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If your partner has started counselling for compulsive sexual behaviour, one of the most common assumptions is that your role is now to wait, support them, and see how it goes. That assumption is worth reconsidering. Your own recovery from what happened is a separate...

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No. And the pressure you are feeling to decide immediately, whether it is coming from your partner, from family, from friends, or from your own need for the uncertainty to end, is worth resisting. A decision of this significance made in the first weeks after...

There is no checklist that will give you certainty about someone else's inner experience, and it is worth saying that plainly at the outset. What can be assessed is impact. The question that distinguishes pornography use from compulsive use is not how often it happens...

If, months after discovering a partner's secret sexual behaviour, you are still experiencing intrusive images, disrupted sleep, hypervigilance and sudden waves of distress triggered by ordinary things, you are not failing to move on. These are recognised responses to betrayal by an attachment figure, described...

The co-occurrence of attention deficit hyperactivity disorder (ADHD) and compulsive sexual behaviour disorder (CSBD) is far more common in clinical practice than the general public recognises. For people who carry both, the interaction between the two conditions creates a presentation that is often more complex,...

Recovery from compulsive sexual behaviour disorder (CSBD) takes place in real life, in real families. For parents in recovery, the process of facing and addressing their behaviour happens alongside the daily realities of school runs, homework, bedtimes, and the complex emotional demands of raising children....

Ask many people in treatment for compulsive sexual behaviour disorder (CSBD) to describe what they were feeling in the moments before acting out, and a surprisingly consistent answer emerges: nothing. Or more precisely: an uncomfortable nothing, a flatness, a restlessness, a need to feel something....

Sexual fantasy is a normal part of human sexuality. It is also, in the context of compulsive sexual behaviour disorder (CSBD), one of the least-discussed aspects of how the condition develops, maintains, and escalates. Many people in the early stages of seeking help for sexual...

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