Struggling with compulsive sexual behaviors can feel isolating. Many men work hard to keep these behaviors hidden, even as the consequences grow heavier in their relationships, work, and inner life. At Recovery Ranch Tennessee, we offer a Sexual Recovery Program to help adult men slow down, understand what’s driving these patterns, and begin building a more stable way forward.
Our program is structured, trauma-informed, and offered in a quiet ranch setting outside Nashville. It’s a place to step away from daily pressures and focus fully on recovery.
Men who come to The Ranch often arrive exhausted from trying to manage behaviors they no longer feel in control of. Shame, secrecy, and fear of being discovered are common. So is the feeling of being alone in it.
You don’t have to have everything figured out to start. Our program meets men where they are with structure, accountability, and steady support.
Compulsive sexual behaviors are patterns of sexual thoughts or actions that feel difficult to stop, even when they cause harm or go against personal values. These behaviors often become a way to cope with stress, emotional pain, or unresolved trauma.
They're more than just feelings of desire or being sexual. They’re part of a compulsive cycle fueled by a loss of control.
There is no single cause. For many men, compulsive sexual behaviors develop over time as a response to deeper issues.
At The Ranch, we look beyond the behavior itself and help men focus on what’s underneath it, so they can take a new path forward.
The Sexual Recovery Program at The Ranch is a gender-specific program for adult men. It's certified by the International Institute for Trauma and Addiction Professionals (IITAP) and follows evidence-based practices for compulsive sexual behavior recovery.
The program takes place on our working ranch outside Nashville, Tennessee. The setting is quiet, rural, and intentionally structured to support focus and accountability.
Our Sexual Recovery Program can be integrated with care for co-occurring substance use and mental health disorders. The clinical team at The Ranch works together to understand how these concerns interact, so recovery is approached as a whole rather than in pieces. This allows men to build stability across all areas of life, using consistent structure and shared skills throughout their stay. Treatment is available at these levels of care:
Our approach is built around structure, consistency, and understanding how trauma and the brain influence behavior.
The program utilizes Patrick Carnes’ Sexual Dependence Inventory (SDI) model, which helps clients:
Men are taught practical tools for emotional regulation, mindfulness, and coping with compulsive thoughts. Recovery here is skills-driven and reinforced through daily practice.
Days at The Ranch follow a steady rhythm. Structure reduces chaos and creates room for real work. Clients participate in therapy, group work, and outdoor activities that support grounding and connection.
The ranch setting matters. Open pastures, quiet mornings, and time outdoors help regulate the nervous system and support focus during recovery.
Clients are supported by a multidisciplinary team that includes:
Our curriculum includes brain-based research and evidence-based practices, including:
All care follows our Recognize, Regulate, and Respond philosophy, creating a consistent and repeatable recovery experience across levels of care.
We recognize the impact compulsive sexual behaviors have on families and partners. That’s why family engagement begins within the first 24 hours of treatment and continues throughout the stay.
Support includes:
Recovery Ranch Tennessee is located outside Nashville on a working ranch. The land itself plays an active role in recovery.
Clients engage in:
Housing is gender-separate, allowing our clients to focus on their own work while building connections with other men walking similar paths.
Taking the first step can feel heavy. You don’t have to do it alone.
If you’re exploring options for yourself or someone you care about, our admissions team is available to talk through the program and answer questions with care and discretion. Every call and message is confidential. Reach out online or by talking with an admissions specialist at 470.571.3586.
If you’re ready to talk, we’re here. The Ranch offers a place to settle, breathe, and begin again. Reach out today and start your recovery in a setting built for healing.
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Dr. Fuller is board certified by the American Board of Psychiatry and Neurology. He completed medical school at the University of Tennessee Health Science Center and residency at Vanderbilt University. Additionally, he has completed the Nashville Advance Psychodynamic Psychotherapy Program, a two-year intensive program to better integrate traditional psychotherapy into his psychiatric practice. Dr. Fuller began his post-residency career in psychiatry running a psychotherapy-oriented private practice. Looking to help more people than he could working alone yet still provide treatment that emphasizes the importance and value of talk therapy, he joined The Ranch in 2017.
Dr. Fuller is passionate about helping people who have survived trauma and/or are struggling with addiction and strongly believes that the life we all deserve is within reach, no matter the adversity that one must overcome. He views medications as tools rather than solutions and his prescribing philosophy is to use the lowest dose necessary of non-addictive medications to help aid the process of recovery.