Sex and love addiction, clinically described as compulsive sexual behavior, is a pattern of sexual or romantic behavior that feels out of control and continues despite serious consequences to relationships, work, health, or self-respect. It is treated with specialized therapy that addresses the behavior, the shame underneath it, and any trauma or co-occurring conditions. At Heights Behavioral Health in Houston, this care is led by a Certified Sex Addiction Therapist (CSAT) and built around the individual through our Individualized Intensive Programming.
Few problems carry more shame than this one, which is exactly why it stays hidden and gets worse. People try to stop on their own, succeed for a while, and then return to the behavior feeling more defeated each time. That cycle is not a character flaw. It is the pattern of a treatable condition, and specialized help changes the outcome.
What Sex and Love Addiction Actually Is
The behavior is not about a high sex drive or about being a bad person. It is about using sex, fantasy, or romantic intensity to escape pain, regulate emotion, or feel worthy, in a way that has become compulsive. The World Health Organization recognizes Compulsive Sexual Behaviour Disorder in the ICD-11. The DSM-5 does not list it as a formal diagnosis, and we say that plainly, but the pattern is well described clinically and it responds to treatment.
Signs It May Have Crossed a Line
- Repeated attempts to cut back or stop that do not hold
- Significant time lost to fantasy, pursuit, or the behavior itself
- Continuing despite real harm to a relationship, job, finances, or health
- Escalation, needing more intensity or novelty for the same relief
- Using the behavior to cope with stress, loneliness, anxiety, or depression
- Secrecy, deception, and growing shame
One or two of these on a hard week does not make an addiction. A persistent pattern that you cannot stop on your own is worth a conversation with a specialist.
How We Treat It at Heights Behavioral Health
Care begins with a clinical assessment by a Certified Sex Addiction Therapist, because the same behavior can have very different drivers. Treatment then combines individual therapy with focused group work. Our adult groups in Houston include a process group led by our CSAT founder, Healthy Relationships, and Shame Resilience, alongside skills groups in CBT, DBT, and Motivational Interviewing.
Because this behavior is so often rooted in trauma, we treat what sits underneath it. That can include EMDR and Somatic Experiencing delivered one-on-one, and neurofeedback to support emotional regulation. You can read more about our trauma therapy approach and our broader behavioral addiction treatment.
Partners and Betrayal Trauma
When this comes to light, partners are often left with their own trauma, and their pain is real and valid. Healthy recovery makes room for that. We can help the affected partner find appropriate support, and we are clear about what individual treatment can and cannot promise about a relationship.
Ready to talk to someone who treats this every day?
One confidential call with a Certified Sex Addiction Therapist is a private, judgment-free first step.
Why Individualized Intensive Programming Fits
Compulsive sexual behavior does not respond well to a generic curriculum. The triggers, the shame, and the recovery skills are personal. Our flagship Individualized Intensive Programming builds the week around your history and any co-occurring conditions, and can be delivered at PHP or IOP intensity.
Co-occurring Conditions
Anxiety, depression, and trauma frequently sit alongside this behavior, and treating only the behavior is why people relapse. Our dual diagnosis care treats both together.
How Payment Works at Heights Behavioral Health
Heights Behavioral Health is a private-pay, out-of-network provider. We are not in network with insurance plans. Some clients have out-of-network benefits that can offset part of the cost, and we are glad to explain how that works and be upfront about pricing before you commit. See our out-of-network guide for details.
When You Need More Than Outpatient Care
If there is acute crisis or significant safety risk, a higher level of care comes first, and we will help you find it. For non-clinical support, our sister practice Heights Mentoring may be a fit.
If this is an emergency or you are thinking about harming yourself, call 911, or call or text 988 to reach the Suicide and Crisis Lifeline. Heights Behavioral Health is an outpatient program and is not a 24-hour crisis service.
Frequently Asked Questions
Is sex addiction a real condition?
The World Health Organization recognizes Compulsive Sexual Behaviour Disorder in the ICD-11. The DSM-5 does not list it as a formal diagnosis, and the science is still developing, but the pattern is well described and treatable. We treat the behavior and its consequences, not a label.
What is a CSAT?
A Certified Sex Addiction Therapist has completed specialized training and supervision in treating compulsive sexual behavior. It means the person guiding your care has dedicated, focused expertise in this area, not just general counseling experience.
Will treatment save my relationship?
Treatment focuses on your recovery and health. It can create the conditions for honesty and change, but no ethical clinician promises a specific relationship outcome. We also help affected partners find their own support.
Is this confidential?
Yes. Care is confidential within the limits of the law, and the first call is a private conversation. Many people reach out precisely because they have never felt safe telling anyone.
Do you take insurance?
We are a private-pay, out-of-network provider and are not in network with insurance plans. Some clients use out-of-network benefits to offset part of the cost. We are upfront about pricing before you decide.
You Do Not Have to Carry This Alone
Specialized, confidential treatment for compulsive sexual behavior is available in Houston. One private call is the first step.



