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Eight years into her marriage, Rachel started to wonder if her husband had lost interest in sex.“He’d always go to bed later than me and often made excuses when I brought it up,” explains the 41-year-old.“I could have dealt with a gambling addiction or alcoholism – anything but this,” Rachel confirms.Like most partners, she initially didn’t buy into the concept of sex addiction (“it sounded like a pretty weak excuse for an affair”) and even when she did start to believe that her husband’s behaviour was compulsive, her friends didn’t (“they’d look at me in despair, asking since when had sexual desire became a monster that can’t be controlled”), leaving her feeling isolated.Some relationship therapists work with the partner’s pain by treating it as an infidelity, for example, but it’s so much more than that – and sometimes it isn’t even that at all, with some people not actually having sex elsewhere, but using porn instead.” No wonder Hall’s therapeutic practice, which recognises the uniqueness of the partner’s pain, has gone from strength to strength.

“The presumption is that the partner knew at some level what was going on and was ‘enabling’ it, which is frankly an insult.“It could involve sex with a partner, but it may also mean activities such as viewing pornography, masturbation, visiting prostitutes or using sex chat lines,” it explains, claiming that while for most people such habits don’t cause problems, sex addicts are unable to control these urges and actions.Causes can of course be more complex, while for some – a fast-growing number, according to Hall – it’s simply opportunity-induced.“These guys, and it is mostly guys, are on the whole loving husbands, yet they did this right under your nose, leaving you unable to trust your partner, or even your own judgements,” she explains.No wonder many partners suffer trauma, which can lead to depression, anxiety and panic attacks, rage or utter dissociation.

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