Sexual Addiction Therapists in Tallahassee, FL
![Photo of David Voorting, LCSW, Clinical Social Work/Therapist](https://photos.psychologytoday.com/3ce5f7bf-46cd-11ea-a6ad-06142c356176/3/320x400.jpeg)
I am a licensed clinical social worker (LCSW) and a certified sexual addiction therapist-candidate (CSAT-candiate). I am also a committed Christian. My approach is create a warm, relaxed atmosphere with an emphasis on building a strong collaborative therapeutic relationship. I believe that a strong client/counselor relationship is an important element in the counseling process. As a Christian, I believe that faith and a personal relationship with God is an incredible source of strength, comfort and guidance. As a counselor, I work to combine faith and standard treatment modalities in accordance with each client's needs and beliefs.
I am a licensed clinical social worker (LCSW) and a certified sexual addiction therapist-candidate (CSAT-candiate). I am also a committed Christian. My approach is create a warm, relaxed atmosphere with an emphasis on building a strong collaborative therapeutic relationship. I believe that a strong client/counselor relationship is an important element in the counseling process. As a Christian, I believe that faith and a personal relationship with God is an incredible source of strength, comfort and guidance. As a counselor, I work to combine faith and standard treatment modalities in accordance with each client's needs and beliefs.
![Photo of David Alan Silvers, MS, LMHC-S, CSAT, NCC, Counselor](https://photos.psychologytoday.com/acd14770-ee94-4180-b435-fab50ca79e2e/2/320x400.jpeg)
David Alan Silvers
Counselor, MS, LMHC-S, CSAT, NCC
Verified Verified
3 Endorsed
Tallahassee, FL 32309
David Silvers, Licensed Therapist – LMHC - State of Florida, and a CSAT (Certified Sex Addiction Therapist). He earned his MS from Troy State University in Counseling and Human Development and has trained with Dr. Patrick Carnes through the International Institute of Addiction Professionals (IITAP). David specializes in the treatment of sex addiction and other co-occurring disorders including depression, anxiety, and trauma. He has been in the addiction treatment field since 2007 and understands the devastating effects of active addiction and that recovery and lasting change is possible.
David Silvers, Licensed Therapist – LMHC - State of Florida, and a CSAT (Certified Sex Addiction Therapist). He earned his MS from Troy State University in Counseling and Human Development and has trained with Dr. Patrick Carnes through the International Institute of Addiction Professionals (IITAP). David specializes in the treatment of sex addiction and other co-occurring disorders including depression, anxiety, and trauma. He has been in the addiction treatment field since 2007 and understands the devastating effects of active addiction and that recovery and lasting change is possible.
![Photo of Tim Norton, LCSW, Clinical Social Work/Therapist](https://photos.psychologytoday.com/923971ff-1c92-4cfb-83b8-75275a650386/2/320x400.jpeg)
Tim Norton
Clinical Social Work/Therapist, LCSW
Verified Verified
1 Endorsed
Tallahassee, FL 32301 (Online Only)
Not accepting insurance; several weekday 8am and 9am slots available - I specialize in sexual issues, specifically related to functioning, sexual shame, sexual trauma, impulsive behaviors, sex and porn "addictions," low and hyper-arousal issues - all from a sex-positive, kink/poly/bdsm-friendly stance, as well as Christian-friendly and all around non-judgment. I also help couples navigate challenges in their intimate relationships. Working with sex means I also work with a lot with trauma, anxiety, grief, impulsivity, and depression.
Not accepting insurance; several weekday 8am and 9am slots available - I specialize in sexual issues, specifically related to functioning, sexual shame, sexual trauma, impulsive behaviors, sex and porn "addictions," low and hyper-arousal issues - all from a sex-positive, kink/poly/bdsm-friendly stance, as well as Christian-friendly and all around non-judgment. I also help couples navigate challenges in their intimate relationships. Working with sex means I also work with a lot with trauma, anxiety, grief, impulsivity, and depression.
![Photo of Scott Moore, LCSW, CSAT, Clinical Social Work/Therapist](https://photos.psychologytoday.com/c96ec53e-060c-4742-b879-9ecbcff2b693/2/320x400.jpeg)
Scott Moore
Clinical Social Work/Therapist, LCSW, CSAT
Verified Verified
Tallahassee, FL 32312 (Online Only)
Sex addiction doesn't have to continue ruining your life. Life may feel hopeless, and your anxiety may be higher than you've ever felt before. Yet, it doesn't have to stay this way. My clients all have two things in common: 1) They want to be here for themselves, even when others are making them, and 2) They work to achieve their goals. They come to me usually in a state of panic or depression, or some even come in when their world is chaotic and out of control. When you're ready to tackle your issues, give me a call.
Sex addiction doesn't have to continue ruining your life. Life may feel hopeless, and your anxiety may be higher than you've ever felt before. Yet, it doesn't have to stay this way. My clients all have two things in common: 1) They want to be here for themselves, even when others are making them, and 2) They work to achieve their goals. They come to me usually in a state of panic or depression, or some even come in when their world is chaotic and out of control. When you're ready to tackle your issues, give me a call.
![Photo of Lorin Brand, MS, EdS, LMHC, Counselor](https://photos.psychologytoday.com/3aa3f8cc-5334-46d8-b7e8-20fb10c53776/2/320x400.jpeg)
Therapy should provide a safe, nonjudgmental relationship through which to explore those parts of you that may make you feel ashamed or afraid, to develop meaningful insights, and to discover your strengths. I have extensive experience working with people seeking to overcome traumatic life events - sexual violations, abuse, neglect, extreme acts of violence - but have found that, in the end, it can sometimes be the seemingly small, overlooked wounds that take longest to heal. No matter how stuck and hopeless you may feel, you have the power to take control and embrace the person you'd like to be.
Therapy should provide a safe, nonjudgmental relationship through which to explore those parts of you that may make you feel ashamed or afraid, to develop meaningful insights, and to discover your strengths. I have extensive experience working with people seeking to overcome traumatic life events - sexual violations, abuse, neglect, extreme acts of violence - but have found that, in the end, it can sometimes be the seemingly small, overlooked wounds that take longest to heal. No matter how stuck and hopeless you may feel, you have the power to take control and embrace the person you'd like to be.
![Photo of Joseph Marsh, MA, LPC, LMHC](https://photos.psychologytoday.com/ceffeff3-78ce-4b66-a436-69d13f1657fa/1/320x400.jpeg)
“It’s always best to believe in one’s self, but a little help from others can be a great blessing!” I view each person as the main character in their book of life. Each book contains stories of joy, sadness, exploration, struggle, and most importantly: Hope. My goal to assist in exploring these stories, whether you encounter depression, anxiety, life transitions, relationship issues, intersectional struggles, or self-esteem issues. I am especially sensitive to those impacted by LGBTQ issues, religious minorities, activists, uniformed public servants, and those experiencing depression.
“It’s always best to believe in one’s self, but a little help from others can be a great blessing!” I view each person as the main character in their book of life. Each book contains stories of joy, sadness, exploration, struggle, and most importantly: Hope. My goal to assist in exploring these stories, whether you encounter depression, anxiety, life transitions, relationship issues, intersectional struggles, or self-esteem issues. I am especially sensitive to those impacted by LGBTQ issues, religious minorities, activists, uniformed public servants, and those experiencing depression.
![Photo of Douglas Earnest Hemanes - Faith and Family Counseling, MA, LCMFT](https://photos.psychologytoday.com/fd8e549e-ced2-4319-815e-2cb5a1ac3af6/2/320x400.png)
I have a passion for marriages and for those struggling through some of life’s situations. I will use my 34 years of counseling experience to help individuals, couples, and families, find peace and hope from a biblical worldview. I went back to school to get my masters in counseling because I wanted to be able to help those that are hurting to the very best of my ability.
I have a passion for marriages and for those struggling through some of life’s situations. I will use my 34 years of counseling experience to help individuals, couples, and families, find peace and hope from a biblical worldview. I went back to school to get my masters in counseling because I wanted to be able to help those that are hurting to the very best of my ability.
![Photo of Patsy Shealy, PhD, LMFT, Marriage & Family Therapist](https://photos.psychologytoday.com/4ba5fe42-46cd-11ea-a6ad-06142c356176/2/320x400.jpeg)
Patsy Shealy
Marriage & Family Therapist, PhD, LMFT
Verified Verified
Tallahassee, FL 32310 (Online Only)
Trauma informs how we relate in the world and can be complex, confusing, and painful with multiple layers. Coping or trying to cope with trauma is challenging, interfering with what most consider "normal life activities." Its hard to explain to others who do not understand and who have never experienced something that "rocked" their world in a disturbing, sometimes literally life threatening way. When there has been any degree of trauma, what was is no longer and what is frightens, disorients us. Behaviors, thinking, feelings change in the shadow of trauma. There is help available and you are not alone. Recovery is possible.
Trauma informs how we relate in the world and can be complex, confusing, and painful with multiple layers. Coping or trying to cope with trauma is challenging, interfering with what most consider "normal life activities." Its hard to explain to others who do not understand and who have never experienced something that "rocked" their world in a disturbing, sometimes literally life threatening way. When there has been any degree of trauma, what was is no longer and what is frightens, disorients us. Behaviors, thinking, feelings change in the shadow of trauma. There is help available and you are not alone. Recovery is possible.
![Photo of Judi Fergus, LMHCI](https://photos.psychologytoday.com/88f77d22-e8ea-4792-b112-4b243a7faab5/2/320x400.jpeg)
Judi Fergus
Registered Mental Health Counselor Intern, LMHCI
Verified Verified
Tallahassee, FL 32308
My primary goal is to help you be the best person you can be. I strive to listen, be present, and to understand what issues you are experiencing and how we can best work together in a collaborative way for you to grow into your best self. There is no one right theoretical approach for everyone. We will explore the tools that fit with your personality because you are the expert of your own life. I am sensitive to folks from marginalized communities and understand the impact of discrimination on mental health.
My primary goal is to help you be the best person you can be. I strive to listen, be present, and to understand what issues you are experiencing and how we can best work together in a collaborative way for you to grow into your best self. There is no one right theoretical approach for everyone. We will explore the tools that fit with your personality because you are the expert of your own life. I am sensitive to folks from marginalized communities and understand the impact of discrimination on mental health.
![Photo of Cyndi Goodwin - A Time to Change Counseling Center, P.A., LCSW, Clinical Social Work/Therapist](https://photos.psychologytoday.com/46b81762-46cd-11ea-a6ad-06142c356176/2/320x400.jpeg)
A Time to Change Counseling Center, P.A.
Clinical Social Work/Therapist, LCSW
Verified Verified
1 Endorsed
Tallahassee, FL 32301
I have extensive experience with mood disorders, trauma and addictions and work with all ages. I am trained in EMDR and use that technique with both children and adults if appropriate. My clients often state when they first spoke to me they felt immediately at ease and did not feel judged. I am able to assist my clients in seeing patterns in their life story and work to identify and change core beliefs such as "I'm not good enough", "I'm defective" or "I cannot trust others."
I have extensive experience with mood disorders, trauma and addictions and work with all ages. I am trained in EMDR and use that technique with both children and adults if appropriate. My clients often state when they first spoke to me they felt immediately at ease and did not feel judged. I am able to assist my clients in seeing patterns in their life story and work to identify and change core beliefs such as "I'm not good enough", "I'm defective" or "I cannot trust others."
![Photo of Jae Littles, LCSW](https://photos.psychologytoday.com/4b8bb9de-3112-4b43-9d5a-e9f4991b4bca/1/320x400.jpeg)
Hi, I’m Jae. I’m glad you’re here. Many of us grapple with negative beliefs that hinder self-recognition, causing us to occasionally lose our way. However, overcoming these challenges is possible, and I'm here to support you. I specialize in assisting adults navigating life transitions and women coping with high-functioning anxiety, trauma, and depression. Through the use of DBT, somatic therapy, and mindfulness techniques, we can interrupt negative thought patterns and reactivity. Together, we'll collaborate to alleviate the burdens you carry, boost your self-esteem, reshape your mindset, and foster more meaningful connections.
Hi, I’m Jae. I’m glad you’re here. Many of us grapple with negative beliefs that hinder self-recognition, causing us to occasionally lose our way. However, overcoming these challenges is possible, and I'm here to support you. I specialize in assisting adults navigating life transitions and women coping with high-functioning anxiety, trauma, and depression. Through the use of DBT, somatic therapy, and mindfulness techniques, we can interrupt negative thought patterns and reactivity. Together, we'll collaborate to alleviate the burdens you carry, boost your self-esteem, reshape your mindset, and foster more meaningful connections.
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![Photo of Ester Buchnik, RMFTI, Marriage & Family Therapist Intern](https://photos.psychologytoday.com/a86a2134-5cd4-4d8f-96ee-525d33e70a08/1/320x400.png)
Are you feeling overwhelmed, frustrated, and exhausted? Do you feel stuck in patterns that keep repeating, allowing you not to move forward? Are you drained because of disagreements and not able to be heard? Are you interested in healing problems with your behaviors? Combat issues like self-sabotage & allow you to learn how to react and respond to individuals in your family, community, & work environments. The ideal client comes to therapy, is consistent, and is ready to do the work and heavy lifting. A person who understands how important it is to process areas in their life that are no longer healthy and need to be addressed.
Are you feeling overwhelmed, frustrated, and exhausted? Do you feel stuck in patterns that keep repeating, allowing you not to move forward? Are you drained because of disagreements and not able to be heard? Are you interested in healing problems with your behaviors? Combat issues like self-sabotage & allow you to learn how to react and respond to individuals in your family, community, & work environments. The ideal client comes to therapy, is consistent, and is ready to do the work and heavy lifting. A person who understands how important it is to process areas in their life that are no longer healthy and need to be addressed.
![Photo of Craig Lampkin, MS, LMFT, Marriage & Family Therapist](https://photos.psychologytoday.com/0d45f081-27aa-45f7-a8b3-aae986fa89e0/2/320x400.jpeg)
Craig Lampkin
Marriage & Family Therapist, MS, LMFT
Verified Verified
Tallahassee, FL 32301 (Online Only)
I became a Marriage and Family Therapist because I enjoy processing with individuals and listening to personal journeys to find a resolution. I was a High School performance art major and find this skill set benefical in providing supports through visual cues using various therapeutic approaches and modalities. I specialize in working with children and families in child welfare. I enjoy working with young children and teens as these are challenging developmental years, trauma and distress from systemic and familial patterns of behaviors, coupled with low parenting, coping, decision-making and problem-solving skills.
I became a Marriage and Family Therapist because I enjoy processing with individuals and listening to personal journeys to find a resolution. I was a High School performance art major and find this skill set benefical in providing supports through visual cues using various therapeutic approaches and modalities. I specialize in working with children and families in child welfare. I enjoy working with young children and teens as these are challenging developmental years, trauma and distress from systemic and familial patterns of behaviors, coupled with low parenting, coping, decision-making and problem-solving skills.
![Photo of Deborah Tome, LCSW, Clinical Social Work/Therapist](https://photos.psychologytoday.com/da94f313-0d4c-4ac5-86b3-ba6f5a5de370/1/320x400.png)
I am a laid-back therapist. I have over 40 years of experience in this profession and have learned a variety of approaches and techniques. My top modalities are Cognitive Behavioral (CBT), Eclectic, Family Systems, Dialectical (DBT), Family / Marital, Interpersonal, Mindfulness, Trauma Therapy, and Couples Therapy. My specialties are Anxiety, Bipolar Disorder, Depression, Coping Skills, Trauma, and PTSD. I believe our relationship is a partnership, with both of us working as a team to provide you with success!
I am a laid-back therapist. I have over 40 years of experience in this profession and have learned a variety of approaches and techniques. My top modalities are Cognitive Behavioral (CBT), Eclectic, Family Systems, Dialectical (DBT), Family / Marital, Interpersonal, Mindfulness, Trauma Therapy, and Couples Therapy. My specialties are Anxiety, Bipolar Disorder, Depression, Coping Skills, Trauma, and PTSD. I believe our relationship is a partnership, with both of us working as a team to provide you with success!
![Photo of Alicia Armstrong, LCSW, MSW, MPA, Clinical Social Work/Therapist](https://photos.psychologytoday.com/853a5923-1034-4239-bb59-24ca1003f9f4/3/320x400.jpeg)
Alicia Armstrong
Clinical Social Work/Therapist, LCSW, MSW, MPA
Verified Verified
1 Endorsed
Tallahassee, FL 32303
I provide compassionate therapy services, working in collaboration with you to help you meet your goals and guide you through the healing process. I work with individuals experiencing a wide range of challenges, including dating, relationships, trauma, sexual violence, physical assault, PTSD, anxiety, grief and loss, OCD, and self-harm. I also strive to provide a non-judgmental space for sexuality and gender affirming care. My background includes victim advocacy, crisis counseling, pet therapy, and human sexuality education. Taking the first step to reach out for help is not only brave but will be incredibly rewarding.
I provide compassionate therapy services, working in collaboration with you to help you meet your goals and guide you through the healing process. I work with individuals experiencing a wide range of challenges, including dating, relationships, trauma, sexual violence, physical assault, PTSD, anxiety, grief and loss, OCD, and self-harm. I also strive to provide a non-judgmental space for sexuality and gender affirming care. My background includes victim advocacy, crisis counseling, pet therapy, and human sexuality education. Taking the first step to reach out for help is not only brave but will be incredibly rewarding.
![Photo of Luke Brocco, LCSW, Clinical Social Work/Therapist](https://photos.psychologytoday.com/c7813d18-f87c-4f87-b0e8-361e8f10d275/2/320x400.png)
Struggling with mental health issues is hard. Whether it's depression, anxiety, loneliness, a family issue, or spiritual concern, our issues leave us feeling exhausted and defeated. The last thing you want when you're experiencing hardship is another piece of advice telling you what to do. You already have the ability to make necessary change but may need a little extra support to get you there. I offer an inviting, warm, and encouraging therapy environment to come alongside and extend my partnership to assist you in meeting your therapy goals.
Struggling with mental health issues is hard. Whether it's depression, anxiety, loneliness, a family issue, or spiritual concern, our issues leave us feeling exhausted and defeated. The last thing you want when you're experiencing hardship is another piece of advice telling you what to do. You already have the ability to make necessary change but may need a little extra support to get you there. I offer an inviting, warm, and encouraging therapy environment to come alongside and extend my partnership to assist you in meeting your therapy goals.
![Photo of David A. Money, MSW, LCSW, Clinical Social Work/Therapist](https://photos.psychologytoday.com/58fb7559-ff31-4520-b471-61287a36a045/2/320x400.jpeg)
David A. Money
Clinical Social Work/Therapist, MSW, LCSW
Verified Verified
1 Endorsed
Tallahassee, FL 32304
“The good life is a process, not a state of being. It is a direction, not a destination.” -Carl Rogers. I have a passion to assist persons that have a history of trauma that has affected their lives in a negative fashion. Therapy could be seen as a journey to find the answers you have been seeking in order to live a more fulfilled, peaceful life filled with happiness. To assist you in your journey is my passion. If you are on this page, you are seeking more out of life. This is the first step in that direction.
“The good life is a process, not a state of being. It is a direction, not a destination.” -Carl Rogers. I have a passion to assist persons that have a history of trauma that has affected their lives in a negative fashion. Therapy could be seen as a journey to find the answers you have been seeking in order to live a more fulfilled, peaceful life filled with happiness. To assist you in your journey is my passion. If you are on this page, you are seeking more out of life. This is the first step in that direction.
![Photo of Lee Schlanger, MA, LMHC, NCC, CCTP, MCAP, Counselor](https://photos.psychologytoday.com/d0b53e81-f710-4f77-80a2-34d8e0613d6b/2/320x400.jpeg)
Lee Schlanger
Counselor, MA, LMHC, NCC, CCTP, MCAP
Verified Verified
1 Endorsed
Tallahassee, FL 32301 (Online Only)
Lee Schlanger is a Florida State Licensed Mental Health Counselor currently living Sarasota, FL by way of New York City, NY. Lee has a passion for animals and doing anything outdoors, and is an avid sports fan. Lee has been working as a Mental Health Counselor since of 2016. Lee specializes in working with clients who are experiencing anxiety and depression as well as specializes in working with clients who have undergone grief, loss, and traumatic events, as well as substance abuse recovery, and more. Lee is also a Board Certified Tele-Mental Health Provider and specializes in Telehealth sessions and is Certified EMDR and Trauma.
Lee Schlanger is a Florida State Licensed Mental Health Counselor currently living Sarasota, FL by way of New York City, NY. Lee has a passion for animals and doing anything outdoors, and is an avid sports fan. Lee has been working as a Mental Health Counselor since of 2016. Lee specializes in working with clients who are experiencing anxiety and depression as well as specializes in working with clients who have undergone grief, loss, and traumatic events, as well as substance abuse recovery, and more. Lee is also a Board Certified Tele-Mental Health Provider and specializes in Telehealth sessions and is Certified EMDR and Trauma.
![Photo of Joseph Marsh, MA, LPC, NCC, Licensed Professional Counselor](https://photos.psychologytoday.com/19a7db56-2227-4040-ae04-58b50e304af5/1/320x400.jpeg)
Joseph Marsh
Licensed Professional Counselor, MA, LPC, NCC
Verified Verified
1 Endorsed
Tallahassee, FL 32312 (Online Only)
“It’s always best to believe in one’s self, but a little help from others can be a great blessing!” I view each person as the main character in their book of life. Each book contains stories of joy, sadness, exploration, struggle, and most importantly: HOPE. My goal to assist in exploring these stories, whether you encounter depression, anxiety, life transitions, relationship issues, intersectional struggles, or self-esteem issues. I am especially sensitive to those impacted by LGBTQ issues, religious minorities, activists, uniformed public servants, and those experiencing depression.
“It’s always best to believe in one’s self, but a little help from others can be a great blessing!” I view each person as the main character in their book of life. Each book contains stories of joy, sadness, exploration, struggle, and most importantly: HOPE. My goal to assist in exploring these stories, whether you encounter depression, anxiety, life transitions, relationship issues, intersectional struggles, or self-esteem issues. I am especially sensitive to those impacted by LGBTQ issues, religious minorities, activists, uniformed public servants, and those experiencing depression.
![Photo of Dr. Timothy C Brantley - The Relationship Trainer, PhD, Pastoral Counselor](https://photos.psychologytoday.com/e150e641-4765-46d4-ac57-c520d1cd8285/1/320x400.jpeg)
www.drtcbrantley.com Many couples diligently maintain their cars and personal belongings, yet they often overlook the essential maintenance needed for their marriage. Dr. Brantley, a compassionate and experienced therapist specializing in marriage and intimacy, is here to be your skilled mechanic (trainer), ensuring that your relationship runs smoothly and remains in top shape. With a genuine commitment to your well-being, Dr. Brantley is dedicated to serving you beyond regular business hours, making appointments available up to 10 pm. Available for pre and post marriage counseling as well.
www.drtcbrantley.com Many couples diligently maintain their cars and personal belongings, yet they often overlook the essential maintenance needed for their marriage. Dr. Brantley, a compassionate and experienced therapist specializing in marriage and intimacy, is here to be your skilled mechanic (trainer), ensuring that your relationship runs smoothly and remains in top shape. With a genuine commitment to your well-being, Dr. Brantley is dedicated to serving you beyond regular business hours, making appointments available up to 10 pm. Available for pre and post marriage counseling as well.
See more therapy options for Tallahassee
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.