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This much is certain: More and more people are seeking treatment. In each year over the past decade, the number of groups registered with Sex Addicts Anonymous, one of the nation’s largest twelve-step organizations for sex addiction, has grown by 10 percent.

Four pairs of running shoes, all so worn-out that they’ve lost their shape and turned gray, are lined up inside the front door.But they haven’t had sex since June 2012, haven’t even seen each other naked (except by accident) since he told her he was a sex addict.Almost every night, they separately attend meetings or therapy.The movie industry, for its part, has released at least five films on sex addiction in the past five years, six if you count both parts of Lars von Trier’s But even now, sex addiction seems to exist in parallel realities: one in which millions of people are struggling with it, and another in which it is barely studied and not even clinically recognized.Research has yet to confirm that extreme sexual behavior really is addictive in the same neuroscientific sense that, for instance, habitual heroin use appears to be.

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