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Check out therapists located nearby or offering teletherapy in Washington below.

Online Therapists

Photo of Sue Neufeld-Ellis., LMHC, CSAT, RN, Counselor
Sue Neufeld-Ellis.
Counselor, LMHC, CSAT, RN
Verified Verified
Bellevue, WA 98004
Besides being an LMHC, I am a CSAT (Certified Sexual Addiction Therapist) and RN walking along side with clients for 36 years.
I am excepting new clients in person and on-line. I work with clients on such issues as: Sex Addiction and their Partners; Anxiety; Depression; Codependency; adult and childhood trauma; grief and loss;healing and transition after divorce; family of origin wounds; shame and the aging process. I have a passion to work deeply on healing and changing issues using EMDR; Life Span Integration; and Voice Dialogue (attachment parts work) EFT tapping at accupunture point to decrease anxiety/stress. We use CBT (Cognitive Behavioral Therapy) to identify your goals; limited negative beliefs and distressing emotions.
Besides being an LMHC, I am a CSAT (Certified Sexual Addiction Therapist) and RN walking along side with clients for 36 years.
I am excepting new clients in person and on-line. I work with clients on such issues as: Sex Addiction and their Partners; Anxiety; Depression; Codependency; adult and childhood trauma; grief and loss;healing and transition after divorce; family of origin wounds; shame and the aging process. I have a passion to work deeply on healing and changing issues using EMDR; Life Span Integration; and Voice Dialogue (attachment parts work) EFT tapping at accupunture point to decrease anxiety/stress. We use CBT (Cognitive Behavioral Therapy) to identify your goals; limited negative beliefs and distressing emotions.
(425) 584-3822 View (425) 584-3822
Photo of Jeff C Vanzant - Bright Hearts Counseling, MA, LMHC, CSAT, Counselor
Bright Hearts Counseling
Counselor, MA, LMHC, CSAT
Verified Verified
Snohomish, WA 98290
Using LeveI 3 Gottman Method Couples training, Certified Sexual Addiction Therapist work, and domestic violence training, I help individuals & couples with damaged trust "walk their way back" into healthy consistent behaviors, vigorous honesty, and respectful communication using assessments and "best practices" to increase the likelihood of long-term change.
Are you or a loved one experiencing compulsive sexual behavior, marital/couple difficulty, or problem anger? Is social media, infidelity, porn addiction, or other trust damaging behaviors (such as secrecy, hostility, or verbal abuse) truncating your hopes for a long-term, happy relationship? As a former campus minister and domestic violence counselor I bring multiple years of experience combined with the latest evidenced-based sexual addiction, anger management, and couples therapy principles to both individual, couples, and group therapy settings as well as tailored treatment plans to monitor and track therapy progress.
Using LeveI 3 Gottman Method Couples training, Certified Sexual Addiction Therapist work, and domestic violence training, I help individuals & couples with damaged trust "walk their way back" into healthy consistent behaviors, vigorous honesty, and respectful communication using assessments and "best practices" to increase the likelihood of long-term change.
Are you or a loved one experiencing compulsive sexual behavior, marital/couple difficulty, or problem anger? Is social media, infidelity, porn addiction, or other trust damaging behaviors (such as secrecy, hostility, or verbal abuse) truncating your hopes for a long-term, happy relationship? As a former campus minister and domestic violence counselor I bring multiple years of experience combined with the latest evidenced-based sexual addiction, anger management, and couples therapy principles to both individual, couples, and group therapy settings as well as tailored treatment plans to monitor and track therapy progress.
(206) 745-0721 View (206) 745-0721
Photo of Jenny Gerow -  Jenny Gerow -Golden Embers Therapy, LMHCA, Counselor
Jenny Gerow -Golden Embers Therapy
Counselor, LMHCA
Verified Verified
4 Endorsed
Seattle, WA 98103
Are you feeling overwhelmed by habits and mindsets that you can't seem to get out of? Have you tried all the techniques but still can't seem to shake the anxious thoughts that invade your mind? Do you often find yourself triggered from a past experience or relationship that keeps surfacing and stopping you in your tracks? Do you continue to return to relationship patterns and relationship choices that you told yourself you would never engage in again? Do you struggle with self worth and body image? Do you feel overall stuck and like there is deeper work that needs to be done?
Are you feeling overwhelmed by habits and mindsets that you can't seem to get out of? Have you tried all the techniques but still can't seem to shake the anxious thoughts that invade your mind? Do you often find yourself triggered from a past experience or relationship that keeps surfacing and stopping you in your tracks? Do you continue to return to relationship patterns and relationship choices that you told yourself you would never engage in again? Do you struggle with self worth and body image? Do you feel overall stuck and like there is deeper work that needs to be done?
(206) 489-3122 View (206) 489-3122
Photo of Ryan Hennig, MA, LMFT , MHP, Marriage & Family Therapist
Ryan Hennig
Marriage & Family Therapist, MA, LMFT , MHP
Verified Verified
Tacoma, WA 98466
Life creates many obstacles and we do our best to provide balance in our lives. Families can be in need of more efficient structure and boundaries. Couples experience hurt and difficulties when attempting to communicate feelings and work through yesterday and today's problems. My specialties include, but are not limited to, working with high conflict couples, infidelity, working through past resentments and managing conflict in a productive manner. I am currently taking classes to become a certified sex therapist. I work with individuals, couples and families to help them strengthen their relationships with others.
Life creates many obstacles and we do our best to provide balance in our lives. Families can be in need of more efficient structure and boundaries. Couples experience hurt and difficulties when attempting to communicate feelings and work through yesterday and today's problems. My specialties include, but are not limited to, working with high conflict couples, infidelity, working through past resentments and managing conflict in a productive manner. I am currently taking classes to become a certified sex therapist. I work with individuals, couples and families to help them strengthen their relationships with others.
(970) 219-6694 View (970) 219-6694
Photo of Christopher John Wiegenstein - CradleStone, LLC , MS, MAC, LMHC, SUDP, Counselor
CradleStone, LLC
Counselor, MS, MAC, LMHC, SUDP
Verified Verified
Oak Harbor, WA 98277
Are you alone and feeling no support? Is your teenager struggling to be part of your family? Whether your teen is acting out through high-risk behaviors or isolating through technology, your family is probably feeling the strain. When you aren't sure how to help your teen or what they truly need, it can feel overwhelming and hopeless. I'm here to support you, your teen, and your family so you can move through your challenges together. Individuals seeking help with depressive or anxious feelings can find solutions through me as well.
Are you alone and feeling no support? Is your teenager struggling to be part of your family? Whether your teen is acting out through high-risk behaviors or isolating through technology, your family is probably feeling the strain. When you aren't sure how to help your teen or what they truly need, it can feel overwhelming and hopeless. I'm here to support you, your teen, and your family so you can move through your challenges together. Individuals seeking help with depressive or anxious feelings can find solutions through me as well.
(360) 614-2842 View (360) 614-2842
Photo of Shirley Lytle, MDiv, LMHC, CSAT, Gottman, CPTT, Counselor
Shirley Lytle
Counselor, MDiv, LMHC, CSAT, Gottman, CPTT
Verified Verified
2 Endorsed
Bellevue, WA 98004
I help individuals, couples and families deal with the tension that comes with life transitions. My approach integrates counseling and spirituality. It encourages hope and empowerment to the lost, lonely, and left out, allowing them to move to a place of wholeness and healing. Working with a wide spectrum of cultural and religious backgrounds, I have the ability to meet people where they are at in their journey. Over the past 20 years, I have provided pre-marital and couples counseling through various relationship levels including marriage contemplation, pre-engagement, engaged and married to decoupling/divorce.
I help individuals, couples and families deal with the tension that comes with life transitions. My approach integrates counseling and spirituality. It encourages hope and empowerment to the lost, lonely, and left out, allowing them to move to a place of wholeness and healing. Working with a wide spectrum of cultural and religious backgrounds, I have the ability to meet people where they are at in their journey. Over the past 20 years, I have provided pre-marital and couples counseling through various relationship levels including marriage contemplation, pre-engagement, engaged and married to decoupling/divorce.
(425) 341-1490 View (425) 341-1490
Photo of James Harrison Follman - Follman Counseling Agency, PhD, LMHC, CDP, Counselor
Follman Counseling Agency
Counselor, PhD, LMHC, CDP
Verified Verified
Burlington, WA 98233
If you are experiencing problems with any or a combination of the following issues; anxiety,depression, alcohol/drug use, gambling, anger, internet addiction, sex addiction, please consider calling us and setting up a free consultation to discuss your situation. For over 20 years I have had the privelage of helping clients develop the necesary skills to overcome mental health and alcohol/drug use disorders in a safe, confidential, outpatient setting. Our facility is able to provide individual or group counseling for adults and teens. You can visit our website at follmanagency.com to learn more about our treatment services.
If you are experiencing problems with any or a combination of the following issues; anxiety,depression, alcohol/drug use, gambling, anger, internet addiction, sex addiction, please consider calling us and setting up a free consultation to discuss your situation. For over 20 years I have had the privelage of helping clients develop the necesary skills to overcome mental health and alcohol/drug use disorders in a safe, confidential, outpatient setting. Our facility is able to provide individual or group counseling for adults and teens. You can visit our website at follmanagency.com to learn more about our treatment services.
(360) 529-3107 View (360) 529-3107
Photo of Richard Benson, LICSW, LCAS, MAC, Clinical Social Work/Therapist
Richard Benson
Clinical Social Work/Therapist, LICSW, LCAS, MAC
Verified Verified
Gig Harbor, WA 98335
At the core of my treatment philosophy is the belief that families heal when movement occurs and people begin to step out of their comfort zones to unlock their potential and capacity for growth. Often there is underlying pain and/or trauma that needs to be addressed in order for the system to recover and break the cycle. Whether the results of the family dysfunction is abuse, addiction, estrangement, divorce, suicide, broken communication paths, or some other behavior, treatment can provide relief.
At the core of my treatment philosophy is the belief that families heal when movement occurs and people begin to step out of their comfort zones to unlock their potential and capacity for growth. Often there is underlying pain and/or trauma that needs to be addressed in order for the system to recover and break the cycle. Whether the results of the family dysfunction is abuse, addiction, estrangement, divorce, suicide, broken communication paths, or some other behavior, treatment can provide relief.
(253) 753-1967 View (253) 753-1967
Photo of James T. Capellaro, LICSW, LMSW-C, ACSW, EMDR-Q, Clinical Social Work/Therapist
James T. Capellaro
Clinical Social Work/Therapist, LICSW, LMSW-C, ACSW, EMDR-Q
Verified Verified
3 Endorsed
Dupont, WA 98327  (Online Only)
Hello, I’m James, and thank you for being here. Whether you are new to therapy or have been sitting on the therapy chaise lounge for years, welcome! First off, there is no perfect way to do therapy and there is no perfect way to be a client. So, I hope for you less pressure and worry in exploring this curious thing called therapy. I strive to make my practice safe, comfortable, individualized and resourceful. Another core tenant of my practice that I find equally important: your agency. You are the expert of you, even if you may not always feel as such - I'll do my very best to be of resource to you. (Response 48-72 hrs)
Hello, I’m James, and thank you for being here. Whether you are new to therapy or have been sitting on the therapy chaise lounge for years, welcome! First off, there is no perfect way to do therapy and there is no perfect way to be a client. So, I hope for you less pressure and worry in exploring this curious thing called therapy. I strive to make my practice safe, comfortable, individualized and resourceful. Another core tenant of my practice that I find equally important: your agency. You are the expert of you, even if you may not always feel as such - I'll do my very best to be of resource to you. (Response 48-72 hrs)
(253) 364-1645 View (253) 364-1645
Photo of Gina Romero - Wandering Pine Wellness, LICSW, LCSW, Clinical Social Work/Therapist
Wandering Pine Wellness
Clinical Social Work/Therapist, LICSW, LCSW
Verified Verified
3 Endorsed
Seattle, WA 98122
You’re running on empty, trying to juggle work, parenting, and everything in between. Sleep feels like a distant memory, and it’s hard to stay focused on anything other than the endless to-do list. Anxiety creeps in, and you feel overwhelmed, but you push through because your family comes first. You wonder if you’re really cut out for this. Deep down, you know something’s got to give—you can’t keep pouring from an empty cup.
You’re running on empty, trying to juggle work, parenting, and everything in between. Sleep feels like a distant memory, and it’s hard to stay focused on anything other than the endless to-do list. Anxiety creeps in, and you feel overwhelmed, but you push through because your family comes first. You wonder if you’re really cut out for this. Deep down, you know something’s got to give—you can’t keep pouring from an empty cup.
(702) 935-1473 View (702) 935-1473
Photo of Ashley Brewer - Onward & Upward Counseling Center, LLC, MA, LPC, Licensed Professional Counselor
Onward & Upward Counseling Center, LLC
Licensed Professional Counselor, MA, LPC
Verified Verified
Marysville, WA 98271  (Online Only)
I have a passion to help individuals who have experienced trauma of human trafficking victimization to help them heal through surviving & eventually thriving in a meaningful life they desire to maintain. I offer a safe space to heal & not be judged while building self worth & work through other areas of trauma endured & been exposed to. I am huge on recognizing a person's strengths & empowering others, which gets incorporated into my practice. This specific passion expands to other types of trauma, ADHD, families, couples, anxiety, depression, etc. I enjoy helping those who have been misunderstood & offer emotional validation.
I have a passion to help individuals who have experienced trauma of human trafficking victimization to help them heal through surviving & eventually thriving in a meaningful life they desire to maintain. I offer a safe space to heal & not be judged while building self worth & work through other areas of trauma endured & been exposed to. I am huge on recognizing a person's strengths & empowering others, which gets incorporated into my practice. This specific passion expands to other types of trauma, ADHD, families, couples, anxiety, depression, etc. I enjoy helping those who have been misunderstood & offer emotional validation.
(719) 496-8859 View (719) 496-8859
Photo of James Keyes, PhD, ABPP, Psychologist
James Keyes
Psychologist, PhD, ABPP
Verified Verified
Mill Creek, WA 98012
AUGUST 2021 - PRACTICE PRIMARILY FULL. (I have a few AM appointment openings - NO AFTER SCHOOL TIMES right now; I AM available for COGNITIVE (dementia or ADHD; learning) & Autism EVALUATIONS; no therapy). I am one of a dozen Board Certified Clinical Child & Adolescent Psychologists in Washington. I specialize in working on the types of thoughts, feelings and actions that can help us ... or alternatively are creating problems in our lives. I would utilize evidence based approaches proven to work, & tailor those to the unique & individual situation going on in your life, working toward solutions that make things run more smoothly.
AUGUST 2021 - PRACTICE PRIMARILY FULL. (I have a few AM appointment openings - NO AFTER SCHOOL TIMES right now; I AM available for COGNITIVE (dementia or ADHD; learning) & Autism EVALUATIONS; no therapy). I am one of a dozen Board Certified Clinical Child & Adolescent Psychologists in Washington. I specialize in working on the types of thoughts, feelings and actions that can help us ... or alternatively are creating problems in our lives. I would utilize evidence based approaches proven to work, & tailor those to the unique & individual situation going on in your life, working toward solutions that make things run more smoothly.
(425) 276-6752 x9 View (425) 276-6752 x9
Photo of Scott Graham - Carefrontations, SUDP, CDSIII, CC, Drug & Alcohol Counselor
Carefrontations
Drug & Alcohol Counselor, SUDP, CDSIII, CC
Verified Verified
Camano Island, WA 98282
Changing your story from despair to relief for families and businesses impacted by the wide array of dysfunctions and addictions threatening someone you care about can be turned around through strength based intervention services, relapse prevention, recovery protection, family workshops and safe escorts. Don't wonder what to do, don't wish you had done something more effective! Learn about our methods and services for no obligation.
Changing your story from despair to relief for families and businesses impacted by the wide array of dysfunctions and addictions threatening someone you care about can be turned around through strength based intervention services, relapse prevention, recovery protection, family workshops and safe escorts. Don't wonder what to do, don't wish you had done something more effective! Learn about our methods and services for no obligation.
(360) 529-5617 View (360) 529-5617
Photo of Justine Joslyn, MA
Justine Joslyn
MA
Verified Verified
Bainbridge Island, WA 98110  (Online Only)
Hello! Since 2006, I have helped couples & families resolve stuck dynamics with communication & connection skills. I also assist individuals recover from depression, anxiety, trauma, addiction & ADHD/ADD, with support through transitions such as divorce, loss, abuse recovery & existential or spiritual awakening. My style is flexible and tailored to your preferences, balancing compassion with real results. You'll also learn how to re-connect to your with your wise inner guidance, and replace negative ego chatter with empowering narratives that inspire smart, bold moves with your career, creativity & relationships.
Hello! Since 2006, I have helped couples & families resolve stuck dynamics with communication & connection skills. I also assist individuals recover from depression, anxiety, trauma, addiction & ADHD/ADD, with support through transitions such as divorce, loss, abuse recovery & existential or spiritual awakening. My style is flexible and tailored to your preferences, balancing compassion with real results. You'll also learn how to re-connect to your with your wise inner guidance, and replace negative ego chatter with empowering narratives that inspire smart, bold moves with your career, creativity & relationships.
(360) 946-0941 View (360) 946-0941
Photo of Debbie Bayer, LMFT, SUDP, CSAT, CPTT, CIP, Marriage & Family Therapist
Debbie Bayer
Marriage & Family Therapist, LMFT, SUDP, CSAT, CPTT, CIP
Verified Verified
3 Endorsed
Issaquah, WA 98027
I bring a unique and valuable set of skills. My expertise lies in understanding and addressing the intricate dynamics within interpersonal relationships while also recognizing the impact of addiction on individuals and couples. With my background in addiction, I am well-versed in the challenges individuals face when trying to overcome substance abuse or behavioral addictions. This knowledge enables me to tailor your therapeutic interventions to address the specific issues related to addiction within the context of relationships. I have received training in relational life therapy, emotion-focused therapy, and models of counseling.
I bring a unique and valuable set of skills. My expertise lies in understanding and addressing the intricate dynamics within interpersonal relationships while also recognizing the impact of addiction on individuals and couples. With my background in addiction, I am well-versed in the challenges individuals face when trying to overcome substance abuse or behavioral addictions. This knowledge enables me to tailor your therapeutic interventions to address the specific issues related to addiction within the context of relationships. I have received training in relational life therapy, emotion-focused therapy, and models of counseling.
(425) 441-3351 View (425) 441-3351
Photo of Erica Ashby-Johnson, BS, MA, LMHC, Counselor
Erica Ashby-Johnson
Counselor, BS, MA, LMHC
Verified Verified
1 Endorsed
Seattle, WA 98101
Walking with people through life's difficulties and struggles is a privilege, honor, and part of my purpose in life. I commit my life to helping people find their way back to the right paths that THEY should and WANT to be on in order to live out their own PURPOSE.
Walking with people through life's difficulties and struggles is a privilege, honor, and part of my purpose in life. I commit my life to helping people find their way back to the right paths that THEY should and WANT to be on in order to live out their own PURPOSE.
(360) 614-4403 View (360) 614-4403
Photo of Marcus E John, MEd, LPC, CRC, NCC, CTMH, Licensed Professional Counselor
Marcus E John
Licensed Professional Counselor, MEd, LPC, CRC, NCC, CTMH
Verified Verified
1 Endorsed
Tacoma, WA 98402
Being deaf, I have a strong desire to help other deaf and hard of hearing people but this doesn't limit me from working with hearing people too. My clients are struggling to fit in in a world that's constantly changing and sometimes seems out to get us all. Clients who come to me are looking for support, knowledge, and growth to counter the challenges of every day life.
Being deaf, I have a strong desire to help other deaf and hard of hearing people but this doesn't limit me from working with hearing people too. My clients are struggling to fit in in a world that's constantly changing and sometimes seems out to get us all. Clients who come to me are looking for support, knowledge, and growth to counter the challenges of every day life.
(253) 242-9837 View (253) 242-9837
Photo of Dr. Jennifer (Wu) Andrews, PhD, LP, HSP, MA, Psychologist
Dr. Jennifer (Wu) Andrews
Psychologist, PhD, LP, HSP, MA
Verified Verified
2 Endorsed
Seattle, WA 98118  (Online Only)
Do you currently feel stuck in life no matter what you try to do? Do you wish things could change but you're not sure how to go about it? If so, you are not alone. We all stumble and fall sometimes, whether in our friendships, relationships, work, and more. The most important thing you can do for yourself is to ask for help - you do not have to do this alone! I enjoy actively participating in collaborative care with my clients. No matter the issue, you and I will work as a team to conquer all! I provide culturally-minded, comprehensive, and holistic care to adults, utilizing an integrative and collaborative treatment approach.
Do you currently feel stuck in life no matter what you try to do? Do you wish things could change but you're not sure how to go about it? If so, you are not alone. We all stumble and fall sometimes, whether in our friendships, relationships, work, and more. The most important thing you can do for yourself is to ask for help - you do not have to do this alone! I enjoy actively participating in collaborative care with my clients. No matter the issue, you and I will work as a team to conquer all! I provide culturally-minded, comprehensive, and holistic care to adults, utilizing an integrative and collaborative treatment approach.
(808) 204-4367 View (808) 204-4367
Photo of Tracey Alta, MSW , LICSW, Clinical Social Work/Therapist
Tracey Alta
Clinical Social Work/Therapist, MSW , LICSW
Verified Verified
1 Endorsed
Seattle, WA 98103
Waitlist for new clients
I love my work. I love to hear people’s stories about what makes them feel alive and what inspires them. I love helping people to feel more connected to their environment and trusting of themselves in the process. What fascinates me about the healing process in psychotherapy is reflecting upon the vulnerable, groundless mystery of the human journey and the endless revelations of the unguarded heart. The focus of my work is on the unique story and experience of each individual. My approach can differ in some ways from standard talk therapy.
I love my work. I love to hear people’s stories about what makes them feel alive and what inspires them. I love helping people to feel more connected to their environment and trusting of themselves in the process. What fascinates me about the healing process in psychotherapy is reflecting upon the vulnerable, groundless mystery of the human journey and the endless revelations of the unguarded heart. The focus of my work is on the unique story and experience of each individual. My approach can differ in some ways from standard talk therapy.
(425) 448-8252 View (425) 448-8252
Photo of Eric T Cuestas-Thompson - Eric Cuestas-Thompson, LICSW, LICSW, LCSW, LISAC, Clinical Social Work/Therapist
Eric Cuestas-Thompson, LICSW
Clinical Social Work/Therapist, LICSW, LCSW, LISAC
Verified Verified
1 Endorsed
Tacoma, WA 98402  (Online Only)
I am a Licensed Independent Clinical Social Worker in private practice partnering with Mindful Therapy Group. I specialize in EMDR (Eye Movement Desensitization and Reprocessing) in the treatment of PTSD, anxiety, depression and addictions, including sexual compulsivity. My focus is working with adolescents and their families, couples, and men going through difficult transitions. I believe that you should have the quality of life that you want and deserve and I can help you identify and remove the obstacles that are preventing you from having a fulfilling and satisfying life.
I am a Licensed Independent Clinical Social Worker in private practice partnering with Mindful Therapy Group. I specialize in EMDR (Eye Movement Desensitization and Reprocessing) in the treatment of PTSD, anxiety, depression and addictions, including sexual compulsivity. My focus is working with adolescents and their families, couples, and men going through difficult transitions. I believe that you should have the quality of life that you want and deserve and I can help you identify and remove the obstacles that are preventing you from having a fulfilling and satisfying life.
(253) 348-2242 View (253) 348-2242

See more therapy options for Port Angeles

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.