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Sex Compulsion Counseling Therapy Treatment

What is a sex compulsion? 

Sex compulsion is best understood as a form of an intimacy disorder. Addicts typically experience compulsive sexual thoughts and/or actions. For example, sex addicts compulsively masturbate, view pornographic material, surf the web, engage in phone sex, swing, have affairs, attend strip clubs, frequent massage parlors, engage in voyeurism, and–in the extreme–rape people. The common element among people struggling with sex compulsion is that they feel powerless to stop/control their behavior. It’s as if the behaviors are controlling them. Frequently, the sexual behaviors are progressive. Even as sex addicts suffer the natural consequences of their behaviors: poor self-esteem, depression, loss of interest in things not sexual, financial problems, relationship troubles, health risks, job loss, and possible arrest, addicts are still unable to listen to their rational self. They are unable to stop.

People living with a sex compulsion organize their world around sex. Sex addicts interact with people as a way to facilitate their ability to obtain sexual pleasure. Sexual compulsion takes up a lot of energy. As their energy investment increases, a pattern of behavior tends to emerge. Specifically, the sex addict begins to engage in ritualistic behaviors as part of their “acting out.” Though it’s different from person to person, the ritualistic behaviors may be flirting, masturbating, cruising online, having one-night stands, swinging, engaging in sex with a prostitute, and even raping someone. Sex compulsion is not about the actual sexual behavior, but about the anticipation of sexual behavior, the temporary relief felt during sexual behavior, and the denial of feelings while being sexual. Most notably, after the sexual acting out, there is usually some combination of: remorse, guilt, depression, despair, shame, hopelessness, confusion and resolve not to do it again. Then the cycle repeats itself.

While the treatment process is different for each person living with a sex compulsion, at the Center for Growth / Sex Therapy in Philadelphia we have noticed the following themes. Treatment typically involves the following four categories: 1) Detoxing, 2) De-traumatizing, 3) Centering & Healing, and 4) Sexual Health. We, at Sex Therapy in Philadelphia, define Detoxing as stopping the behavior and learning to tolerate the uncomfortable feelings: boredom, discomfort, anxiety, emptiness, pain, and sadness. De-traumatizing is best understood as identifying and exploring past events that have contributed to the uncomfortable feelings that the sexual compulsion masks. Centering and Healing refers to learning to be comfortable with self and identifying new coping mechanisms to reduce negative feelings. Sexual Health is defined as learning ways in which to express one’s own sexuality. Full recovery is not celibacy, but rather developing the skill set needed to be sexually intimate with self and others.

To schedule an initial evaluation at Sex Therapy in Philadelphia / Center for Growth, please call us at 215-570-8614.

Here is a collection of sex compulsion treatment articles written by different sex therapists at Sex Therapy in Philadelphia.  Our hope is to offer people living outside of Philadelphia a way to create their own sex compulsion treatment plan to help them recover.  There is no "right" way - only "your" way.  We hope that you find these sex compulsion treatment articles helpful in your journey towards sexual health.

ABOUT THE AUTHOR

"Alex" Caroline Robboy,

“Alex” Caroline Robboy, CAS, MSW, ACSW, AAMFT, CSTS, LCSW is the founder and executive director of the Center for Growth Inc / Sex Therapy in Philadelphia, a counseling organization that has an office in Ocean City, New Jersey, Richmond Virginia, Alphretta Georgia and 2 offices in Center City, Philadelphia PA.   In her space time she launched the directory sextherapy.com as a resource tool for professionals dedicated to improving peoples sexual health.  Alex has 25+ years of clinical experience working with adults and children. Specifically, she works with people struggling with compulsion problems, personality disorders, neurodiversity (dyslexia, tourettes, sensory issues, adhd, and high functioning autism) anxiety, depression, postpartum depression, shame, trauma, low self-esteem, grief, relationship issues, sexual function & dysfunction, blended families and parenting concerns. Currently, she provides individual, couples, family therapy and group therapy. Lastly, she offers supervision to both staff and therapists outside of this agency seeking their LCSW or AASECT Certification in sex therapy.  Lastly, thru the Philadelphia International Women’s Project, she led a two year sex therapy group for West African women who experienced Female Genital Cutting as well as a sex therapy group for Sudanese women who experienced Female Genital Cutting. 

Ms. Robboy earned three graduate degrees at the University of Pennsylvania; Masters in Social Work, Post-Masters in Certificate Marriage and Family Therapy with a Specialization in Sex Therapy and a Certificate of Advanced Studies in Human Sexuality Education (otherwise known as ABD) as well as a Certificate in Home and School Social Work. Additionally, Ms. Robboy is an AASECT Certified Sex Therapist and Supervisor of Sex Therapy and an ABS Certified Sexologist. Lastly, she is a Certified Imago Therapist. She is currently pursuing certification in CBIT.