Compulsive Sexual Behaviour Therapy: Why Asking for Help Can Feel So Hard

Even today Compulsive Sexual Behaviour (CSB) is often misunderstood, heavily stigmatised, and deeply isolating for the people who experience it.  It is sometimes portrayed as some kind of moral failing or a lack of self-control, but CSB is far more complex than that.  It can stem from your childhood, patterns of emotional regulation, trauma, attachment, and unmet psychological needs.

As a CSB therapist I focus on understanding these underlying dynamics with empathy, curiosity, and respect, but crucially, never judgement.

At its core, the therapy I provide recognises that all behaviours, even the harmful or confusing ones, serve a purpose.  They may soothe your emotional pain, ease loneliness, numb stress, or temporarily provide a sense of connection.

In therapy, my aim is not to judge you, but to help you understand your needs and develop healthier, more stable ways of meeting them. If you can feel seen without condemnation, the healing journey becomes possible.

Many individuals struggle to reach out for help. One common barrier is shame.  CSB sits at the intersection of sex, secrecy, and self-worth, three areas where societal expectations can be harsh.  You may fear being judged, not only by therapists but by anyone you might confide in.  You might worry your concerns will be dismissed or sensationalised.  Perhaps you fear that seeking therapy means admitting you are broken, when in reality it, means you are courageous enough to pursue change.

Another reason you might hesitate is uncertainty.  You might not have language for what you are experiencing and doubt whether your struggles are serious enough for support.  You may be unsure what therapy involves or fearful that a therapist will demand drastic, immediate changes you are not ready to make.  In my approach to CSB therapy we move at your own pace and focus on collaboration, not coercion.

Finally, past negative experiences with therapy, or with disclosure more generally, can make the idea of opening up feel risky.  Trust takes time and I use a trauma-informed, compassionate approach which creates a space where you can explore your stories safely and gradually.

Reaching out for help is not a sign of failure but an essential step toward understanding yourself more deeply. CSB therapy offers hope, clarity, and the possibility of building a healthier, more connected life.  If you are considering therapy, know that you deserve support, and you don’t have to navigate this journey alone.

Nicola is currently completing a Diploma in Compulsive Sexual Behaviour and is offering sessions at a discounted rate of £40 during her training. CSB Therapy is for individuals experiencing persistent, distressing sexual behaviours that may feel out of control and interfere with personal, relational, or professional functioning. If you are interested in CSB Therapy session please email info@sheffieldcentralcounselling.co.uk to arrange an assessment phone call.