Abstract
This case details the use of cognitive behavior therapy in treating a 41-year-old gay man’s sexually addictive behavior. At assessment, he perceived his sexual behavior to be out of his control and it was particularly interfering with his work life. Motivational interviewing was combined with a number of cognitive behavioral techniques, including a behavior change program, distraction, enhancing metacognitive awareness, and cognitive restructuring, over the course of six therapy sessions. Using self-report, the intervention led to a significant reduction in sexual behavior. Frequency of sexual partners and the amount of time spent online during working hours reduced. The case highlights effectiveness of cognitive behavior therapy and motivational interviewing in reducing sexually addictive behavior and installing a sense of control in patients.
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