Sex Addiction Therapy in NYC
Sex addiction — clinically referred to as compulsive sexual behavior — is a pattern of sexual thoughts, urges, or actions that feel out of control and continue despite consequences to relationships, work, or self-worth. It may involve pornography use, affairs, anonymous encounters, compulsive masturbation, or other behaviors that someone genuinely wants to stop but cannot on their own.
Finding the right sex addiction therapist in New York City matters. Not all therapists are equipped to treat this specific concern. The CSAT (Certified Sex Addiction Therapist) credential — held by Olivia Rosenzweig — represents advanced training specifically in sex addiction treatment through the International Institute for Trauma and Addiction Professionals (IITAP). Treatment at this practice is grounded in a trauma-informed, psychodynamic framework that addresses not just the behavior, but the underlying attachment wounds and emotional patterns that sustain it.
All sessions are provided via secure telehealth for clients located anywhere in New York State, including Manhattan, Brooklyn, Queens, the Bronx, Staten Island, Long Island, and throughout New York.
Pornography Addiction & Compulsive Porn Use
Problematic pornography use is one of the most common presentations in sex addiction treatment. Clients often describe escalating use that interferes with intimacy, relationships, and daily functioning — and a persistent sense of shame about what they cannot seem to stop on their own.
Treatment addresses compulsive pornography use through a combination of psychodynamic exploration, behavioral accountability, and an honest examination of what drives the pattern. The goal is not simply abstinence — it's understanding why the behavior developed and building genuine internal resources for change.
Whether you use the language of pornography addiction or prefer to think of it as compulsive behavior, the treatment approach is the same: non-judgmental, structured, and focused on what you actually want your life to look like.
Betrayal Trauma & Partner Support
The discovery or disclosure of a partner's sex addiction — affairs, pornography use, compulsive sexual behavior — creates a specific kind of trauma. Partners often describe feeling blindsided, questioning everything they thought they knew about their relationship, and oscillating between grief, rage, and a desperate need for answers.
This practice provides specialized support for partners of people with sex addiction, including individual therapy focused on stabilization, trauma processing, and navigating decisions about the relationship with clarity rather than reactivity. Partner work is informed by betrayal trauma theory and does not pressure any particular outcome.
For couples considering the path toward relational repair, formal disclosure and couples therapy are available as separate clinical tracks once both individuals are therapeutically prepared.
Formal Disclosure Process
The formal disclosure process is a structured, clinically supervised procedure through which a person with sex addiction shares the full history of their sexual behavior with their partner in a therapeutic context. This is not a spontaneous conversation — it is a carefully planned clinical intervention that typically takes months of individual preparation from both parties.
The disclosure process is a core component of CSAT-informed treatment and a genuine clinical differentiator. Very few therapists in New York City facilitate formal disclosure. Done well, it creates a foundation for relational honesty that allows couples to make informed decisions about their future together.
If you or your partner are considering the disclosure process, the first step is an individual consultation to assess readiness and fit. Learn more on the Services page.
Men's Sex Addiction Recovery Groups
In addition to individual therapy, this practice facilitates a men's support group for sex and pornography issues. Group therapy offers something that individual therapy cannot: the experience of being genuinely known by peers who share your struggle.
Many men living with sex addiction carry profound isolation — a sense that no one around them could possibly understand. The group context breaks that isolation directly. It also provides accountability, perspective, and the concrete experience of change being possible, in others and in oneself.
The group is psychoeducational and process-oriented, facilitated by Olivia Rosenzweig, LMHC, CSAT. Group therapy is often recommended as an adjunct to individual sex addiction treatment, not a replacement for it. Contact the practice to inquire about current group availability.
Telehealth for Sex Addiction Throughout New York State
All services are currently provided via secure, HIPAA-compliant telehealth for clients located in New York State. Telehealth offers a practical advantage for sex addiction treatment specifically: sessions can be accessed privately, from home, without the visibility of walking into a therapist's office.
Research consistently shows that telehealth therapy is as effective as in-person treatment for most concerns, including compulsive sexual behavior and trauma. Sessions are conducted via encrypted video platform. Clients are seen throughout New York City — Manhattan, Brooklyn, Queens, the Bronx, Staten Island — and across New York State.
What to Look for in a Sex Addiction Therapist in NYC
Not every therapist who works with sexual concerns is trained to treat sex addiction. When evaluating a sex addiction therapist in New York City, it's worth asking:
- Do they hold the CSAT credential? The Certified Sex Addiction Therapist designation from IITAP represents specific training in sex addiction treatment that general licensure does not provide.
- Are they trauma-informed? Sex addiction and betrayal trauma both require a clinical approach that understands and works with trauma — not just behavior.
- Do they facilitate formal disclosure? If you are a couple navigating disclosure, the therapist facilitating that process should have specific training and experience with the procedure.
- Do they treat both the person with addiction and the partner? The best outcomes involve each partner having their own therapeutic support.
Olivia Rosenzweig, LMHC, CSAT holds the CSAT credential, is trained in betrayal trauma treatment, and facilitates formal disclosure processes. She is a member of the International Institute for Trauma and Addiction Professionals (IITAP) and holds a Master's Degree in Counseling for Mental Health and Wellness from NYU Steinhardt.
Getting Started
The first step is a complimentary 15-minute phone consultation to discuss your concerns, answer questions, and determine whether this practice is a good fit. There is no obligation following the consultation.
To request a consultation, use the contact form or call (332) 296-6057. All communications are confidential.