The out-patient treatment may be mainly individual sessions or marital sessions with a particular counselor or may be more in the form of a treatment program consisting of individual, marital, group and educational sessions. More recently, however, an awareness of brain changes and brain reward associated with sexual behavior has led us to understand that there are also powerful sexual drives that motivate sex offenses. Carnes, of the Meadows, is the leading authority on sexual addiction. Click on "Member Directory" on the left side of the homepage. By Michael Herkov, Ph. The site includes a Member Directory with names which are, for the most part, professional clinicians and programs specializing in sexual addiction treatment. But these other addictions, including drug, alcohol and gambling dependency, involve substances or activities with no necessary relationship to our survival. Scroll to your state, click on it, then click on the "Submit" button below the window. Roughly 55 percent of convicted sex offenders can be considered sex addicts. The number of specialists around the country is relatively small. Sex addicts do not necessarily become sex offenders. If there is a listing in your area, you can contact the individual or program directly to get more specific information. Click on "Institutional Members" for the facilities listed. Out-patient treatment usually consists of counseling sessions in a psychotherapy or counseling office scheduled one session or more each week. Over time, the addict usually has to intensify the addictive behavior to achieve the same results. For example, we can live normal and happy lives without ever gambling, taking illicit drugs or drinking alcohol. And, for the patient who is in a more serious emotional or psychological state, the in-patient facility provides more safety and medical support.