Psychiatric Comorbidity

References

• Briken, P. (2020). An integrated model to assess and treat compulsive sexual behaviour disorder. Nature Reviews Urology, 17. https://doi.org/10.1038/s41585-020-0343-7

• Orzack2006 for example found Anxiety and ADHD comorbidities. ADHD has a strong Inattention component. Using lots of reminders/promotes as  suggested in the previous comment will address this and likely to increase inhibition/control

ADHD

• Hands-off have an ADHD measure in their screening
• Hands off authors also report a much higher prevalence of ADHD (up to 67%) for CSBD: "Mood disorders (31–72%), anxiety disorders (33–47%), substance use disorders (14–41%), and attention deficit hyperactivity disorder (ADHD) (3–67%) are reported to be comorbid and prevalent among problematic pornography users or individuals with CSBD" (from Hands off article).

By @Florin

• Reid2020: "Adult attention-deficit hyperactivity disorder has also been observed in approximately 25 percent of those seeking help for sex addiction". As ADHD is even more prevalent in teenagers I would expect ADHD-Inattentive to be relevant for the GYE community.
• This is important because if ADHD-inattentive is indeed present in the group, they might fail to respond to CBT/Stages of change/Motivational Interviewing techniques (and similar) as per Orzack2006: An Ongoing Study of Group Treatment for Men Involved in Problematic Internet-Enabled Sexual Behavior: "Regarding comorbidity, the results showed the following: members in the “anxiety” category responded best to the current treatment, those in the “mood” cluster responded relatively positively, and those in the “AD/HD” category failed to respond significantly."
• Mindfulness practices can target two distinct areas, each with different outcomes (see details in the image below):   1. Focused attention 2. Acceptance Practices aiming at improving focused attention and control would speak more to ADHD-Inattentive than Acceptance practices.   Also, distraction strategies are a good idea as they already use the pre-existing tendency in favor of the client, i.e. using distractions already comes natural because ADHD-inattentive, the neural circuit/habit is well established. Intensive use of reminders, to-do lists, time tracking/monitoring would also address directly the Inattentive side (some CBT interventions for CSBD leveraged time management skills - including Hallberg's ICBT initially).