chestnut Hill College. I have been practicing as a counselor for over ten years. I have worked in the field of mental health and substance abuse for over twenty years. I have had the privilege of working with adolescents and adults in outpatient and inpatient settings. In the first session, I feel as though it is important to learn about the client and have them feel comfortable. I value a therapeutic relationship and feel as though it is important to make people feel comfortable with identifying health goals.
Hi! I am a Licensed Professional Counselor from Northeast Pennsylvania. I received my master's in clinical psychology from Chestnut Hill College. I have been practicing as a counselor for over ten years. I have worked in the field of mental health and substance abuse for over twenty years. I have had the privilege of working with adolescents and adults in outpatient and inpatient settings. In the first session, I feel as though it is important to learn about the client and have them feel comfortable. I value a therapeutic relationship and feel as though it is important to make people feel comfortable with identifying health goals.
I support people and couples learning to navigate their relationships and sexuality. I am passionate about LGBTQI+ mental health as well as challenging or compulsive sexual behaviors. My clients are looking to build connections with others but have struggled to do so. Are you ready to understand and embrace your gender and sexual identities? Are you ready to discuss and learn to live with your abuse history? Have you lost or damaged important relationships? Do you struggle to manage sexual thoughts and urges? Are your and your partner struggle to resolve conflicts, feel connected, or navigate your relationship after infidelity?
I support people and couples learning to navigate their relationships and sexuality. I am passionate about LGBTQI+ mental health as well as challenging or compulsive sexual behaviors. My clients are looking to build connections with others but have struggled to do so. Are you ready to understand and embrace your gender and sexual identities? Are you ready to discuss and learn to live with your abuse history? Have you lost or damaged important relationships? Do you struggle to manage sexual thoughts and urges? Are your and your partner struggle to resolve conflicts, feel connected, or navigate your relationship after infidelity?
Rather than subscribing to the traditional adage of counseling, “meet clients where they’re at”, Kosta embraces the viewpoint, “meet clients where they dream!” (Steve Andrew). NIKA Therapy is a private practice that utilizes the finest professional tools & evidence-based practices. Kosta is an experienced professional therapist that leads you to explore & navigate the challenges you face. With many years in helping individuals, couples and parents, he is skilled, intentional and compassionate, as he guides you to proactively address a broad scope of concerns.
Rather than subscribing to the traditional adage of counseling, “meet clients where they’re at”, Kosta embraces the viewpoint, “meet clients where they dream!” (Steve Andrew). NIKA Therapy is a private practice that utilizes the finest professional tools & evidence-based practices. Kosta is an experienced professional therapist that leads you to explore & navigate the challenges you face. With many years in helping individuals, couples and parents, he is skilled, intentional and compassionate, as he guides you to proactively address a broad scope of concerns.
Many people seek counseling because life simply feels 'off,' while others know exactly what’s wrong but feel stuck in the mud. Whether you are navigating guilt, anxiety, trauma, or relationship hurdles, reaching out takes courage. I commend you for taking this brave first step.
Many people seek counseling because life simply feels 'off,' while others know exactly what’s wrong but feel stuck in the mud. Whether you are navigating guilt, anxiety, trauma, or relationship hurdles, reaching out takes courage. I commend you for taking this brave first step.
Compulsive behaviors impact all aspects of one’s life, including thoughts, feelings, and actions. They can lead to various addictions that include substance use, sex, social media, relationships, gambling, and more. People with compulsive behaviors often struggle to align their actions with personal goals and what is important to them. But I built my practice upon the idea that anyone can recover if given the right environment, and I aim to provide a safe space where clients gain insight and tools for their emotions, experiences, and behaviors.
Compulsive behaviors impact all aspects of one’s life, including thoughts, feelings, and actions. They can lead to various addictions that include substance use, sex, social media, relationships, gambling, and more. People with compulsive behaviors often struggle to align their actions with personal goals and what is important to them. But I built my practice upon the idea that anyone can recover if given the right environment, and I aim to provide a safe space where clients gain insight and tools for their emotions, experiences, and behaviors.
Nobody gets through life without difficult experiences. Some experiences, like living through childhood neglect, abuse, or family dysfunction, make everyday stressors even more difficult. Difficult childhood experiences don’t just “go away” once we become adults. They can impact every aspect of adult life.
Nobody gets through life without difficult experiences. Some experiences, like living through childhood neglect, abuse, or family dysfunction, make everyday stressors even more difficult. Difficult childhood experiences don’t just “go away” once we become adults. They can impact every aspect of adult life.
Noel Boquiren Ramirez
Clinical Social Work/Therapist, DBH, MPH, LCSW, BCD, CSAT
4 Endorsed
Online Only
For Gay, Bi, and Queer Men, unresolved pain and unspoken hunger can create deep ruptures in our present lives. When emotions have no language, they manifest in our bodies, relationships, and patterns—sometimes in ways that feel disruptive, compulsive, or out of our control. These are signs of emotional injury that deserve space to be acknowledged and healed.
Therapy offers that space. It is a place where mind, body, and spirit can reconnect—where fragmentation can turn into integration. Through a healing and relational approach, I help folx reconnect with their values and take meaningful, committed action toward their goals and des
For Gay, Bi, and Queer Men, unresolved pain and unspoken hunger can create deep ruptures in our present lives. When emotions have no language, they manifest in our bodies, relationships, and patterns—sometimes in ways that feel disruptive, compulsive, or out of our control. These are signs of emotional injury that deserve space to be acknowledged and healed.
Therapy offers that space. It is a place where mind, body, and spirit can reconnect—where fragmentation can turn into integration. Through a healing and relational approach, I help folx reconnect with their values and take meaningful, committed action toward their goals and des
See more therapy options for Pittsburgh
Nearby Sexual Addiction Therapists Searches for Pittsburgh
- Allison Park
- Bethel Park
- Carnegie
- Gibsonia
- McMurray
- Monroeville
- Moon Township
- Mount Lebanon
- Sewickley
- Squirrel Hill
- Upper Saint Clair
- Wexford
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.