Sexual addiction can be accompanied by a number of additional problems. These can include so-called ‘cross addictions’, where the sexual addiction is combined with one or more other addictive processes. Sexual addiction can also be accompanied by mood problems, such as depression, anxiety, shame and loneliness. In addition, there can sometimes be a problematic dynamic in your relationship with your partner that contributes to your need to act out sexually. This is not to blame the partner. The dynamic is usually ‘out of awareness’. It exists but cannot be readily seen. This chapter will explore and comment on both cross addictions and mood problems that often accompany compulsive sexual behaviour.