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"This is a hidden public health hazard exploding, in part, because very few are recognizing it as such or taking it seriously," Dr. As a result, the diagnosis of cybersex addiction is often missed, Dr. Especially vulnerable to becoming hooked on Internet sex, he wrote, are "those users whose sexuality may have been suppressed and limited all their lives [who] suddenly find an infinite supply of sexual opportunities" on the Internet. Dana Putnam, a psychologist in San Luis Obispo, Calif., said other factors that could increase a person's vulnerability to cybersex compulsion were depression and other forms of emotional distress, relationship problems and a failure to get one's sexual needs met. Schneider among 94 family members affected by cybersex addiction revealed that the problem could arise even among those in loving marriages with ample sexual opportunities.

"Sex on the Net is just so seductive and it's so easy to stumble upon it," she said.

Many companies now monitor employees' online activities, and repeated visits to sexually oriented sites have cost people their jobs. Schneider, who has written extensively on sexual addiction, responds that the damage to a cybersex addict's life and family can be as devastating as that caused by compulsive gambling or addiction to alcohol or drugs.

Among them was a 34-year-old woman married 14 years to a minister who she discovered was compulsively seeking sexual satisfaction by visiting pornographic sites on the Internet.

"How can I compete with hundreds of anonymous others who are now in our bed, in his head? "Our bed is crowded with countless faceless strangers, where once we were intimate." A 38-year-old woman married 18 years to a man who compulsively masturbates to images on the computer wrote that her husband had once had an extramarital affair and that "the online 'safe' cheating has just as dirty, filthy a feel to it as does the 'real-life' cheating." Although Dr.

Researchers writing in the current issue of the journal Sexual Addiction and Compulsivity report that many of the men and women who now spend dozens of hours each week seeking sexual stimulation from their computers deny that they have a problem and refuse to seek help until their marriages and/or their jobs are in serious jeopardy. The survey found that as many as a third of Internet users visited some type of sexual site. Young of the Center for Online Addiction in Bradford, Pa., wrote that "partially as a result of the general population and health care professionals not being attuned to the risks, seemingly harmless cyberromps can result in serious difficulties way beyond what was expected or intended." According to Dr.

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For some people, the route to compulsive use of the Internet for sexual satisfaction is fast and short, said Dr. Projected to the country as a whole, this would mean that a minimum of 200,000 men and women have become cybersex addicts in the last few years, Dr. And, he added, because the respondents were self-selected and because denial of the symptoms of sexual compulsivity is commonplace, there are likely to be many more cybersex addicts than the survey indicated. Jennifer Schneider, a physician in Tucson, Ariz., who is associate editor of the journal, said in an interview that even when cybersex addicts and their partners sought treatment, they often concealed their real problem, and therapists often failed to ask questions that would disclose it. Cooper, who works at the San Jose Marital and Sexuality Center in Santa Clara, Calif., cybersex compulsives are just like drug addicts; they "use the Internet as an important part of their sexual acting out, much like a drug addict who has a 'drug of choice,' " and often with serious harm to their home lives and livelihood.Cooper's survey indicates that most female cybersex addicts are single, married women also become cybersex addicts and their husbands suffer the consequences.

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