Sexual Addiction Therapists in Washington, DC

Photo of Tim Martin, CSAT, CMAT, CPTT, LICSW, Clinical Social Work/Therapist
Tim Martin
Clinical Social Work/Therapist, CSAT, CMAT, CPTT, LICSW
Verified Verified
1 Endorsed
Washington, DC 20015  (Online Only)
I have advanced training in sexual addiction treatment.
Infidelity? Porn addiction? Sex addiction? Trauma? These issues can be tough to deal with, but I can help. I have specialized training so that you're not wasting your time and money. Not just talk, talk, talk that gets you nowhere. I used evidence-based treatments so that you're feeling better soon. As a Certified Sex Addiction Therapist (CSAT), a Certified Partner Trauma Therapist (CPTT), and a Certified Multiple Addiction Therapist (CMAT), I'm trained in many addictions and compulsive behavior, as well as substance addictions. Most therapists aren't trained in all these issues. I offer EMDR trauma therapy, as well. There is hope.
I have advanced training in sexual addiction treatment.
Infidelity? Porn addiction? Sex addiction? Trauma? These issues can be tough to deal with, but I can help. I have specialized training so that you're not wasting your time and money. Not just talk, talk, talk that gets you nowhere. I used evidence-based treatments so that you're feeling better soon. As a Certified Sex Addiction Therapist (CSAT), a Certified Partner Trauma Therapist (CPTT), and a Certified Multiple Addiction Therapist (CMAT), I'm trained in many addictions and compulsive behavior, as well as substance addictions. Most therapists aren't trained in all these issues. I offer EMDR trauma therapy, as well. There is hope.
(202) 951-8669 View (202) 951-8669
Photo of Michael A Vigorito, MFT, CGP, CST-S, Marriage & Family Therapist
Michael A Vigorito
Marriage & Family Therapist, MFT, CGP, CST-S
Verified Verified
3 Endorsed
Washington, DC 20036
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 Cheryl Schenck, LPC, CSAT, Licensed Professional Counselor
Cheryl Schenck
Licensed Professional Counselor, LPC, CSAT
Verified Verified
Washington, DC 20037
Dealing with anxiety, depression, overwhelm, or pain can be difficult. Current and past traumas can impact your ability to feel peace of mind and live freely, Out of control sexual behavior may feel hopeless. If you are the partner of someone struggling with sexual addiction, the pain, confusion and anger can create internal chaos and feel unbearable. As a licensed professional counselor, I have the training and experience to help you find resolution to these needs. I treat those who struggle from childhood trauma, betrayal trauma, sexual abuse, anxiety, and depression, as well as sexual addiction and their partners.
Dealing with anxiety, depression, overwhelm, or pain can be difficult. Current and past traumas can impact your ability to feel peace of mind and live freely, Out of control sexual behavior may feel hopeless. If you are the partner of someone struggling with sexual addiction, the pain, confusion and anger can create internal chaos and feel unbearable. As a licensed professional counselor, I have the training and experience to help you find resolution to these needs. I treat those who struggle from childhood trauma, betrayal trauma, sexual abuse, anxiety, and depression, as well as sexual addiction and their partners.
(571) 200-6024 View (571) 200-6024
Photo of undefined - Flyleaf Counseling, LMFT, LCSW, CSAT, CMAT, CCTP, Clinical Social Work/Therapist
Flyleaf Counseling
Clinical Social Work/Therapist, LMFT, LCSW, CSAT, CMAT, CCTP
Verified Verified
Washington, DC 20016
Trained as Certified Sexual Addiction Therapists (CSAT) as well as Certified Multiple Addiction Therapists (CMAT), Stefanie and Kim help individuals and couples begin to make meaningful changes in their lives so they can begin to live authentically.
At Flyleaf Counseling, Kim and Stefanie assist individuals and couples reach their fullest potential in healing and thriving. We help clients heal from past and current traumas and hurts, reduce anxieties, and find recovery with addiction and partner betrayal. Whether we are working with an individual or couple, we assist you in reaching your own determined goals. We assist clients in finding connection with themselves and others and to begin to unpack and release all of the needs that they believe hold them back from living their best life.
Trained as Certified Sexual Addiction Therapists (CSAT) as well as Certified Multiple Addiction Therapists (CMAT), Stefanie and Kim help individuals and couples begin to make meaningful changes in their lives so they can begin to live authentically.
At Flyleaf Counseling, Kim and Stefanie assist individuals and couples reach their fullest potential in healing and thriving. We help clients heal from past and current traumas and hurts, reduce anxieties, and find recovery with addiction and partner betrayal. Whether we are working with an individual or couple, we assist you in reaching your own determined goals. We assist clients in finding connection with themselves and others and to begin to unpack and release all of the needs that they believe hold them back from living their best life.
(704) 327-0457 View (704) 327-0457
Photo of Chris Kraft, PhD, Psychologist
Chris Kraft
Psychologist, PhD
Verified Verified
Washington, DC 20008
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 also specialize in intimacy challenges for couples and individuals who are looking to improve their happiness as it is related to their relationships. Common challenges to sexual satisfaction can include internet sexual problems, infidelity, marital conflicts, low sexual desire, erection and/or arousal difficulties, premature ejaculation or orgasm difficulties, and performance and sexual anxiety.
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 also specialize in intimacy challenges for couples and individuals who are looking to improve their happiness as it is related to their relationships. Common challenges to sexual satisfaction can include internet sexual problems, infidelity, marital conflicts, low sexual desire, erection and/or arousal difficulties, premature ejaculation or orgasm difficulties, and performance and sexual anxiety.
(410) 656-4485 View (410) 656-4485
Photo of Jeremy Ayers, LGPC, Counselor
Jeremy Ayers
Counselor, LGPC
Verified Verified
Washington, DC 20036
I believe you’re stronger and wiser than your current struggles might lead you to believe. It’s just that sometimes our core strength gets covered up by the stress of life and the difficulties we’ve faced. With me, therapy is about helping your best self emerge, which often takes a big dose of compassion and a much-needed break. I work with clients on a variety of issues, including anxiety and depression, relationships and sex, career changes, grief, trauma, and growing up in dysfunctional families. I'm also passionate about supporting LGBTQ, trans, and gender expansive clients.
I believe you’re stronger and wiser than your current struggles might lead you to believe. It’s just that sometimes our core strength gets covered up by the stress of life and the difficulties we’ve faced. With me, therapy is about helping your best self emerge, which often takes a big dose of compassion and a much-needed break. I work with clients on a variety of issues, including anxiety and depression, relationships and sex, career changes, grief, trauma, and growing up in dysfunctional families. I'm also passionate about supporting LGBTQ, trans, and gender expansive clients.
(202) 979-9503 View (202) 979-9503
Photo of Jay Sternberg, LICSW, Clinical Social Work/Therapist
Jay Sternberg
Clinical Social Work/Therapist, LICSW
Verified Verified
Washington, DC 20006
Sometimes life throws you a curve ball and you don't know how to react. Perhaps you are feeling sad or anxious. You realize that you need to make changes but you're struggling on your own. I can help you discover new ways of thinking and acting to change your life. You can learn to make better decisions for your life. We will work together to get you back on track. My approach is supportive and practical, caring and challenging. Your success is my success.
Sometimes life throws you a curve ball and you don't know how to react. Perhaps you are feeling sad or anxious. You realize that you need to make changes but you're struggling on your own. I can help you discover new ways of thinking and acting to change your life. You can learn to make better decisions for your life. We will work together to get you back on track. My approach is supportive and practical, caring and challenging. Your success is my success.
(202) 601-4571 View (202) 601-4571
Photo of Dan Lacovara, LMFT, Marriage & Family Therapist
Dan Lacovara
Marriage & Family Therapist, LMFT
Verified Verified
Washington, DC 20009  (Online Only)
I work with individuals and couples who are trying to strengthen their sense of self and build healthier relationships with others. My goal is to help clients identify and address challenges that prevent them from living the kind of fulfilling life they want for themselves.
I work with individuals and couples who are trying to strengthen their sense of self and build healthier relationships with others. My goal is to help clients identify and address challenges that prevent them from living the kind of fulfilling life they want for themselves.
(202) 798-1366 View (202) 798-1366
Photo of undefined - Rogue River Counseling and Recovery Group, LCPC, CSAT
Rogue River Counseling and Recovery Group
Licensed Clinical Professional Counselor, LCPC, CSAT
Verified Verified
1 Endorsed
Washington, DC 20001
Infidelity, Sex addiction, Compulsive Porn use and other compulsive sexual behaviors can wreak havoc on ones own life, and leave a wake of pain, betrayal and trauma in the lives of those who are connected with them. If you are a man or woman who relates to this chaos, we are very aware of the shame, pain and confusion you may be feeling. If you are the partner, wife or family member of this individual, we understand the betrayal, trauma, confusion, anger, despair that may be how you are feeling.
Infidelity, Sex addiction, Compulsive Porn use and other compulsive sexual behaviors can wreak havoc on ones own life, and leave a wake of pain, betrayal and trauma in the lives of those who are connected with them. If you are a man or woman who relates to this chaos, we are very aware of the shame, pain and confusion you may be feeling. If you are the partner, wife or family member of this individual, we understand the betrayal, trauma, confusion, anger, despair that may be how you are feeling.
(410) 421-7371 View (410) 421-7371
Photo of Naomit Abend, MA, LCPC, CSAT, Counselor
Naomit Abend
Counselor, MA, LCPC, CSAT
Verified Verified
Washington, DC 20001  (Online Only)
Are you struggling with out-of-control sexual behavior? Do you spend hours watching pornography on your computer? Have you had several unsuccessful attempts to stop your behavior? Are you feeling like your life is spiraling out of control? If so, you may be struggling with sexual or porn addiction. Or perhaps you suspect your partner may be struggling with these issues or he has just exposed to you the truth about his behaviors?
Are you struggling with out-of-control sexual behavior? Do you spend hours watching pornography on your computer? Have you had several unsuccessful attempts to stop your behavior? Are you feeling like your life is spiraling out of control? If so, you may be struggling with sexual or porn addiction. Or perhaps you suspect your partner may be struggling with these issues or he has just exposed to you the truth about his behaviors?
(240) 541-5933 View (240) 541-5933
Photo of undefined - Experience Victory- Porn Addiction Recovery, OTR/L, Occupational Therapist
Experience Victory- Porn Addiction Recovery
Occupational Therapist, OTR/L
Verified Verified
Washington, DC 20001  (Online Only)
I know first hand the mind numbing effect of internet porn and its effects on a marriage. Now 100% porn free, after struggling for 15 years it is my mission to help others overcome and achieve complete recovery from internet pornography. Maybe you have been struggling with overwhelming compulsions to use porn, or you have tried over and over again to stop but every time you try to stop you find that it pulls you harder back to where you started again. Maybe you are experiencing erectile dysfunction due to porn or your partner is ready to leave due to your porn usage and "acting out", stop trying alone and Call me today.
I know first hand the mind numbing effect of internet porn and its effects on a marriage. Now 100% porn free, after struggling for 15 years it is my mission to help others overcome and achieve complete recovery from internet pornography. Maybe you have been struggling with overwhelming compulsions to use porn, or you have tried over and over again to stop but every time you try to stop you find that it pulls you harder back to where you started again. Maybe you are experiencing erectile dysfunction due to porn or your partner is ready to leave due to your porn usage and "acting out", stop trying alone and Call me today.
(301) 231-1878 View (301) 231-1878
Photo of Dr. Alexandra C. Repke, PhD, CSAT, C-PD, Psychologist
Dr. Alexandra C. Repke
Psychologist, PhD, CSAT, C-PD
Verified Verified
1 Endorsed
Washington, DC 20001  (Online Only)
I am a licensed psychologist specializing in the treatment of adults with addiction, personality disorders, and trauma. My patients are often successful professionals struggling to navigate addiction and relationship issues. To address these concerns, I provide treatment supported by research, congruent with your values, and informed by my clinical experience. I am committed to encouraging growth by offering you accountability, education, and support. Your decision to seek help is a brave one, and I look forward to walking alongside you.
I am a licensed psychologist specializing in the treatment of adults with addiction, personality disorders, and trauma. My patients are often successful professionals struggling to navigate addiction and relationship issues. To address these concerns, I provide treatment supported by research, congruent with your values, and informed by my clinical experience. I am committed to encouraging growth by offering you accountability, education, and support. Your decision to seek help is a brave one, and I look forward to walking alongside you.
(601) 265-4243 View (601) 265-4243
Photo of Kristina Stannard, PsyD, CSAT-CA, NATC, Psychologist
Kristina Stannard
Psychologist, PsyD, CSAT-CA, NATC
Verified Verified
Washington, DC 20036  (Online Only)
Can practice in Psypact states. It takes an incredible amount of 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 while having the same outcome. Are you struggling with love or sex addiction, porn addiction, or trauma bonds? Have you been deeply betrayed by the person you love who is not healthy for you? I believe we all have an innate ability to heal within a safe environment that allows us to be vulnerable and feel validated. My goal is to provide you that environment to explore your struggles and empower yourself to work towards your goals.
Can practice in Psypact states. It takes an incredible amount of 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 while having the same outcome. Are you struggling with love or sex addiction, porn addiction, or trauma bonds? Have you been deeply betrayed by the person you love who is not healthy for you? I believe we all have an innate ability to heal within a safe environment that allows us to be vulnerable and feel validated. My goal is to provide you that environment to explore your struggles and empower yourself to work towards your goals.
(240) 540-5070 View (240) 540-5070
Photo of Katalin Vladar, MD, CGP
Katalin Vladar
MD, CGP
Verified Verified
Washington, DC 20036  (Online Only)
As a psychiatrist and therapist, I offer both medication management and psychotherapy, fitting best mental health needs. I work with adolescents, adults and couples. I can help with the effects of traumatic experiences, with troubles of everyday living, interpersonal difficulties, sexuality, or infertility/adoption issues. I can help if you struggle with anxiety, depression, grief or with not reaching your goals. I assist couples in resolving painful, conflicted relationship issues. I also provide long-term therapy for self-exploration, and for changing complex personality patterns that make everyday life difficult.
As a psychiatrist and therapist, I offer both medication management and psychotherapy, fitting best mental health needs. I work with adolescents, adults and couples. I can help with the effects of traumatic experiences, with troubles of everyday living, interpersonal difficulties, sexuality, or infertility/adoption issues. I can help if you struggle with anxiety, depression, grief or with not reaching your goals. I assist couples in resolving painful, conflicted relationship issues. I also provide long-term therapy for self-exploration, and for changing complex personality patterns that make everyday life difficult.
(202) 949-3037 View (202) 949-3037
Photo of Mali G Parke - Life Coachmediator, Coach, CPC
Mali G Parke - Life Coachmediator
Coach, CPC
Verified Verified
Washington, DC 20009
Are you longing for vitality, a sense of choice or self-love/confidence in your life? Are you looking for authenticity, courageous conversations, resonance or deep trust repair in your relationship/s? Are you hoping to find how to live a meaningful and impactful life? I support authentic, compassionate and empowered relating to yourself and others with courageous journeying opening your full expression, connection and power for change. My clients are individuals, partners, co-parents, educators, caregivers or leaders, teams or groups who want to achieve greater trust, connection, resonance, collaboration and systemic resilience.
Are you longing for vitality, a sense of choice or self-love/confidence in your life? Are you looking for authenticity, courageous conversations, resonance or deep trust repair in your relationship/s? Are you hoping to find how to live a meaningful and impactful life? I support authentic, compassionate and empowered relating to yourself and others with courageous journeying opening your full expression, connection and power for change. My clients are individuals, partners, co-parents, educators, caregivers or leaders, teams or groups who want to achieve greater trust, connection, resonance, collaboration and systemic resilience.
(202) 760-2780 View (202) 760-2780
Photo of undefined - Alloy Wellness, LMFT, Marriage & Family Therapist
Alloy Wellness
Marriage & Family Therapist, LMFT
Verified Verified
1 Endorsed
Washington, DC 20001  (Online Only)
At Alloy Wellness, we are dedicated to providing you with a transformative and holistic approach to your well-being for your personal growth and the betterment of your relationships. Our mission is to empower you to achieve optimal health and wellness by combining evidence-based practices with personalized care. We understand that each individual is unique, and we tailor our services to meet your specific needs and goals. With a team of highly skilled and compassionate practitioners, we offer a wide range of services that encompass the mind/body connection, mental, and emotional well-being, and building relational EQ.
At Alloy Wellness, we are dedicated to providing you with a transformative and holistic approach to your well-being for your personal growth and the betterment of your relationships. Our mission is to empower you to achieve optimal health and wellness by combining evidence-based practices with personalized care. We understand that each individual is unique, and we tailor our services to meet your specific needs and goals. With a team of highly skilled and compassionate practitioners, we offer a wide range of services that encompass the mind/body connection, mental, and emotional well-being, and building relational EQ.
(202) 915-3746 View (202) 915-3746
Photo of Courtney Fraser, LPC, LCPC, Licensed Professional Counselor
Courtney Fraser
Licensed Professional Counselor, LPC, LCPC
Verified Verified
1 Endorsed
Washington, DC 20009
I have worked for over a decade with clients across the lifespan. Currently I work with adults and couples. My main goal is to first and foremost get an understanding of what someone is struggling with so I can determine how I can best assist them in their therapy process. I pride myself on my ability to meet people where they are at, build a supportive relationship, and help them work towards achieving their goals. I am currently working towards AASECT certification and obtaining my PhD in Clinical Sexology, so I have a particular interest working with couples and individuals in the areas of sex therapy.
I have worked for over a decade with clients across the lifespan. Currently I work with adults and couples. My main goal is to first and foremost get an understanding of what someone is struggling with so I can determine how I can best assist them in their therapy process. I pride myself on my ability to meet people where they are at, build a supportive relationship, and help them work towards achieving their goals. I am currently working towards AASECT certification and obtaining my PhD in Clinical Sexology, so I have a particular interest working with couples and individuals in the areas of sex therapy.
(202) 930-8277 View (202) 930-8277
Photo of Michael A Giordano, LICSW, CST, Clinical Social Work/Therapist
Michael A Giordano
Clinical Social Work/Therapist, LICSW, CST
Verified Verified
4 Endorsed
Washington, DC 20009
In a world full of judgment, you need to trust that your therapist is affirming and ready to hear your "deep, dark secrets." With that, you can then talk about what's really going on and address your true concerns. I have experience helping people with all kinds of issues, including relationships, sex and sexuality, addictions, gender identity, physical/emotional/sexual abuse, as well as general questions of self-worth. Together, we will explore any issue that is important to you. We will discuss how past experiences shape what you're currently thinking and feeling.
In a world full of judgment, you need to trust that your therapist is affirming and ready to hear your "deep, dark secrets." With that, you can then talk about what's really going on and address your true concerns. I have experience helping people with all kinds of issues, including relationships, sex and sexuality, addictions, gender identity, physical/emotional/sexual abuse, as well as general questions of self-worth. Together, we will explore any issue that is important to you. We will discuss how past experiences shape what you're currently thinking and feeling.
(202) 559-4269 View (202) 559-4269
Photo of Judson Richardson, MSW, LICSW, CBIS, Clinical Social Work/Therapist
Judson Richardson
Clinical Social Work/Therapist, MSW, LICSW, CBIS
Verified Verified
1 Endorsed
Washington, DC 20009  (Online Only)
Are you anxious that you might not be able to handle this big life challenge with your physical & emotional wellbeing, authenticity & integrity, and values & serenity still intact? Are you hopeful that maybe, just maybe, you can come out on the other side of it with new growth & wisdom? Are you struggling to navigate life and find fulfillment, love, & belonging as someone who's “different”, even from some of the people & communities you love most? Are you feeling overwhelmed, disconnected, unseen, unheard, or unfulfilled in your relationships? Do you wrestle with inner whispers of shame, and wonder “Am I enough? Am I good enough?"
Are you anxious that you might not be able to handle this big life challenge with your physical & emotional wellbeing, authenticity & integrity, and values & serenity still intact? Are you hopeful that maybe, just maybe, you can come out on the other side of it with new growth & wisdom? Are you struggling to navigate life and find fulfillment, love, & belonging as someone who's “different”, even from some of the people & communities you love most? Are you feeling overwhelmed, disconnected, unseen, unheard, or unfulfilled in your relationships? Do you wrestle with inner whispers of shame, and wonder “Am I enough? Am I good enough?"
(202) 968-3279 View (202) 968-3279
Photo of Kuno R Bachbauer, LMFT, Marriage & Family Therapist
Kuno R Bachbauer
Marriage & Family Therapist, LMFT
Verified Verified
Washington, DC 20016
Most people who come to see me express a deep longing to be fully met and valued as a unique person. They also wish to find their aliveness! My passion is to create a space for a complete integration of mind, body, emotions, intention, and spirituality. I work with your deepest issues, while also encouraging you to cultivate your innate strengths and a sense of personal greatness! Holistic psychotherapy also integrates the body - when appropriate! I use Core Energetics and other body psychotherapy modalities and integrate the latest neuroscience to help you find increased self-confidence, self-awareness, balance, meaning, pleas joy.
Most people who come to see me express a deep longing to be fully met and valued as a unique person. They also wish to find their aliveness! My passion is to create a space for a complete integration of mind, body, emotions, intention, and spirituality. I work with your deepest issues, while also encouraging you to cultivate your innate strengths and a sense of personal greatness! Holistic psychotherapy also integrates the body - when appropriate! I use Core Energetics and other body psychotherapy modalities and integrate the latest neuroscience to help you find increased self-confidence, self-awareness, balance, meaning, pleas joy.
(240) 266-3308 View (240) 266-3308
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.