Porn and Sex Addiction CBT for Couples
By Dr. Ruja Shrestha
Couples-based CBT for porn and sex addiction recovery with partner support

Dr. Ruja Shrestha
Psychiatrist & CBT Therapist
Services & Capabilities
Joint psychoeducation on addiction cycles and triggers
Rebuilding trust and transparency in the relationship
Communication tools for discussing addiction without blame
Individual and joint CBT sessions for comprehensive care
Addressing intimacy deficits and rebuilding connection
Long-term recovery planning with couple-focused strategies
About This Service
When porn or sex addiction affects a relationship, both partners need support. Dr. Ruja Shrestha offers specialized couples-based CBT for porn and sex addiction recovery, helping couples navigate the complex dynamics of addiction together while rebuilding trust, intimacy, and healthy sexual connection.
Porn and sex addiction can devastate relationships, creating cycles of betrayal, secrecy, and emotional distance. The non-addicted partner often experiences feelings of inadequacy, betrayal, and confusion. Dr. Shrestha's couples approach recognizes that both partners need healing and that recovery is stronger when undertaken together rather than in isolation.
Treatment Approach
The couples recovery program includes: (1) joint psychoeducation on addiction cycles, triggers, and the brain chemistry underlying compulsive behavior; (2) rebuilding trust and transparency in the relationship through structured accountability practices; (3) communication tools for discussing addiction without blame, shame, or triggering defensiveness; (4) individual and joint CBT sessions for comprehensive care — the individual work addresses personal triggers while the joint work heals the relationship; (5) addressing intimacy deficits and rebuilding sexual connection in a way that feels safe for both partners; (6) long-term recovery planning with couple-focused strategies for maintaining progress.
Conditions We Treat
Benefits of This Approach
Rebuild trust after addiction-related betrayal
Create a shared understanding of addiction and recovery
Develop communication tools for discussing difficult topics
Heal intimacy deficits caused by addiction
Establish healthy boundaries and accountability systems
Build a stronger, more honest relationship through recovery
Frequently Asked Questions
How is couples therapy different from individual addiction treatment?
Individual treatment focuses on the addicted partner's behavior and recovery. Couples therapy addresses the relationship system, helping both partners understand their roles in the dynamic, heal from betrayal, and rebuild healthy patterns together. Both approaches are valuable and often combined.
My partner does not know about my porn use yet. Should I bring them?
Dr. Shrestha can help you prepare for disclosure in a therapeutic setting where both partners receive immediate support. This is often preferable to disclosure happening accidentally or in a heated moment. You do not need to have disclosed before your first session.
Can a relationship survive porn addiction?
Yes, many relationships not only survive but become stronger after addressing addiction. Recovery requires commitment from both partners, but with structured CBT support, couples often report deeper intimacy and more honest communication than before the addiction was addressed.
How many sessions do couples typically need?
Most couples attend 12-20 sessions over 3-6 months. The initial phase focuses on crisis stabilization and trust-building, the middle phase addresses underlying issues, and the final phase establishes long-term recovery patterns.
Why Choose Dr. Ruja Shrestha?
Expert Care
10+ years of specialized experience
100% Confidential
Your privacy is our top priority
Evidence-Based
Following WHO-standard treatment protocols
Book a Consultation
Schedule a confidential consultation with Dr. Ruja Shrestha for Porn and Sex Addiction CBT for Couples