Compulsive Sexual Behavior/Sex Addiction
Are you struggling with pornography use? Do you keep breaking agreements about fidelity in your relationships? Do you chronically masturbate or use apps to hook up? Do you feel like you are not ready to date because your sexual behavior feels out of control?
You are not alone. Many people feel scared, ashamed, or confused when sexual behavior no longer matches their values or commitments. Even so, it is possible to get support, understand what is happening, and make more deliberate choices.
How We Approach Out of Control Sexual Behavior
At the Rochester Center for Sexual Wellness, we work with you in a respectful and effective way, using methods based on the best available scientific evidence. We recognize that there is no single cause of compulsive or out of control sexual behavior.
Instead, we often see a combination of factors, such as:
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Early exposure to sex or pornography
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Mental health concerns, including depression, ADHD, or emotional dysregulation
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Difficulty keeping to your word or following through on commitments
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Family patterns of addiction, compulsion, or secrecy
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Very specific sexual interests, including fetishes or paraphilias
Because these patterns can be complex, we do not assume a “one size fits all” solution. Rather, we start with getting to know you and understanding what this behavior means in your life and relationships.
Treatment Options Tailored to You
There are many ways to address compulsive or out of control sexual behavior. Before committing to a generic or costly program, consider starting with a personalized consultation here. Often people benefit from:
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Individualized 1:1 therapy
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Education about sexual health, desire, and behavior
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Psychiatric medication when appropriate
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A trusting person to talk with, without shame or judgment
We bring expert knowledge and experience to help you sort through what you are facing. As we get to know you, we will work together to identify the treatment that best fits your personal and family values.
We also take time to understand:
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How you were raised and the messages you received about sex
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What you find sexually exciting, including your “erotic template”
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Your sexual orientation and gender identity
The Rochester Center for Sexual Wellness includes a physician and certified sex therapists who can respond to the full range of concerns that may show up. If you identify as a “sex addict,” we can meet you there and still help you explore other, more nuanced understandings of your experience.
Why Specialized Care Matters
Research consistently shows that many physicians and mental health specialists receive limited training in sexual health. As a result, providers may avoid asking about sexual functioning or may not know how to respond when you disclose a sexual concern.
Because of this gap, people with sexual health challenges often feel dismissed, misunderstood, or further shamed. Instead, we invite you to take an active role in your sexual health and reach out to a team that centers this part of your life.
If you feel ready to explore change, you can contact us to discuss your options and take a next step that feels safe and manageable.
How We Treat Out of Control Sexual Behavior
At the Rochester Center for Sexual Wellness, you receive comprehensive care for your sexual health needs, including concerns about sex and pornography use that feels out of control. Our approach does not stigmatize or shame you. Instead, we offer a range of treatment options to support your recovery and growth.
Counseling and Psychotherapy
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EMDR
We use EMDR to help you process past trauma, early experiences, and negative messages about yourself that may fuel compulsive behavior. -
Psychotherapy
In psychotherapy, you work to “unlearn” addictive patterns, develop coping strategies, build your capacity to tolerate stress, and understand how you reached this point in your life. -
Sex Therapy
Sex therapy focuses on healthy sexuality, the six principles of sexual health, and your unique erotic template. You can also address any sexual dysfunction that may interact with your behavior.
Group Therapy
We offer group therapy for people who want to reduce secrecy and shame, gain support from others, and practice new ways of relating in real time. In group, you can explore triggers, urges, and relational patterns in a structured, confidential setting.
Couples Counseling
For those who come with a partner and are willing to share openly, couples counseling can be a powerful option. When there are no secrets between you, the two of you can work together to rebuild trust, clarify boundaries, and decide what repair and change look like.
Medical Evaluation
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You can receive a comprehensive evaluation by a specialist in sexual medicine.
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We assess for medical contributors to your concerns, including hormonal, neurological, or other health issues.
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We evaluate for sexual or other disorders that may underlie or worsen out of control behavior.
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We identify whether medication may be helpful as part of a broader treatment plan.
Collaboration with Other Providers
When needed, we collaborate with other qualified professionals—such as psychiatrists, primary care providers, and specialized therapists—to address the complicated nature of compulsive sexual behavior. This coordinated care helps ensure that all parts of your treatment are aligned.
Why Choose the Rochester Center for Sexual Wellness?
The Rochester Center for Sexual Wellness offers a sexual health model that integrates:
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Sex therapy
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Modern understandings of addiction and compulsive behavior
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A non-shaming, non-stigmatizing stance toward people who struggle in this area
We recognize that your sexual health is an essential part of your overall well-being. Therefore, we work with you to create a treatment plan that honors your values, supports your relationships, and helps you move toward a more intentional, grounded sexual life.