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If the issue cannot be discussed in a calm and respectful manner, professional help may be needed. Clearly, reliance on pornography at the expense or avoidance of the emotional and/or physical relationship suggests a deeper problem.

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I want to emphasize the neurochemical aspect of porn addiction. I recommend to all my clients that they get neuroendocrine profiles so that their chemical imbalances can be treated properly. (These tests are based on urine and saliva so the client does not need to have bloods taken.) When my clients see their test results and I explain how their chemistry impacts their mood, thoughts and behavior, they feel the possibility of biological liberation from their compulsions.The addict and his spouse relax because the "disease aspect" is suddenly real. Self-compassion replaces shame and fear. I have found that targeted amino acid therapy gives excellent results for all my clients. There is still a need for talk therapy to release the wounds of the past but the change in serotonin, dopamine, cortisol and other neuroendocrine levels means more effective treatment.

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