When I tell people I work with sex addiction, I often hear, “So what’s the difference between a sex addict and a cheater?” or even, “is sex addiction real?” Because of its roots in shame and secrecy, clients struggling with sex addiction may be difficult for a therapist to spot. Because of the serious and sometimes life-threatening nature of this problem it is incumbent upon clinicians to know how to identify, assess for, and clinically manage sex addiction. Don’t be shy to ask…