Dysfunctional use of cybersex has often been conceptualized as a
“behavioral addiction” sharing common traits with substance addiction. We
describe the case of a treatment-seeking man, who displayed addictive use
of pornography. The case is presented from two perspectives: (1) a symptom-
based approach inspired by the addiction model of excessive sexual
behaviors and (2) a process-based approach aimed to identify the psychological
processes and risk factors that may foster the development of
addiction-like symptoms. This article shows how case conceptualization
according to a process-based approach is likely to result in psychological
intervention that targets the specific processes and risk factors involved in
addictive cybersex use.