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Does your drug use interfere with eating or sleeping? Have you ever lied about your drug use – to your family, employer, or doctor? Does buying drugs take precedence over basic needs (food, childcare)? Have you ever used drugs to relieve stress, pressure, or emotional pain? The good news is that there are many online and telephone versions of support groups.I encourage anyone suffering from the pain, isolation and confusion that surrounds sex addiction to give any of these a try.The study’s lead author, Kate Daine, said: ‘There are no known online interventions to date that specifically target young people at risk of self-harm or suicide and yet we find that adolescents who self-harm are very frequent users of the internet.‘There are a number of questions that this poses: How do you realistically control these websites? How do you decide which ones need to be closed down?And how do you stop them popping up again elsewhere?If you think that you may need help, call or fill out the contact form and click Send. To help you determine if you do need help, take one of the self-test quizzes. Does it make you uncomfortable when you know that alcohol is not available? Do feel shaky in the morning and reach for that first drink earlier than you used to?

After a review of 14 global studies, a team from Oxford University believes the violent imagery and discussions of self-harm on the forums lead teens to normalise the behaviour and ‘act out’ what they have seen online.

Family, friends, therapists and others may all have something to offer, but each have their own limitations. For sexual issues, 12-step groups can be very valuable.

(I often encourage people hesitant to attend a 12-step group to read my article titled "12 Step Groups: Twelve Objections and Twelve Responses." ) However, there are lots of reasons why a person may not be willing or able to attend a support group in person.

Note: there are also many excellent for-pay support and therapy groups online that are not listed here. It is worth emphasizing that support forums are only as helpful as the people who are on them.

This means that the quality and extent of support and guidance can vary from group to group and time to time.

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