Specialized, credentialed care for compulsive sexual behavior, for individuals, partners, and couples.
If you've been searching for a CSAT therapist, you're probably looking for someone who genuinely understands compulsive sexual behavior, not a generalist who treats it as an afterthought. That instinct is a good one. Specialized training changes the quality of care you receive.
CSAT stands for Certified Sex Addiction Therapist, a credential offered through IITAP, the International Institute for Trauma and Addiction Professionals. It's a rigorous, multi-phase training and supervision process focused specifically on assessing and treating sex and pornography addiction and related compulsive behavior. Robert McGuire, LCMHCS, completed this certification and uses it every day in his work with clients.
Choosing a certified specialist doesn't mean your situation is hopeless or that a label has already been decided for you. It means you'll be working with someone who has studied this particular struggle closely and can help you make sense of what's actually going on.
Compulsive sexual behavior is rarely just about behavior. It usually sits on top of shame, trauma, attachment wounds, and a deep difficulty with genuine intimacy. CSAT training equips a therapist to see that whole picture and respond to it with structure rather than guesswork. In practice, that includes:
Robert also draws on training in EMDR, Internal Family Systems (IFS), and Somatic Experiencing when deeper wounds turn out to be part of the story.
You don't need a diagnosis in hand to reach out. People come to a CSAT therapist for a range of reasons. Working with a certified specialist may be a good fit if:
Not every struggle is an addiction, and part of a CSAT's job is to tell you honestly what you're dealing with. If you'd like to understand the terminology, the pages on sex addiction therapy and porn addiction counseling may help.
With a CSAT, care usually begins with a thorough assessment: your history, the shape of the current pattern, the consequences it has created, and what else is happening in your life. From there, you and Robert build a recovery plan together, a concrete and evolving map for sobriety, relapse prevention, and repair.
Because compulsive sexual behavior almost always affects someone else, Robert's care extends to partners. He's also a Certified Partner Trauma Therapist (CPTT) through IITAP, so the pain a betrayed partner carries is treated as a real injury in its own right, not a footnote to someone else's recovery. Depending on your situation, support may take the form of individual work, betrayal trauma therapy for the partner, or marriage counseling after infidelity when a couple is ready to rebuild together.
For clients who want it, faith can be part of this work. Robert holds a Master of Arts in Christian Counseling from Gordon-Conwell Theological Seminary, and faith integration is always your choice, never imposed.
Reaching out is the hardest part, and it's usually simpler than people fear. You can request a confidential consultation through the contact page. In an early conversation, you and Robert will talk through what brought you in and whether specialized CSAT care is the right fit for where you are.
Sessions are available in person at two Charlotte offices, Elizabeth (Thursdays and Fridays) and South Charlotte (Mondays and Wednesdays), with secure telehealth on Tuesdays and across North Carolina and South Carolina. Whether you're an individual, a partner, or a couple, there's a way to begin.
CSAT stands for Certified Sex Addiction Therapist. It's a credential offered through IITAP, the International Institute for Trauma and Addiction Professionals, and it reflects specialized training and supervision in assessing and treating compulsive sexual behavior.
A CSAT has completed focused training in sex and pornography addiction, partner trauma, and structured recovery planning. Many caring, skilled therapists don't specialize in compulsive sexual behavior. Working with a CSAT means the person across from you has studied this specific problem in depth.
No. Not every sexual struggle is an addiction, and part of a CSAT's role is to give you an honest assessment. Some people come simply because they've lost control of a behavior and want to understand what's happening before deciding on next steps.
Yes. Robert is also a Certified Partner Trauma Therapist (CPTT), so he understands what betrayed partners experience. Depending on your situation, care can include support for the individual, dedicated help for the partner, and couples work when you're both ready.
You can reach out through the contact page to request a confidential consultation. From there, you and Robert will talk about what's going on and whether specialized CSAT care fits your needs, with in-person and telehealth options available across North Carolina and South Carolina.