what about sex addiction?
PSB vs. Sex Addiction
When it comes to problematic or out-of-control sexual behaviors, many people feel overwhelmed, ashamed, or confused about what is really going on. The term “sex addiction” is often used to describe these struggles. While some find the label helpful, others may not. That is why many professionals, myself included, prefer the terms Problematic Sexual Behavior (PSB) or Out-of-Control Sexual Behavior (OCSB). This is often viewed as a more compassionate and nuanced way to describe sexual behaviors that feel misaligned with your values, interfere with your life, or feel difficult to control despite your best efforts.
​
These issues are not about how often you have sex or what kind of sex you enjoy, it is about the impact on your emotional well-being, relationships, and daily functioning. You might notice you are using sex to cope with stress or emotions, struggling to stop even when you want to, or feeling shame or distress afterward. Unlike “sex addiction,” which is not formally recognized in the DSM-5, PSB focuses on your lived experience and allows space to explore the emotional, relational, and sometimes trauma-related patterns that may be contributing to these behaviors.
​
In therapy, my goal is not to label you, but to support your healing and growth. I use a trauma-informed, sex-positive approach to help you understand your behaviors, reconnect with your values, and build a life that feels more whole and authentic to you. Whether you relate more to the idea of sex addiction or PSB, the most important thing is getting the support and help you need. Together, we will work to break unhealthy patterns and cultivate relationships (and sexuality) that align with the person you want to be.
​