I don’t treat sex addiction. The concept is superficial. It isn’t clearly defined or clinically validated, and it’s completely pathology-oriented. It presents no healthy model of non-monogamy, pornography use, or stuff like S/M. Some programs eliminate masturbation, which is inhumane, naïve, and crazy.
Oh, I observe people with obsessive-compulsive disorder, bipolar disorder, post-traumatic stress disorder, depression, and a few other exotic states. That accounts for some of what laypeople call “sex addiction.”I do think that part of the problem is what I've blogged about earlier in reference to Dr. Helen's article and that one part of the latest craze in psychosis is that sexuality is so stigmatized, especially here in the US (back to our puritan roots, I guess). There is also a very narrow popular definition of sexuality and 'accepted sexual practices'. Combine stigmatization/narrow definitions with a culture that celebrates a 'victim' and removes the idea that you have to take personal responsibility for your actions you have instant sexual addiction.