Sex Addiction; Out-of-Control Sexual Behavior Treatment

Sex addiction—also referred to as out-of-control sexual behavior (OCSB) or compulsive sexual behavior—describes a pattern in which sexual thoughts or behaviors feel difficult to stop, are used to cope with emotional distress, and begin to negatively impact relationships, work, mental health, or personal values.

This is not about having a high sex drive. Many people with out-of-control sexual behavior feel deeply conflicted about their actions, carry significant shame, and struggle to understand why they continue behaviors they genuinely want to change. Others seek support after a rupture in trust—such as discovery of pornography use, infidelity, or secrecy—leaving both partners overwhelmed and unsure how to move forward.

What Is Out-of-Control Sexual Behavior?

Out-of-control sexual behavior occurs when sexual activity becomes repetitive or compulsive, increasingly secretive, used to regulate emotional distress, misaligned with personal values or relationship agreements, and harmful to emotional well-being or intimacy.

Common examples include compulsive pornography use, repeated affairs, excessive use of dating or hookup apps, sexual behavior interfering with work or family life, and repeated failed attempts to stop.

How I Conceptualize Sex Addiction

My approach integrates attachment-based, trauma-informed, and relational frameworks. I view sex addiction and out-of-control sexual behavior as coping strategies rooted in emotional regulation challenges, attachment wounds, chronic stress, shame cycles, and relational disconnection.

Treatment focuses on understanding the function of the behavior, building healthier regulation strategies, restoring integrity, and repairing relational trust when needed.

Individual Treatment

I work with individuals seeking to reduce compulsive sexual behavior, understand triggers, rebuild self-trust, and develop a healthier relationship with sexuality. Work may include assessment, trigger mapping, shame reduction, regulation skills, values-based recovery planning, and appropriate accountability structures.

Couples; Relationship Repair

I provide specialized support for couples affected by pornography use, infidelity, sexual secrecy, and chronic sexual disconnection. Couples work focuses on stabilization, betrayal repair, boundary clarification, rebuilding trust, and restoring emotional and sexual intimacy.

My Approach to Recovery

Recovery is compassionate, accountable, and structured. I integrate motivational interviewing, trauma-informed care, attachment work, psychoeducation, and relational therapy to support sustainable change.

Begin Treatment

If you are seeking experienced, ethical support for sex addiction or out-of-control sexual behavior, I invite you to reach out to discuss next steps.

Relationship & Sexual Behavior Assessments

How the Assessment Works, and Who It’s For

This comprehensive assessment is designed for individuals, couples, and professionals who need clarity before deciding what comes next. Over six structured steps, intake screening, deep dive individual and or couple interviews, relational and behavioral pattern mapping, risk and stability evaluation, formulation and case conceptualization, and a clear written outcome plan, the assessment provides an integrated understanding of what is actually happening beneath the surface. Individuals and couples use it to gain clarity about patterns of disconnection, compulsive sexual or relational behaviors, trust ruptures, intimacy breakdowns, and decision points around repair, separation, or intensive support.

Therapists, physicians, interventionists, attorneys, and organizations use the assessment to inform treatment planning, referrals, workplace or performance decisions, clinical alignment, or next level care recommendations. Rather than offering treatment itself, the assessment functions as a high level navigation tool, bringing clarity, reducing guesswork, and ensuring that whatever happens next is appropriate, ethical, and aligned with the real needs of the people involved.

Clarity Before Therapy, Recovery or Rehabilitation Facility. Direction Before Damage.

When relationships are stuck in cycles of conflict, shutdown, betrayal, or chronic sexual disconnection, more therapy isn’t always the answer.

Sometimes what’s missing is clarity.

Our intensive Relationship & Sexual Behavior Assessments provide a structured, expert-led understanding of what’s actually happening, why it’s happening, and what to do next, before more time, money, or emotional energy is lost.

WHAT IS A RELATIONSHIP & SEXUAL BEHAVIOR ASSESSMENT?

This is not therapy.

It is a time-limited, high-level assessment process designed to answer the questions most couples and individuals are silently asking:

• Is this a relationship problem, a trauma response, an attachment injury, or a compulsive sexual behavior pattern?

• Are we dealing with addiction, avoidance, resentment, desire discrepancy, or nervous-system shutdown?

• Is repair realistic — and if so, what kind of help would actually work?

The assessment results in a clear formulation, concrete recommendations, and next steps tailored to you.

WHO THIS ASSESSMENT IS FOR

• Addiction Professionals, Recovery Facilities, Therapists, Doctors, Attorneys, and Mediators, Individuals and couples

• Couples recovering from porn use, infidelity, or compulsive sexual behavior

• Individuals questioning whether their sexual behaviors are compulsive, avoidant, or

trauma-driven

• Partners unsure whether trust can realistically be rebuilt

• Couples stuck in years of therapy with little movement

• High-functioning professionals who want direct answers

WHAT MAKES THIS ASSESSMENT DIFFERENT

Most therapy starts without a shared map.

This process creates that map.

• Expert-led formulation grounded in attachment, trauma, sexual behavior, and relational dynamics

• Structured sessions with clear purpose

• Integrated individual and relational perspectives

• Written summary and recommendations. Referrals offered for next steps.

• Designed to prevent years of misdirected therapy

WHAT THE ASSESSMENT INCLUDES

• Individual clinical interviews

• Joint relational sessions

• Sexual history and pattern mapping

• Attachment and nervous-system assessment

• Compulsive sexual behavior screening

• Relationship dynamics and power analysis

• Strengths, risks, and prognosis evaluation

WHAT YOU WILL WALK AWAY WITH

• Relief from confusion and self-blame

• Language for what has felt impossible to explain

• Clarity about whether repair is realistic

• Confidence about next steps

• A plan that fits your actual situation

ABOUT THE ASSESSOR

Assessments are conducted by Randi Levinson, a senior relationship, psychosexual, and compulsive sexual behavior specialist and therapist with decades of experience working with couples and individuals in high-conflict, high-stakes relational situations.

IS THIS THERAPY?

No.

This is a stand-alone assessment and formulation service.

HOW TO GET STARTED

1. Request an assessment consultation

2. Determine whether an individual or couples assessment is appropriate

3. Schedule sessions (typically over 2–4 weeks)

4. Receive your formulation and recommendations

Clarity comes first. Everything else follows.

EMDR Therapy

EMDR (Eye Movement Desensitization and Reprocessing) is a powerful, evidence-based therapy used to help people process traumatic experiences, emotional wounds, and distressing memories that continue to affect their thoughts, emotions, relationships, and nervous system. EMDR is widely recognized for its effectiveness in treating trauma, PTSD, anxiety, panic, attachment wounds, and relational trauma, especially when traditional talk therapy hasn’t gone far enough.

Rather than focusing solely on insight or symptom management, EMDR works directly with how the brain and nervous system store unresolved experiences. Many people know what happened to them and why they react the way they do, yet still feel stuck. EMDR helps the brain complete unfinished processing so past experiences no longer feel present, overwhelming, or emotionally charged.

How EMDR Works

When something overwhelming or traumatic happens, the brain may not fully process the experience. The memory can remain “frozen,” along with the emotions, beliefs, and body sensations that were present at the time. EMDR uses bilateral stimulation such as eye movements, tapping, or tones to help the brain reprocess these memories safely and effectively.

As reprocessing occurs, distress decreases, perspective shifts, and new, healthier beliefs naturally emerge. What once felt triggering or activating often becomes something you can remember without reliving.

What EMDR Can Help With

EMDR therapy can be effective for a wide range of concerns, including trauma and PTSD, childhood emotional neglect or abuse, relationship trauma and attachment injuries, anxiety and panic attacks, shame and negative self-beliefs, sexual trauma, compulsive behaviors rooted in trauma, medical trauma, accidents, and sudden loss.

EMDR in My Practice

I offer trauma-informed EMDR therapy that is carefully paced, collaborative, and grounded in nervous-system safety. EMDR is not about reliving trauma or pushing you beyond your capacity. Preparation, stabilization, and trust are essential parts of the process.

My background in couples therapy, sex therapy, and addiction recovery allows EMDR to be integrated thoughtfully into broader therapeutic goals, especially when trauma impacts relationships, intimacy, or compulsive behavior patterns. EMDR may be used as a stand- alone treatment or woven into ongoing therapy.

What EMDR Sessions Are Like

EMDR sessions are structured but flexible. We identify target memories or themes, build internal resources for regulation, and move at a pace that feels manageable. Many clients notice changes not just in how they think, but in how their body responds, including reduced activation, fewer triggers, and greater emotional clarity.

EMDR can be provided in person or virtually, and research supports the effectiveness of online EMDR when delivered by a trained clinician.

Is EMDR Right for You?

EMDR may be a good fit if you feel emotionally reactive, stuck in recurring patterns,overwhelmed by past experiences, or want deeper change than talk therapy alone has provided.

If you are interested in EMDR therapy for trauma, anxiety, or relational healing, you are welcome to reach out to learn more or schedule a consultation.


INDIVIDUAL AND COUPLES THERAPY/COACHING

CONGRATULATIONS ON TAKING A STEP TOWARDS MAKING CHANGES IN YOUR RELATIONSHIP AND YOUR LIFE!

If you're feeling disconnected from your partner or finding it challenging to navigate intimacy within your marriage, know that you're not alone. I understand the complexities that can arise in long-term relationships and am here to offer guidance and personalized solutions tailored to your unique situation.

Communication breakdowns, trust issues, and a lack of sexual desire are common hurdles that many individuals face. However, these challenges don't have to define the future of your relationship. Through proven strategies and dedicated counseling, I can help you rebuild connection, foster emotional intimacy, and reignite the spark of passion.

I believe that every relationship deserves the chance to thrive, and I'm committed to providing you with the tools and support needed to achieve that. Don't let relationship struggles or a sexless marriage continue to weigh heavy on your heart. Take the courageous step towards healing and renewal today by scheduling a session with me. Together, let's embark on a journey towards a happier, more fulfilling relationship.

Addiction can cast a shadow over even the most loving relationships, causing strain, mistrust, and emotional turmoil. As a therapist specializing in addiction recovery and relationships I understand the unique challenges that individuals and couples face when grappling with substance abuse or behavioral addictions.

Addiction doesn't discriminate; it can affect people from all walks of life, regardless of age, gender, or socioeconomic status. Whether it's sex, food, alcohol, drugs, gambling, or another addictive behavior, the impact on relationships can be profound. Trust may be shattered, communication may break down, and intimacy may suffer as the addiction takes center stage.

However, there is hope for healing and recovery. Through therapy and coaching, individuals and couples can explore the underlying factors contributing to addiction and develop coping strategies to overcome it. In my practice, I take a holistic approach to addiction treatment, addressing not only the addictive behavior itself but also the emotional, psychological, spiritual and relational aspects surrounding it.

One of the key pillars of addiction recovery is rebuilding trust and repairing relationships. This process requires open and honest communication, empathy, and a willingness to confront difficult emotions. Through individual coaching, couples coaching, and support groups, clients can learn healthier ways of relating to themselves and their loved ones.

If you or your partner are struggling with addiction and its impact on your relationship, know that you don't have to face it alone. Seeking help is the first step towards healing and rebuilding a stronger, healthier relationship.

Discernment Counseling is a specialized form of therapy designed for couples considering divorce or separation. It helps partners gain clarity and insight into their relationship dynamics, exploring whether to pursue reconciliation or move forward with separation. Through guided conversations and reflective exercises, discernment counseling aims to help couples understand the underlying issues contributing to their dissatisfaction and uncertainty. This process allows partners to make informed decisions about the future of their relationship, whether that involves reconciliation, separation, or divorce. Discernment counseling is particularly beneficial for couples facing significant challenges or ambivalence about the future of their relationship. By providing a supportive and nonjudgmental environment, discernment counseling empowers couples to explore their options and navigate this difficult decision-making process with greater clarity and confidence.

Randi Levinson,LLC

3080 37th Ct. Ft. Lauderdale, Florida 33308

15300 Ventura BLVD. Los Angeles, CA 91403 (312)401-2648