You've probably tried to stop. More than once. Maybe you made a genuine commitment, told yourself this time was it, and found yourself back in the same place a week later wondering what's wrong with you.
Nothing is wrong with you. But something is wrong, and it's not going to resolve on its own.
It might be pornography — hours you didn't plan to spend, patterns that have escalated in ways that unsettle you, a growing distance between what you're doing and who you thought you were. It might be affairs, or compulsive encounters, or a secret life you've been maintaining for years. Sometimes it's harder to name than that. A pull you can't fully explain, can't fully stop, and can't talk to anyone about.
This Isn't About Willpower
What drives compulsive sexual behavior is almost never sex itself. Underneath it, reliably, is something else. Shame accumulated over years — sometimes decades — long before the behavior started. A nervous system conditioned to reach for intensity as relief. Early relational wounds that never fully healed and that surface now in patterns that feel inexplicable.
That context matters. Not as an excuse. As the actual terrain of the work.
What Brings People Here
Some people arrive having never told anyone. This is the first conversation. Some come after being discovered — a partner found something, a situation made the secret impossible to keep — and they need to figure out what happens now. Some have done 12-step work and want clinical depth alongside it. Some reject the word addiction entirely but know something needs to change.
Most of them have already been in therapy. Sat with good, well-meaning people who listened carefully and reflected back what they heard. Left those sessions feeling understood. And watched the behavior continue unchanged.
That's a specific kind of frustration, and it points to something real: this is a clinical specialty. Warmth and attunement matter, but they aren't enough on their own. The work requires specific training in how these patterns develop, what sustains them, and what treatment actually looks like. A therapist who treats anxiety and depression and relationship conflict and also sees a few clients with sexual compulsivity is not the same as a specialist. If you've felt that difference, or suspected it, you're probably right. This practice exists for exactly that reason.
For Partners
If you found something, or were told something, and the ground hasn't stopped moving since — this is for you too.
The grief, the rage, the obsessive replaying of what you didn't know: that's betrayal trauma. It's a real clinical phenomenon with a specific presentation, and it deserves real treatment. Not couples sessions where you're expected to process alongside your partner's recovery. Your own space. Your own work.
This practice sees partners individually. It also facilitates formal disclosure — a structured clinical process, months in the making, where the full history is brought into the room in a way both people are prepared for. Some couples use it to begin rebuilding. Others find it gives them what they actually needed: the truth, held carefully, so they can make a real decision.
About the Work
Sessions are weekly. The approach is psychodynamic — meaning the work goes toward the roots of the pattern, not just the surface behavior. No sobriety counter, no urge log, no checklist. A therapeutic relationship with enough structure and enough honesty to actually do something.
No judgment about what you've done. That said, this isn't a space where you'll be gently validated into staying the same. The expectation is that you engage, that you're honest, and that you're genuinely trying to change something.
Olivia Rosenzweig holds the LMHC and CSAT credentials — the latter a specialist certification in sex addiction treatment requiring advanced clinical training beyond standard licensure. She works with individuals, couples, and a men's group, and has been doing this work specifically, not as one part of a general practice, for years. Sessions are via secure telehealth throughout New York State.
For a more detailed overview of treatment approach and clinical specializations, see the Sex Addiction Therapy page.
Getting Started
If this is resonating — if you've been carrying something alone, or your relationship is fractured and you don't know what to do with that, or you've been in therapy before and it didn't reach what needed reaching — call or send a message.
The first step is a 15-minute phone consultation. No commitment. Just a conversation about whether this is the right fit.