Dashiell, a 29-year-old CPA, first came to see me after his self-described “healthy sexual appetite” went from fun to over-the-edge to addiction. In our initial assessment, Dash told me his sexual behavior had spiraled out of control, resulting in a string of reprimands at work (for downloading porn on company owned equipment) and eventually the loss of his job. Dash was also using “adult friend finder” apps, primarily Ashley Madison and Tinder, to seek out casual sexual encounters and prostitutes. Unsurprisingly, he was in deep denial about his sexual problems – justifying, minimizing, blaming, and deflecting like a seasoned addict. Nevertheless, his treatment motivation was high, even though he was hoping to not give up the escapist and highly compulsive sexual intensity that ruled his life.