Jeff’s wife, Sheryl, just discovered a slew of evidence that he has been cruising BDSM* sites and meeting strangers for sex. After many sessions with a therapist, Jeff is now convinced he is a “sex addict” who self-medicates his depression in the dungeon. His wife agrees, and indeed, it may be true. But medicalizing his behavior should not be used as a deflection from honestly exploring the uneasy territory of his kinky predilections. It’s easier to label than to delve.