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The demand for my services for the treatment of sexual addiction has grown over the past several years. Even with the increased frequency of phone contact, I do not think the pain I sense in the clients first call will ever lose its impact on my heart. For the person whose life has been plagued by secret shame and finally has the courage to make the call for help, the pain is palpable. For the spouse who has stumbled upon information of a secret life kept hidden by their partner and now questions the reality of an entire relationship, the level of pain has profound impact on this therapist.