Find a Therapist for Sex Addiction in Spokane

Medically reviewed by Gabriela Asturias, MD on May 23, 2025
Written by the MiResource team

If you’re seeking support for sex addiction in Spokane, this page explains what the condition is, how treatment works, and how to find therapists in the city who treat it. You’ll also find practical guidance for getting care locally.

  • Auran Piatigorsky, PhD, LP, CMPC, Psychologist

    Auran Piatigorsky, PhD, LP, CMPC

    Psychologist, Sport Psychologist

    1918 Bonita Avenue, Berkeley, California 94704

    Auran Piatigorsky, PhD, LP, CMPC is a Psychologist in Berkeley, California and has been in practice for 30 years. They treat Sex Addiction, Career, Drug Use.

    Licensed Clinical Sport Psychologist. I serve high-performance athletes, coaches, teams, and sports medicine staff.

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  • Kassy Johnson, Psychologist

    Kassy Johnson

    Psychologist

    246 Oliver, Wichita, Kansas 67208

    Kassy Johnson is a Psychologist in Wichita, Kansas and has been in practice for 15 years. They treat Sex Addiction, Sexual Assault, Life Transitions.

    Dr. Johnson is a Licensed Clinical Psychologist with expertise working with children, adolescents and adults with a variety of difficulties.

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  • Paolo Larano, Psychologist

    Paolo Larano

    Psychologist

    Remote only

    Paolo Larano is a Psychologist in undefined, undefined. They treat Sex Addiction, Bipolar Disorder, Binge-Eating Disorder.

    I provide a safe and brave space to explore and work on a variety of mental and emotional health concerns.

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  • Lisa Saponaro, Psychotherapist

    Lisa Saponaro

    Psychotherapist, Licensed Mental Health Practitioner (LMHP), Psychologist, Licensed Marriage and Family Therapist (LMFT)

    7820 Peters Road, Plantation, Florida 33324

    Lisa Saponaro is a Psychotherapist in Plantation, Florida and has been in practice for 24 years. They treat Sex Addiction, Bulimia Nervosa, Family Caregiving Stress.

    Planting the seeds for personal growth. At our practice, WE NOURISH the growth of individuals, couples and families so YOU FLOURISH!

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  • Brandy Goins, Licensed Professional Counselor (LPC)

    Brandy Goins

    Licensed Professional Counselor (LPC)

    Remote only

    Brandy Goins is a Licensed Professional Counselor (LPC) in undefined, undefined and has been in practice for 25 years. They treat Sex Addiction, Polyamorous relationship, Depression.

    I am truly honored to help those who may feel that their path is full of barriers, and they really need to find an unbiased and safe place to share.

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  • Shelly Reed, Psychologist

    Shelly Reed

    Psychologist

    1845 South Dobson Road, Mesa, Arizona 85202

    Shelly Reed is a Psychologist in Mesa, Arizona and has been in practice for 17 years. They treat Sex Addiction, Men's Issues, Insomnia.

    Don't be shy...I've heard it all ;) I offer a warm and non-judgmental space to work through the things that have been holding you back.

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Understanding Sex Addiction

Sex addiction is a recognized condition involving sexual thoughts or behaviors that feel hard to control. Mental health organizations describe it as a repeated pattern that can continue even when it causes problems in daily life, relationships, or health. The word addiction here means the behavior feels persistent and difficult to stop, not that a person is weak or bad. It is a real mental health concern, not a personal weakness.

Common Signs and Symptoms

This section outlines common signs of Sex Addiction to help readers spot concerns early and decide whether it may be worth talking with a professional. Symptoms can look different from person to person, but noticing a pattern over time may be helpful.

  • Strong urges to engage in sexual behavior that feel hard to control
  • Spending a lot of time thinking about, planning, or recovering from sexual activities
  • Trying to cut back but finding it difficult to stick with those limits
  • Using sexual behavior to cope with stress, loneliness, anxiety, or low mood
  • Neglecting work, school, relationships, or responsibilities because of sexual behavior
  • Continuing the behavior even when it leads to guilt, conflict, or other problems
  • Needing more frequent or intense sexual experiences to feel satisfied

Why This Happens

Sex addiction often develops from a mix of biological, psychological, and environmental influences rather than a single cause. People may use sexual behavior to cope with distress, seek relief from strong urges, or manage difficult emotions. The pattern can become harder to control when several risk factors overlap over time.

  • Biological factors
  • Strong impulsivity or sensation-seeking
  • Imbalances in reward and stress-response systems
  • Family history of addiction or compulsive behavior
  • Psychological factors
  • Depression, anxiety, or chronic loneliness
  • Trauma, abuse, or attachment difficulties
  • Low self-esteem or poor coping skills
  • Environmental factors
  • Early exposure to sexual content or behavior
  • Relationship conflict, isolation, or lack of support
  • Stressful life changes, high stress, or easy access to sexual stimuli

How Treatment Works

Getting professional help can support you in building coping strategies that fit your life and your goals. It can also help you make sense of your experiences in a steady, practical way so the problem feels less overwhelming. With the right support, you may be able to reduce the impact on daily life and handle triggers with more confidence. In Spokane, travel to appointments can be affected by winter road conditions, bus service varies between urban and outlying areas, and parking can be limited downtown, so telehealth may help reduce the burden. Insurance acceptance varies and sliding-scale clinics may have waitlists, but reaching out for care can still be an important step toward change.

Finding the right provider in Spokane

Choosing a therapist licensed in Washington is important because telehealth rules and insurance coverage often depend on where you live. It also helps avoid delays or denied claims when getting care for sex addiction. MiResource can filter by licensure so you can find therapists who are licensed in your state.

Local Care Logistics in Spokane

In Spokane, practical access to care can vary by neighborhood. People in South Hill, Downtown Spokane, Riverside, Browne’s Addition, and North Hill may have different travel needs, especially when winter road conditions make appointments harder to reach. Many residents drive, and bus service can be less convenient between urban and outlying areas; parking is usually available but can be limited downtown. Insurance acceptance varies, and sliding-scale options may still have waitlists, so it helps to ask about fees early. Telehealth can reduce travel burdens during winter, and asking about cancellations or flexible appointment times can shorten the wait. University semesters and seasonal travel can affect availability, so plan ahead if schedules become busier. If you live farther out, joining more than one waitlist and checking transit or parking before each visit can make care easier to keep.

Taking Care of Your Mental Health in Spokane

• Take a 10–20 minute walk at Riverfront Park or on the Centennial Trail after a trigger or urge. Use the time to notice breathing, sights, and what set off the feeling.

• Keep one phone-free block each day, especially in the evening. Put the phone in another room and use that time for a meal, shower, or reading.

• Write down the time, place, and mood when urges show up. A simple note can help you spot patterns between appointments.

• If winter weather, smoke, or travel makes it harder to get support, use a brief check-in by text or telehealth and stay with one small plan for the day.

When to Seek Immediate Help

If sex-related behavior is causing immediate danger, severe distress, inability to stay safe, or you think someone may be harmed, use emergency services right away. Call 988 or 911 if the situation feels urgent or you cannot wait for routine help. In Spokane, you can also contact Spokane Regional Crisis Line (877-266-1818) or Frontier Behavioral Health Crisis Services (509-838-4651) for crisis support. If you need in-person urgent care, go to Providence Sacred Heart Medical Center, Providence Holy Family Hospital, MultiCare Deaconess Hospital, MultiCare Valley Hospital, or Kaiser Permanente Spokane Medical Center.

  1. Watch for a crisis: sudden loss of control, unsafe behavior, or feeling unable to stay safe.
  2. Call 988, 911, Spokane Regional Crisis Line (877-266-1818), or Frontier Behavioral Health Crisis Services (509-838-4651) if the situation is urgent; use Frontier Behavioral Health Mobile Response Team or Spokane County Regional Crisis Line Mobile Crisis Services when mobile crisis support is needed.
  3. If you need urgent in-person care, go to one of the Spokane hospitals listed above; winter road conditions, varied bus service, and downtown parking can affect travel.
  4. Expect an assessment, help stabilizing the situation, and guidance on next steps for care.

Common Questions About Sex Addiction

Q: When should someone in Spokane see a therapist for sex addiction? A: Consider seeing a therapist if sexual behavior feels hard to control, causes distress, or is affecting relationships, work, or daily life. It may also help if you have tried to cut back on your own and have not been able to. Reaching out sooner can make it easier to address patterns before they become more disruptive. If you are unsure, an initial consultation can help you decide whether therapy is a good next step.

Q: What if the first therapist is not a good fit? A: It is common for the first therapist to not feel like the right match. You can ask about their approach, experience with sex addiction, and whether they have worked with similar concerns. If you do not feel understood, safe, or comfortable, it is okay to look for someone else. A better fit can make therapy feel more useful and easier to stick with.

Q: Can virtual therapy help with sex addiction in Spokane? A: Virtual therapy can help some people with sex addiction, especially if travel is difficult or winter road conditions make getting to appointments harder. It may also be a practical option if parking, bus access, or distance are barriers. Some people prefer in-person sessions, while others find telehealth more convenient and easier to maintain. The best choice often depends on your comfort level, privacy needs, and the therapist’s availability.

Q: What should I ask when choosing a therapist? A: You can ask whether the therapist has experience treating sex addiction and what treatment approaches they use. It can also help to ask about session format, telehealth options, fees, and whether they accept your insurance. If cost is a concern, ask whether sliding-scale appointments are available and whether there may be a waitlist. You may also want to ask how they handle confidentiality and progress over time.

Q: Does therapy for sex addiction help over time? A: Therapy can help many people better understand triggers, build coping skills, and make more intentional choices over time. Progress is often gradual and may include setbacks, but that does not mean therapy is not working. Ongoing support can also help with underlying issues such as stress, shame, relationship conflict, or other mental health concerns. Results vary from person to person, but many people find that consistent therapy supports lasting change.

Local Resources in Spokane

MiResource can help you search for clinicians in Spokane, WA who treat Sex Addiction. You can filter by insurance, specialty, and availability to find someone who fits your needs.

Find care for you

Recovery is possible. With early intervention, a supportive community, and the right professional care, you can overcome challenges and build a fulfilling life. We’re here to help you find the support you need.

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