Home/How Can I Stop This Addiction? How Can I Stop This Addiction? Drug Addiction & Alcoholism can be successfully treated How Can I Stop This Addiction? Identify the current issues you are dealing with. Please enable JavaScript in your browser to complete this form.Are You Addicted To? *DrugsAlcoholTraumaSexual IssuesRelationshipsGamblingEating IssuesChoose All That Are Current or Past IssuesWhat Drugs Are You Addicted To? *OpioidsHeroinCocaineBenzodiazepinesMethamphetamineSuboxoneBath SaltsChoose All That ApplyAre You Having Issues With? *Relationships (Fights, Break Ups, etc.)Sexual Trauma (Past or Present Abuse)Co-Dependency (Others Before Self)Pornography (Internet, Videos, etc.)Chemsex (Drugs & Sex)Voyeurism (Leering, Creeping, etc.)Disassociation (Distanced Loved Ones) Promiscuity (Cheating and/or Lying) Objectification (Others Are For Sex)Cam Girls/Guys (Online Performers)Exhibitionism (Reveal, Flashing, etc.)Masturbation (Excessive Behaviors)Check All That ApplyHow Long Have These Issues Affected Your Life? *Past 3-6 Months6 Months - 1 YearPast 1-3 Years3+ YearsOff and On For As Long As I Can RememberDo You Use Dating/Hook-up Apps? *Choose OneNoYesWhat Apps Do You Use?TinderBumbleGrindrPureDownGrowlrHingeHornetBlendrJack’dHappenOKCupidWapaHow About WeScruffPlenty of FishInner CircleLoveflutterLuxyTastebudsHerSurgeRomeoHow Many Hours A Day?Choose a TimeframeUnder 1 Hour1-2 Hours3-6 Hours6+ HoursYour Name *FirstLastPreferred Contact Method *Choose OnePhoneEmailYour Email Address *Your Phone Number *WebsiteSubmit
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