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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.

Also providing a haven of hope is the small, but growing, number of support groups.

Sex addiction for a partner brings up feelings of ‘I’m not good enough’ and ‘He doesn’t want me’, but it’s not about the sex, it’s about the dopamine fix.

Once they understand the nature of the addictive drive, sometimes they’re able to move into self-care.” Rosendale’s anecdotal research reveals that a third of those partners seeking help decide to stay in the relationship, while a further third leave and the final third “remain stuck”.

Couples who make it work generally take a three-pronged approach, says Hall.

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.

To be fair on Rachel’s friends, there is some debate about whether the term sex addiction is scientifically accurate, but the field of addiction is changing fast and emphasis is shifting from the substance to the psychological symptoms of addiction.

The NHS has a website page dedicated to sex addiction.

“So when he sat me down one day to tell me he was a sex addict, I actually laughed – although I soon stopped when he disclosed night upon night of watching pornography for hours on end and numerous short-lived affairs.

My life fell apart.” Sex addiction hurts partners in a way that no other addiction can, says Paula Hall, who has written a book on the subject.

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