Updated on May 17, 2024
9 min read

Therapy Options for Sex Addiction

Sex addiction or compulsive sexual behavior is a condition that can have substantial social and psychological consequences.

If you, or someone you care about, are struggling with sex addiction, know that various therapy options are available. Let’s discuss the most commonly used therapies.

Therapy Options for Sex Addiction Treatment

Several effective treatment approaches can be tailored to your specific situation. Here are some options worth exploring:

1. Psychotherapy

Types that have proven especially useful include cognitive behavioral therapy, psychodynamic therapy, and trauma-focused therapy.

We created a table comparing the three treatments.

Therapy TypeFocusTechniques and Approaches
Cognitive-behavioral therapy (CBT)Identifying and changing unhealthy thoughts and behaviors associated with addictionDeveloping strategies for managing urges, recognizing triggers, replacing destructive patterns with healthier ones
Psychodynamic therapyUnderstanding unconscious motivations and emotional wounds driving addictionDigging deeper into past experiences, addressing unresolved emotional pain
Trauma-focused therapiesAddressing past trauma that often underlies sex addictionUtilizing trauma-informed therapies like Eye Movement Desensitization and Reprocessing (EMDR), processing and healing from trauma

2. Medication

While no magic pill completely cures sex addiction, healthcare providers can prescribe medications like SSRIs. These reduce obsessive sexual thoughts and behaviors and address depression and anxiety that often co-exist with sex addiction.

Other medications include:

  • Naltrexone: This medication helps lessen the pleasurable feelings associated with addictive behaviors, reducing their appeal.
  • Mood stabilizers: For some people, these can help minimize impulsivity and compulsive urges.
  • Anti-androgens: In severe cases, these medications temporarily lower testosterone levels, curbing intense sexual urges. However, they are rarely prescribed and always under close medical supervision.

Consult with your psychiatrist or other medical professional to find out if medication is appropriate and discuss potential side effects.

3. Support Groups

Feeling lost and alone can be a big hurdle in overcoming compulsive sexual behavior. That’s why support groups can be a huge help. They can even be effective for long-term recovery.

Safe spaces like Sex Addicts Anonymous (SAA) are free of judgment. You can share your experiences with people who truly understand what you’re going through.

Other benefits of support groups include:

  • Being able to talk openly about your struggles to break the cycle of shame and isolation that often feeds addiction
  • Having a recovery team that celebrates your victories and offers support during tough times
  • Having an accountability partnership to stay on track with your recovery goals
  • Having a continuous support structure to help you navigate the daily challenges and reduce the risk of relapse

Why is It Important to Find the Right Therapy Combination?

Your journey to recovery from sex addiction is unique, and finding the ideal combination of therapies is crucial for achieving the best possible outcome.

A trained mental health professional will carefully consider several factors when creating your personalized treatment plan:

  • The severity of addiction: If you have more severe addictions, you may need a more intensive treatment program, like an in-patient facility, initially followed by participation in support groups.
  • Co-occurring issues: Your treatment must address any other mental health concerns like depression, anxiety, or substance abuse alongside the sex addiction to be truly effective.
  • Support system: When appropriate, involving your spouse, partner, or close loved ones in couples or family therapy can be incredibly healing for both you and the relationship.
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How to Find the Right Sex Addiction Therapist

Taking the first step toward recovery from sex addiction can be daunting, but finding a therapist who specializes in this area can make a significant difference.

They understand the complexities of the condition and have experience helping people break free from addictive patterns. The right therapist can address underlying causes and create a sustainable plan for long-term recovery.

Here are some tips when choosing a therapist:

1. Look for Specialized Training and Certification

Work with a therapist who has specialized training in treating sex addiction. Certified Sex Addiction Therapists (CSATs) have undergone specific training and certification processes that equip them to handle the complexities of sex addiction.

Organizations like the International Institute for Trauma and Addiction Professionals (IITAP) train these professionals and must meet rigorous educational and experiential requirements.

2. Verify Credentials and Experience

It is important to check the therapist's credentials so you can be sure they are licensed to practice in your state. Look for professionals who have a significant amount of experience, specifically in the field of sex addiction.

This experience is crucial as it ensures the therapist is familiar with the unique challenges and treatment modalities associated with sex addiction.

3. Consider the Therapeutic Approach

Different therapists may use different approaches, such as Cognitive Behavioral Therapy (CBT), psychodynamic therapy, or mindfulness-based interventions.

Choose a therapist whose approach aligns with your preferences and needs. Some therapists might also integrate group therapy sessions or support groups like Sex Addicts Anonymous (SAA) as part of the treatment plan.

4. Assess Your Compatibility

The therapeutic relationship is important for effective treatment. Find a therapist with whom you feel comfortable discussing personal issues.

Consider setting up an initial consultation to determine whether you feel comfortable with the therapist's style and approach.

5. Check Accessibility

Consider the therapist’s location and availability. Make sure that their office is accessible and that they have appointment times that fit your schedule.

Some therapists might also offer teletherapy sessions, which can be a convenient option if you have a busy schedule or if there are limited options in your area

6. Read Reviews

Look for reviews or testimonials from other clients. These can provide insight into the therapist's effectiveness and previous clients' satisfaction with their treatment outcomes.

7. Ask About Cost and Insurance Coverage

Understand the costs involved and whether the therapist accepts your insurance. Some therapists might offer a sliding scale fee based on your income. It’s important to consider your budget when selecting a therapist.

8. Know Their Success Rates

While therapists generally do not publish specific success rates due to confidentiality and the complexities of measuring success in therapy, you can ask about their general experiences with previous clients. This can give you an idea of how effective their treatment approaches have been.

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Additional Strategies for a Stronger Recovery Plan

Therapy is a powerful tool when it comes to sex addiction recovery. For a stronger recovery plan, it helps to make positive changes to your daily routine and build a strong support system.

Here's a breakdown of some key elements you can incorporate into your recovery plan:

Take Charge of Your Well-Being

You can actively participate in your recovery journey and empower yourself. Try these practices to see if they can help nurture your well-being:

  • Mindfulness and Meditation: Mindfulness practices can help you become more aware of your triggers and emotions. Regular meditation can also improve your self-control and emotional regulation, making it easier to manage your urges.
  • Exercise: Feeling good physically can have a ripple effect on your mental well-being. Regular exercise is a natural mood booster and stress reliever. It can also be a healthy way to release energy that might fuel addictive behaviors.
  • Discover New Passions: Sometimes, addiction fills a void in our lives. Hobbies can bring a sense of accomplishment and joy. Engage in activities you enjoy that can take your mind off of cravings and provide a healthier source of fulfillment.

Learn From Others

Recovery doesn't have to be a solitary journey. Connecting with others who understand your struggles can provide invaluable support and guidance. 

Consider these avenues for learning and growth:

  • Books: There's a wealth of knowledge available to support your recovery. Read books that offer practical exercises and insights specifically for people overcoming sex addiction.
  • Apps: Technology can be a powerful tool for good. Apps like Recovery Path can help you track your progress, manage your recovery plan, and connect with support networks when you need them most.
  • Online Resources: Websites like Sex Addicts Anonymous or Addiction Group offer valuable resources, including information and local meeting schedules.

Build Your Support Network

Recovery is often strengthened through connection and shared experiences. Support groups like Sex Addicts Anonymous (SAA) or Sex and Love Addicts Anonymous (SLAA) provide a safe space to connect with others who are on a similar path.

Group therapy can also offer a unique benefit. They provide a less intimidating environment for sharing struggles and building a support network with others who understand.

Workshops or seminars, on the other hand, equip you with valuable tools to navigate life's challenges more effectively. Your local community center may offer classes and activities to help you fill your time with positive and rewarding pursuits.

How to Handle Relapse in Long-Term Recovery

Recovery isn't linear, and there may be setbacks along the way. If you slip, be patient and compassionate toward yourself.

Reach out for support, identify what happened, and recommit to your recovery journey. With persistence and continuous learning, you can keep your progress.

How to Tell When Relapse is Starting

Relapse often starts subtly. Therapy can help you identify your personal warning signs, those early triggers or cravings that could lead to a slip-up. Recognizing these red flags early allows you to take action and prevent a full-blown relapse.

Here are some tips to help you stay on track and bounce back stronger if you do have a relapse:

  • Celebrate Your Wins: Focus on your progress and celebrate your milestones, big or small. This positive reinforcement can help you stay committed to your recovery.
  • Learn From Setbacks: If you have a relapse, don't beat yourself up. Work with your therapist to understand what triggered the relapse and how to prevent it from happening again.
  • Take Care of Yourself: Self-care is essential for overall well-being and relapse prevention. Make time for activities that help you manage stress and improve your mood.
  • Stay Connected: Ongoing support is key to maintaining progress. Regular therapy sessions and support groups can provide valuable guidance and offer a safe space to connect with others.
  • Adapt Your Approach: Therapy strategies should be flexible and adapt to your changing needs and progress. Feel free to work with your therapist to adjust your treatment plan to ensure it remains effective.
  • Build Resilience: View setbacks as opportunities to learn and grow stronger. This positive outlook fosters resilience and helps you bounce back from challenges.

Long-term recovery is about more than just avoiding sex addiction. It's about building a fulfilling life. Pursue healthy habits, hobbies, and activities that bring you joy and a sense of purpose. Having a well-rounded life filled with positive experiences strengthens your recovery foundation.

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Updated on May 17, 2024
6 sources cited
Updated on May 17, 2024
  1. Van Gordon et. al. “Meditation Awareness Training for the Treatment of Sex Addiction: A Case Study.” National Library of Medicine, 2017.
  2. Chandiramani, K. “A Role for Mindfulness Meditation in the Treatment of Sexual Addictions.” Royal College of Psychiatrists.
  3. Fong, T. W. “Understanding and Managing Compulsive Sexual Behaviors.” Psychiatry, 2006.
  4. Lotfi et. al. “The Effectiveness Of Intervention With Cognitive Behavioral Therapy On Pornography: A Systematic Review Protocol Of Randomized Clinical Trial Studies.” Health Science Reports, 2021.
  5. George et. al. “Psychosocial Intervention for Sexual Addiction.” Indian Journal of Psychiatry, 2018.
  6. Lynch et. al. “Exercise as a Sex-Specific Treatment for Substance Use Disorder.” Current Addiction Reports, 2017.

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