Compulsive Sexual Behavior (CSB)

Understanding Compulsive Sexual Behavior (CSB)

One of my specialties is treating Compulsive Sexual Behavior (CSB) and working with partners and spouses affected by it. CSB can be devastating, not only to those who struggle with it but also to their loved ones. Recovery is possible, but it requires honesty, commitment and a reintegration into reality.

What Is Compulsive Sexual Behavior?

Compulsive Sexual Behavior, often referred to as sex addiction, involves persistent, escalating patterns of sexual thoughts and actions that feel out of control. Despite negative consequences, individuals with CSB find it challenging to stop these behaviors.

Common Forms of CSB Include:

• Excessive Pornography Viewing and Masturbation
• Engaging with Sex Workers
• Cybersex and Sensual Massages
• Multiple Affairs Despite Attempts to Stop
• Voyeurism or Exhibitionism
• Consuming Illegal Materials

These behaviors are typically secretive and may lead to feelings of shame, guilt, and isolation. In some cases, they can cross legal boundaries, causing severe repercussions.

Signs and Symptoms of CSB

Recognizing CSB can be challenging. Common signs include:

• Preoccupation with Sexual Activities: Constantly thinking about sex to the point where it interferes with daily life.
• Failed Attempts to Control Behavior: Repeated unsuccessful efforts to reduce or stop sexual activities.
• Escalation of Risky Behaviors: Engaging in more extreme activities to achieve the same level of satisfaction.
• Neglecting Responsibilities: Ignoring work, family, or social obligations due to sexual activities.
• Emotional Distress: Feeling shame, guilt, or hopelessness about behaviors.
• Compartmentalization: Separating the “acting out” world from reality, leading a double life.

The Impact of CSB on Your Life

CSB can have profound effects on various aspects of life:

Relationships

• Erosion of Trust: Secretive behaviors can damage trust with partners and family.
• Emotional Distance: Preoccupation with sexual activities can lead to neglect of emotional intimacy.
• Conflict and Strain: Discovery of CSB can result in arguments, separations or divorce.

Mental Health

• Anxiety and Depression: Feelings of guilt and shame may contribute to mental health issues.
• Isolation: Fear of judgment can lead to withdrawal from social circles.
• Low Self-Esteem: Persistent feelings of inadequacy or self-loathing.

Physical Health

• Risk of STIs: Engaging in unprotected or risky sexual activities increases health risks.
• Fatigue: Excessive time spent on sexual activities can lead to physical exhaustion.a

Legal and Financial Consequences

• Legal Issues: Engaging in illegal activities can result in legal action.
• Financial Strain: Spending excessive money on sexual activities or related services.

Recovery from CSB is possible with the right support and treatment. As a licensed marriage and family therapist in Beverly Hills or via telehealth, I offer a compassionate, non-judgmental space to address these challenges.

You’re Not Alone

Overcoming CSB can feel overwhelming, but you don’t have to face it alone. Together, we can work towards healing and building a healthier future.

My Approach to CSB Therapy

Experience and Expertise

With over a decade of experience treating CSB, including working in top sex addiction clinics in Los Angeles, I provide specialized care tailored to your needs.

Therapeutic Techniques

• Cognitive Behavioral Therapy (CBT): Helps identify and change negative thought patterns and behaviors associated with CSB.
• EMDR Therapy: Addresses underlying trauma that may contribute to compulsive behaviors.
• Mindfulness and Stress Reduction: Develops healthy coping mechanisms to manage triggers.

Treatment Goals

• Increase Awareness: Understand triggers and the cycle of CSB.
• Develop Healthy Coping Strategies: Replace compulsive behaviors with positive habits.
• Reintegrate into Reality: Break down compartmentalization to lead an authentic life.
• Restore Relationships: Work towards rebuilding trust and intimacy with loved ones.

Support for Partners and Spouses

CSB doesn’t only affect the individual but also their partners and families. I offer support for spouses dealing with betrayal, anger and hurt, helping them navigate their emotions and make informed decisions about their relationships.

Taking the First Step Towards Recovery

Acknowledging the presence of CSB is a courageous first step. Therapy can guide you through the recovery process, helping you regain control and improve your quality of life.

Common Questions About CSB Therapy:

• Is therapy confidential? Yes, all sessions are conducted with strict confidentiality.
• How long does treatment last? Treatment length varies based on individual needs; we’ll develop a plan that suits you.
• Do you work with couples? Yes, I offer couples therapy to address the impact of CSB on relationships.

Rebecca Ishida, MA, MFT

My therapeutic style combines empathy with a direct, solution-focused approach. Together, we’ll set achievable goals and work collaboratively toward your desired outcomes. I am honored to share in your journey, whether you’re navigating difficulties or striving toward your dreams.

I hold a bachelor’s degree in psychology from the University of California, Santa Barbara, and a master’s degree in Clinical Psychology from Pepperdine University. Licensed since 2000, I am a member of CAMFT (California Association of Marriage and Family Therapists).

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