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PIED is caused by one thing: repeated pornography use conditioning the brain’s dopamine system to respond to a screen instead of a real partner. And it is fixed by one thing: complete abstinence from pornography, which allows the brain to recalibrate and natural arousal to return. Here is exactly how the damage happens —…

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There is a specific silence between two people who both know something is wrong and neither will name it. I lived inside that silence for five and a half years. After twenty years of pornography use — starting at age 12 — I finally found the word for what was happening to me. PIED.…