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Joy Rosendale, a sex-addiction therapist specialising in partner work, instigated the first one in the UK back in 2005, following her own experiences.“Although there is usually huge reluctance for partners to seek help, let alone come into a group, because of the privacy and shame, something happens in these groups that liberates these women – and I say women because in my experience, it is usually women who access them,” says Rosendale, who still runs the group at the Marylebone Centre, London.

Like most partners, she initially didn’t buy into the concept of sex addiction (“it sounded like a pretty weak excuse for an affair”) and even when she did start to believe that her husband’s behaviour was compulsive, her friends didn’t (“they’d look at me in despair, asking since when had sexual desire became a monster that can’t be controlled”), leaving her feeling isolated.Couples who make it work generally take a three-pronged approach, says Hall.“First, the addict goes into recovery on their own to work out causes and develop relapse prevention strategies.“It could involve sex with a partner, but it may also mean activities such as viewing pornography, masturbation, visiting prostitutes or using sex chat lines,” it explains, claiming that while for most people such habits don’t cause problems, sex addicts are unable to control these urges and actions.Causes can of course be more complex, while for some – a fast-growing number, according to Hall – it’s simply opportunity-induced.

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