Abstract
Psychotherapists working with gay male clients are often called upon to differentiate between 'sub-culturally normative' and potentially harmful online sexual behaviour. Therapists improve the accuracy of their sexual compulsivity diagnostic conclusions by including healthy gay male online sexual behavioural norms. This article deals with psychotherapeutic approaches when online behaviour may be interfering with a gay male client's stated treatment goals. Individual, couples, and group psychotherapy can provide important and rare opportunities for gay men to explore both problematic online sexual activity as well as the culturally normative aspects of gay men's online sexual activity.
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