Sex Addiction

Therapy for Sex Addiction or Out-of-Control Sexual Behavior (OCSB)

Our Approach at a Glance

We believe that sexual behavior, even when it feels out of control, is a natural part of being human. Our approach is rooted in the Out-of-Control Sexual Behavior (OCSB) model developed by Doug Braun-Harvey; we emphasize sexual health, personal integrity, and consensual, ethical sexual behavior. Our focus is on understanding, managing, and cultivating healthy sexuality rather than imposing shame or demanding strict abstinence. The OCSB model is a compassionate, evidence-based approach grounded in the belief that sexual behavior can be a positive and meaningful part of life. It emphasizes self-awareness, ethical behavior, and sexual health rather than shaming or pathologizing clients.

Our Approach to Treatment

Sexual Health Framework: We use the Six Principles of Sexual Health as a foundation for exploring and transforming sexual behavior.

  • Fantasies as Insight: We encourage honest exploration of fantasies, understanding them as valuable insights into desires and needs.

  • Compassion and Non-Judgment: We provide a safe space where clients can discuss their experiences without fear of blame or shame.

  • Harm Reduction, Not Abstinence: We help clients develop healthier behaviors without insisting on abstinence.

  • Building Sexual Competence: Our focus is on empowering clients to engage in consensual, satisfying, and ethical sexual experiences.

Navigating Problematic Fantasies with Care and Curiosity

We recognize that fantasies are a natural part of sexuality, but they can become problematic when they lead to distress, shame, or compulsive behavior. Our approach helps clients:

  • Understand the origins and meaning of their fantasies.

  • Explore how fantasies align with their values.

  • Develop healthier, more fulfilling ways to experience and express desire.

Struggling with Out-of-Control Sexual Behavior?

Our clients often seek help with behaviors they find difficult to control, such as excessive pornography use, compulsive sexual encounters, or risky sexual behaviors. We help clients regulate, modify, or understand their sexual behavior using a sex-positive, anti-shame, intimacy-centered philosophy.

Beyond Shame-Based Models

We don’t believe in one-size-fits-all approaches—especially those rooted in shame. While some may choose abstinence as part of their personal healing journey, we don’t advocate for it unless it genuinely aligns with your values and goals. Often, forced abstinence can lead to feelings of guilt, repression, and disconnection from your sexual self.

Instead, our focus is on helping you cultivate a relationship with your sexuality that feels healthy, consensual, and satisfying—on your own terms.

Six Principles of Sexual Health (Doug Braun-Harvey)

Our approach is guided by Doug Braun-Harvey's Six Principles of Sexual Health, which are:

  • Consent: All sexual activity must be consensual, respecting the autonomy of all parties involved.

  • Non-Exploitation: Sexual interactions should be free from coercion, manipulation, or abuse of power.

  • Protection from HIV and Other STIs: Clients are supported in making informed, safe choices regarding their sexual health.

  • Honesty: Open, transparent communication is essential in all sexual interactions.

  • Shared Values: Clients are encouraged to explore and align their sexual behavior with their personal values.

  • Pleasure: Sexual experiences should be satisfying and pleasurable, contributing to overall well-being.

Out-of-Control Sexual Behavior (OCSB) is not a moral failure, a chemical addiction, or a sign of being inherently flawed. Instead, it is a pattern of behavior that may feel distressing or unmanageable. Our goal is to help clients understand and change these behaviors without shame or stigma.

Ready to Explore Your Sexual Health?

If you are struggling with Out-of-Control Sexual Behavior, you do not have to go through it alone. Our compassionate, skilled therapists are here to help you build a healthier, more satisfying sexual life. We offer both individual and group therapy options, recognizing that each client’s journey is unique. Group therapy can offer connection and shared experience, while individual therapy provides privacy and personalized support.

Schedule a free, 15-minute phone consultation to see if we’re the right fit for you.

Let's Connect