Does a pattern of infidelity or “cheating” characterize your relationships, causing profound distress to yourself and your partner(s), yet you feel unable to stop? While affairs can happen for many complex reasons, when infidelity becomes a recurring, compulsive pattern despite negative consequences and a desire to change, it may indicate a deeper issue that specialized therapy can address. The Center for Mind & Relationship offers a confidential, non-judgmental space to understand and change compulsive cheating patterns.
This therapy is a focused aspect of our ‘Sex Addiction’ and Problem Sexual Behavior (PSB) Therapy services and is available in Pittsburgh and online (PA, NJ, NM, RI).
Understanding Compulsive Infidelity: When Cheating Becomes a Pattern
Compulsive infidelity is not simply about making a one-time mistake or poor judgment. It involves a recurring pattern of:
- Repeatedly Engaging in Secretive Sexual or Romantic Relationships outside of a committed primary relationship, violating agreed-upon boundaries.
- Loss of Control: Feeling unable to stop the behavior despite wanting to or recognizing the harm it causes.
- Negative Consequences: Experiencing significant damage to primary relationships, personal reputation, emotional well-being (guilt, shame), or even professional life.
- Often Co-occurring with Deception: Hiding behaviors from the primary partner.
- May Serve as a Coping Mechanism: Using affairs to manage stress, low self-esteem, fear of intimacy, boredom, or other underlying emotional issues.
This pattern is different from openly negotiated non-monogamous relationships. It’s the secrecy, compulsion, and negative impact that define it as problematic. For a broader understanding of terms, see our page on Understanding ‘Sex Addiction’ & Problematic Sexual Behaviors.



- Underlying Insecurity or Low Self-Esteem: Seeking external validation or a sense of desirability through multiple partners.
- Fear of Intimacy or Commitment: Sabotaging close relationships to avoid vulnerability. (Understanding your attachment style can be relevant).
- Thrill-Seeking or Escape: Using the excitement of new encounters to avoid boredom or difficult emotions in one’s life or primary relationship.
- Difficulty with Impulse Control.
- Unresolved Past Trauma or Attachment Wounds.
- As a Symptom of Other Issues: Such as depression, anxiety, or sometimes even narcissistic traits (which can be explored in our Personality Disorders Therapy, if indicated).
- Poor Coping Mechanisms for Relationship Dissatisfaction: Instead of addressing issues within the primary relationship, seeking an outside outlet.
How Therapy at The Center for Mind & Relationship Can Help You Break the Cycle
Therapy for PSB/CSB is a specialized process designed to help you:
Core Components of ‘Sex Addiction’ Therapy:
- Understanding Your Triggers and Patterns: Identifying the specific situations, emotions, thoughts, and underlying needs that fuel your compulsive behaviors.
- Developing Healthy Coping Mechanisms: Learning constructive alternatives for managing stress, difficult emotions, loneliness, and boredom without resorting to problematic sexual outlets.
- Managing Impulses and Urges Effectively: Acquiring practical skills from evidence-based approaches like Cognitive Behavioral Therapy (CBT) and mindfulness to reduce the intensity and power of sexual urges and resist acting on them compulsively.
- Addressing Underlying Issues: Exploring and healing any co-occurring conditions such as anxiety, depression, past trauma, attachment difficulties, or low self-esteem that may be contributing to the CSB.
- Challenging Distorted Thinking: Identifying and reframing unhelpful or unrealistic beliefs about sex, self-worth, intimacy, and relationships that may perpetuate the cycle.
- Defining and Cultivating Healthy Sexuality: Working towards understanding and embracing a sexual expression that is consensual, respectful, aligned with your personal values, genuinely fulfilling, and free from compulsion and shame.
- Rebuilding Trust and Relationships: If PSB has damaged relationships, therapy can provide a space to work on accountability, repair, and rebuilding trust, often involving couples or family therapy components if appropriate. (Partners may find our article on supporting a loved one with CSB helpful).
- Developing a Solid Relapse Prevention Plan: Create strategies to maintain progress, manage high-risk situations, and address potential setbacks constructively.
Our Approach to ‘Sex Addiction’ Therapy at The Center for Mind & Relationship: Confidential, Expert, and Compassionate Care
Our therapeutic approach, led by Jonah Taylor, LCSW, focuses on helping you understand the function of your compulsive infidelity, develop healthier coping strategies, and build integrity in your relationships.
Key Therapeutic Components:
- Identifying Triggers and Patterns: Understanding the situations, emotions, and thought processes that lead to infidelity.
- Exploring Underlying Motivations: Uncovering the unmet needs or emotional pain the behavior may be attempting to soothe.
- Developing Impulse Control and Distress Tolerance: Learning skills to manage urges and make conscious choices. Mindfulness practices can be key.
- Addressing Co-occurring Issues: Treating any underlying anxiety, depression, trauma, or self-esteem issues.
- Building Self-Awareness and Accountability.
- Developing Healthy Intimacy and Relationship Skills: Learning what true emotional and physical intimacy entails and how to cultivate it. (Our blog on expanding intimacy beyond the bedroom may offer insights).
- Values Clarification: Aligning your behaviors with your core values regarding relationships and integrity.
- For Couples (if applicable and desired): If the goal is to repair the primary relationship, Couples Counseling (EFT) can be integrated to address the betrayal trauma and rebuild trust. (See our post on healing after infidelity.

What to Expect from Therapy for Compulsive Infidelity
Therapy is a confidential, non-judgmental space to explore these sensitive issues. We focus on understanding, not blame, and on empowering you to make lasting changes. Our private pay model supports this in-depth, personalized work.
Choosing Honesty, Integrity, and Healthier Relationships
Breaking free from a pattern of compulsive infidelity is possible. It requires courage, self-reflection, and a commitment to change, but it opens the door to more authentic and trustworthy relationships.
Frequently Asked Questions
