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To be fair on Rachel’s friends, there is some debate about whether the term sex addiction is scientifically accurate, but the field of addiction is changing fast and emphasis is shifting from the substance to the psychological symptoms of addiction.

“One of the points of this group is to depersonalise it.The reality for most partners I see is that they experience phenomenal shock.” The damage to self-esteem, she continues, isn’t just about the sexualised behaviour, such as visits to prostitutes that partners never knew about.It’s the fact that they’ve lived with someone so long and had no idea.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.Third, the couple works together on the renegotiation of the boundaries in the relationship.” While some sex addicts move on, other partners must recognise that they’ll be living with someone in recovery for the rest of their life, says Hall.

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