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"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.Second, the partner has to feel stable again, as well as understanding the addiction and working out what they want the relationship to look like in the future.
It's the fact that they've lived with someone so long and had no idea.
Some relationship therapists work with the partner's pain by treating it as an infidelity, for example, but it's so much more than that - and sometimes it isn't even that at all, with some people not actually having sex elsewhere, but using porn instead." Hall's therapeutic practice, which recognises the uniqueness of the partner's pain, has gone from strength to strength.
Also providing a haven of hope is the small, but growing, number of support groups.
Nobody is suggesting partners should stay, Hall stresses. But even then, they need support with rebuilding trust and reclaiming their sexuality." Rachel agrees.
"Much as my husband tried to stop his behaviours by understanding the nature of sex addiction, he wasn't willing to delve into the cause.