This Trusted Place with John-Paul Davies: Mental Health, Therapy & Becoming a Therapist
Jul 28, 2026 · 48 min · 13 segments
Send us Fan Mail How do you know when sexual behaviour has become an addiction rather than a healthy expression of sexuality? Why do some people…
Paula HallGuest
John-Paul DaviesHost
Um, just starting, um, looking at addictive behavior, what constitutes addictive behavior f- for someone? Sometimes people will say, "Well, you know, I engage in this behavior," which everybody does, or, "I only do something infrequently, and therefore I don't think it's, uh, addictive behavior." I also think specifically with sexual behavior, because of course, you know, healthy sexual expression of someone's sexuality is a, is a great thing.

What is the line between that? Is there, is there one? And potentially addictive behavior.

But what, what would you say about what makes something an addiction for someone?

Um, if you are continuing with a behavior that is causing significant problems in your life, but despite those problems you still can't stop-

Um, and you're not even particularly enjoying it anymore, so diminished pleasure and harmful consequences-

And an inability to stop, that really is the hallmark of a addiction, compulsion, whatever language you wanna use.

People coming in to see you, generally they'll, they'll be saying they've established that it's an addiction they're experiencing, would they? Or do you get some people who are ambivalent about it, that perhaps someone else-

Um, you, [laughs] you, we get some people coming to The Laurel Center who say that they are definitely addicted, they know they are addicted, they've been trying for years to stop and they're, they're sure they're addicted.

Uh, and actually when we do a diagnostic assessment, it, that, that's, that's not the case at all.

And then on, of course, the other end of the scale you've got people saying, "This isn't a problem.

I don't think I have an issue." And then using a diagnostic tool it comes up quite different.

Um, so we use a very specific diagnostic tool called the CSBD 19, which is a tool that has been validated across over 80,000 people in 42 different countries.

Um, just starting, um, looking at addictive behavior, what constitutes addictive behavior f- for someone? Sometimes people will say, "Well, you know, I engage in this behavior," which everybody does, or, "I only do something infrequently, and therefore I don't think it's, uh, addictive behavior." I also think specifically with sexual behavior, because of course, you know, healthy sexual expression of someone's sexuality is a, is a great thing.

What is the line between that? Is there, is there one? And potentially addictive behavior.

But what, what would you say about what makes something an addiction for someone?

Um, if you are continuing with a behavior that is causing significant problems in your life, but despite those problems you still can't stop-

Um, and you're not even particularly enjoying it anymore, so diminished pleasure and harmful consequences-

And an inability to stop, that really is the hallmark of a addiction, compulsion, whatever language you wanna use.

People coming in to see you, generally they'll, they'll be saying they've established that it's an addiction they're experiencing, would they? Or do you get some people who are ambivalent about it, that perhaps someone else-

Um, you, [laughs] you, we get some people coming to The Laurel Center who say that they are definitely addicted, they know they are addicted, they've been trying for years to stop and they're, they're sure they're addicted.

Uh, and actually when we do a diagnostic assessment, it, that, that's, that's not the case at all.

And then on, of course, the other end of the scale you've got people saying, "This isn't a problem.

I don't think I have an issue." And then using a diagnostic tool it comes up quite different.

Um, so we use a very specific diagnostic tool called the CSBD 19, which is a tool that has been validated across over 80,000 people in 42 different countries.
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