1st Edition

CBT for Compulsive Sexual Behaviour
A guide for professionals

ISBN 9780415723800
Published May 12, 2015 by Routledge
206 Pages

USD $54.95

Prices & shipping based on shipping country


Book Description

Increasing numbers of therapists are coming into contact with the problem of compulsive sexual behaviour disorders. However, it is still a relatively new field and there is little in the current literature available that enables the therapist to work with and treat this problem. CBT for Compulsive Sexual Behaviour: A guide for professionals addresses this by providing a guide to cognitive-behavioural theory and practice which includes the assessment, diagnosis and treatment of addictive sexually compulsive disorders.


Beginning with a description of addictive sexuality and an overview of cognitive behavioural therapy in which CBT is presented as the most useful response, Thaddeus Birchard provides clear therapeutic information about the implementation of CBT treatment intervention. The chapters included cover the neuroscience that underpins the addictive process; a ‘how to’ chapter on the use of groups; paraphilias; trauma and attachment; comorbid disorders and cross-addictions and analysis on the function of internet pornography, all written from a cognitive behavioural stance. 

Using case vignettes throughout, Thaddeus Birchard draws on his own experience as a psychosexual therapist, along with the latest research in the field, to enable the therapist to treat a range of compulsive sexual problems in a way that can be applied in individual practice or in a group setting as well as how to prevent relapse. This book will be essential reading for psychosexual therapists, cognitive behaviour therapists and other professional working with sexual compulsive disorders.

Table of Contents

Foreword. Preface. Acknowledgements. Sexual Addiction. CBT and Sexual Addiction. The Neuroscience of Sexual Addiction. The Therapeutic Alliance. The Primary Interventions. The Principal Interventions. The Ancillary Interventions. Group Work. Paraphilias. Internet Pornography Addiction. Trauma and Attachment. Cross Addictions and Comorbid Disorders. Conclusion. Case Studies.

View More



Thaddeus Birchard is the founder of the Marylebone Centre for Psychological Therapies and the Association for the Treatment of Sexual Addiction and Compulsivity. He is widely acknowledged as the pioneer of all work on sexual addiction in the UK and as an expert on working with men with out of control sexual behaviours.


"This book covers a wide range of clinical issues concerning problematic sexuality.  The book is an evidence-based guide for clinicians who are interested in learning more about assessment and treatment of unwanted sexual behaviors.  Partly written in the first person, this book beautifully blends the academic with the personal." - John Giugliano PhD— Professor, Widener University, Private Practice, Philadelphia, PA USA

"Clinicians and health professionals will benefit from the practical CBT strategies contained in this book. The chapter on cross addiction and comorbidity is essential reading for any sex therapist who is new to the addictions field and the insightful chapter on paraphilias will answer many of the questions that puzzle addiction professionals." - Paula Hall—Chairperson of the Association for the Treatment of Sexual Addiction and Compulsivity, United Kingdom and author of Understanding and Treating Sexual Addiction

"This book makes a significant contribution to the development of psychological treatment for the increasingly recognized challenge of sexual addiction. Dr Birchard combines a knowledge of the theoretical and empirical literature in this field with clinical experience. His work integrates insights from attachment theory and cognitive behaviour therapy in a group programme that has proved highly effective in clinical practice." - Dr Stirling Moorey, Consultant Medical Psychotherapist and Psychiatrist in Cognitive Behavioural Therapy at the South London and Maudsley NHS Trust, United Kingdom, editor of Evidence in the Psychological Therapies: A Critical Guide for Practitioners.

"CBT for Compulsive Sexual Behaviour is the first book I have read on this subject and I would highly recommend it for any counsellor working in the field of addiction." - Marysia Moore MBACP, reviewing in Private Practice