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Rosendale starts each 12-week support group by educating the women about sex addiction.“One of the points of this group is to depersonalise it.“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.

“The presumption is that the partner knew at some level what was going on and was ‘enabling’ it, which is frankly an insult.“These guys, and it is mostly guys, are on the whole loving husbands, yet they did this right under your nose, leaving you unable to trust your partner, or even your own judgements,” she explains.No wonder many partners suffer trauma, which can lead to depression, anxiety and panic attacks, rage or utter dissociation.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.

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Nobody is suggesting partners should stay, she stresses. But even then, they need support with rebuilding trust and reclaiming their sexuality.” Rachel agrees.

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