In this episode of The Hanley Effect, Dr. John Dyben and Dr. Rachel Docekal explore the question: What is sex addiction, and how is it connected to substance use and shame? Joined by Kim Litton, LCSW, CAP, CSAT (Certified Sex Addiction Therapist) and author of I Do It for Her: A Memoir of Recovery and Redemption from Sex, Love, and Substances, they break down how compulsive sexual behavior can become an obsession-and-compulsion cycle that persists despite consequences, often alongside alcohol and drug use. Kim explains why sex addiction is frequently rooted in intimacy wounds, how it can present differently for women through emotional attachment and validation-seeking, and why shame keeps people silent and stuck. With both clinical expertise and lived experience in recovery, she offers a powerful reminder that healing starts when we bring secrets ...