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"I see in them an inability to stop what they're doing," O'Neill says."They're preoccupied; their brain just keeps going back to it. There's such intense shame and pain." Frequently, a crisis convinces them to seek treatment, Reid says.If they are in recovery, how long have they stayed sober?Are they actively working a program of recovery (e.g., participating in self-help support meetings, counseling or an aftercare program)?
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Reid encourages his patients to challenge the thoughts that lead to their risky behavior.
"If a patient says he has a craving and he can't control it, I confront the 'can't,'" Reid says.
The causes are also unknown, or how similar it is to other addictions.
That's one reason that Reid prefers the term hypersexual disorder (HD).
"I ask, 'What's going to happen if you don't satisfy that craving? No.' I try to get the patient to see things more realistically." One-on-one counseling, support groups, and having a plan are key.