Find a Sex Addiction Therapist

Understanding sex addiction and how it can affect you

Sex addiction is a term used to describe patterns of sexual behaviour that feel compulsive or out of control and that cause distress or disruption in daily life. You may find that sexual thoughts, activities, or impulses consume time, interfere with work or relationships, or leave you feeling ashamed and stuck in cycles you want to change. For some people this behaviour follows periods of intense stress, anxiety or low mood, while for others it is connected to early life experiences, trauma, attachment issues, or co-occurring mental health concerns. It is common to feel isolated when you are struggling, and many people seek help because they want clarity, healthier patterns, and more satisfying relationships.

Signs that you might benefit from therapy

You might consider seeing a counsellor if your sexual behaviour is causing problems at work, in relationships, or with your legal or financial situation. You may notice that attempts to cut down or control the behaviour are unsuccessful, that sexual activity takes precedence over responsibilities, or that you use sex to manage difficult emotions. Feelings of guilt, secrecy, and shame are often part of the experience, and these emotions can keep you trapped in repetitive cycles. If partners, family or friends have expressed concern, or if your behaviour is increasing your sense of isolation, speaking with a trained professional can be a constructive first step.

When to seek support

Seeking support early can help you explore what lies beneath the behaviour and develop practical strategies for change. You do not need to wait until a crisis happens to seek help. A therapist can work with you on immediate coping strategies, emotional regulation, and longer term patterns that sustain compulsive behaviour. If you are worried about the impact of your sexual behaviour on your children, finances, or legal standing, it is particularly important to find someone who understands these risks and can support you in addressing them safely and responsibly.

What to expect in therapy for sex addiction

When you begin therapy you can expect an initial assessment that explores your history, current behaviour patterns, triggers, and the impact on your life. Your counsellor will usually ask about emotional health, relationships, substance use, and any past trauma to build a holistic picture. From there you and your counsellor will set goals together - these might include reducing compulsive behaviours, repairing relationships, building healthier coping skills, or addressing co-existing anxiety or depression. Therapy often combines practical skills with emotional work - you will learn tools to manage urges and develop new routines alongside exploring the thoughts and feelings that maintain the behaviour.

Session structure and duration

Therapy tends to be collaborative and paced to your readiness for change. Early sessions focus on assessment and creating a safety plan if needed. Later sessions may involve cognitive and behavioural techniques, relational work, and relapse prevention planning. The number of sessions varies depending on your goals and the severity of the issue - some people benefit from short-term, focused work while others choose longer-term therapy to explore deeper patterns. Regular reviews help you and your counsellor check progress and adapt the plan as needed.

Common therapeutic approaches used

There are several evidence-informed approaches that counsellors commonly use when working with people experiencing compulsive sexual behaviour. Cognitive-behavioural therapy helps you identify and challenge thought patterns and develop practical strategies to reduce urges and avoid high-risk situations. Psychodynamic approaches explore underlying emotions, attachment patterns, and early experiences that may influence current behaviour. Relational therapy focuses on how intimacy and communication shape sexual behaviour and helps you repair or build healthier relationships. Some counsellors also integrate mindfulness-based strategies to increase awareness of triggers and to strengthen emotional regulation. Group work can be helpful for people who want peer support and accountability, and relapse prevention models are often included to support longer term change.

How online therapy works for sex addiction

Online therapy offers an accessible way to connect with a counsellor if you prefer to work from home or if local options are limited. You will typically choose between video, telephone, or messaging sessions depending on what feels most comfortable. Initial assessments are similar to in-person work, and your counsellor will discuss boundaries, session confidentiality, and practical plans for when urges are strong or a crisis arises. Online therapy can make it easier to maintain consistent appointments and access specialists who understand sex addiction. You should check that the counsellor is registered with a recognised UK body such as the BACP, HCPC, or a relevant professional register so that you know they meet professional standards and codes of practice.

Practical considerations for online work

When opting for online therapy consider where you will attend sessions so you can speak openly without interruption. Some people prefer a room where they can close a door or a quiet space in a family home. Agree with your counsellor how to handle missed sessions, payment, and emergency contacts in the UK. If you are in a relationship, you may decide to involve a partner in some sessions, but only when it feels safe and beneficial. Online therapy can be very effective, especially when combined with practical tools and local supports if needed.

Choosing the right therapist for sex addiction

Choosing a counsellor is a personal decision and it helps to look for someone who specialises in sex addiction or compulsive sexual behaviour. Check whether they are registered with a recognised body such as the BACP, HCPC, or NCPS and whether they list relevant training or experience in sexual health, trauma, or addiction work. Many counsellors offer an initial consultation - use this time to ask about their approach, experience with cases like yours, and how they measure progress. Consider whether you feel heard and respected during that first contact - a good therapeutic relationship is often the most important factor in successful work.

Questions to ask when deciding

When you speak with a potential counsellor you may want to ask how they approach compulsive sexual behaviour, what strategies they use to manage urges, and how they involve partners when appropriate. Ask about practicalities such as session length, fees, cancellation policies, and whether they offer face-to-face as well as online appointments. If you have concerns about legal or child protection issues, make sure the counsellor can explain how they manage those responsibilities within UK regulations. Trust your instincts - if you do not feel comfortable with a counsellor after a few sessions it is reasonable to seek someone else who is a better fit.

Next steps

If you are ready to explore therapy start by browsing the profiles above to find counsellors who specialise in sex addiction and who match your preferences for approach and availability. Reaching out for an initial conversation can be a pragmatic way to compare practitioners and to get a sense of how you might work together. Remember that seeking help is a sign of strength and that change is possible with the right support and a plan that fits your life.