I have been at this for twenty or thirty years. Is it too late, and is it different for me?

Nobody has measured whether twenty years is harder to change than two, so the honest answer to "is it different for me" is that nothing has been found either way. No treatment study in this field stratifies by how long someone has been using. What has been measured is the cost of concluding that it is too late — which turns out to be the half of this question with a clear answer.

Mixed evidence Well established

The question has two halves, and they are in completely different states of evidence.

Is it different after decades? Unmeasured. The best-controlled trial in this space — Crosby and Twohig's 2016 randomised study of twelve sessions of acceptance and commitment therapy — reported a 93% reduction in viewing against 21% in a waitlist group, with 54% ceasing entirely at the end of treatment and 35% still at zero three months later. It ran on 28 adult men, almost all from a single religious community, and it does not report how long any of them had been using. The broader meta-analytic picture, from López-Pinar and colleagues in 2025, supports CBT and ACT for problematic use and for the depressive symptoms that travel with it, with a high risk of bias and small samples throughout. What none of it contains is a duration variable. Anyone telling you that thirty years means something specific is extrapolating from nothing.

The frame underneath the question is also less settled than it sounds. Whether compulsive pornography use is best modelled as an addiction is genuinely unresolved among researchers, and "too late" borrows most of its weight from the addiction model, where a long history is taken to mean deeper damage. You may be applying the conclusion of an argument that has not finished.

Is it too late? This half does have evidence, and it is not about pornography. Marlatt's relapse-prevention model identifies the Abstinence Violation Effect: after a lapse, attributing it to a permanent personal flaw predicts a full return to the behaviour. "I am too far gone" and "this is just who I am now" are that attribution in its most durable form — not a verdict on one evening but a standing one, issued in advance, available to explain away anything that happens next. It is a belief rather than a measurement, which is exactly why it is the part you can work on.

What twenty years does change

Some things, honestly, and they are practical rather than biological.

None of that is a measurement of difficulty. It is a description of what has accumulated, and all three are things you can work on directly.

Be suspicious of confidence in either direction. "It is never too late" is a slogan rather than a finding, and "your brain has been rewired for thirty years" is worse than a slogan — it is a mechanism claim with no evidence behind it, delivered to somebody with every reason to believe it.

What is left is what anyone gets: choose the goal deliberately instead of inheriting it, map the contexts one at a time, and treat the next slip as information rather than as confirmation of something you already suspected about yourself. That last one is worth more after thirty years than after two, precisely because you have so much more to argue with.

Where this comes from

Read the full lesson: From resisting to being someone →

Sources and how strong they are (5)
  • Mixed evidenceIdentity-consistent self-description travels with habit maintenance; which one pulls the other is not established.
    • Verplanken & Sui 2019, Frontiers in Psychology 10:1504, doi:10.3389/fpsyg.2019.01504, PMID 31354563
    • Oyserman, Fryberg & Yoder 2007, J Pers Soc Psychol 93(6):1011-1027, doi:10.1037/0022-3514.93.6.1011, PMID 18072851
  • Well establishedWhether compulsive pornography use is best modelled as an addiction is genuinely unresolved among researchers.
    • Kraus SW, Krueger RB, Briken P, First MB, Stein DJ, Kaplan MS, Voon V, Abdo CHN, Grant JE, Atalla E, Reed GM 2018, World Psychiatry 17(1):109-110, doi:10.1002/wps.20499, PMID 29352554, PMC5775124
    • Grubbs JB, Hoagland KC, Lee BN, Grant JT, Davison P, Reid RC, Kraus SW 2020, Clin Psychol Rev 82:101925, doi:10.1016/j.cpr.2020.101925, PMID 33038740
    • Prause N, Janssen E, Georgiadis J, Finn P, Pfaus J 2017, Lancet Psychiatry 4(12):899, doi:10.1016/S2215-0366(17)30441-8, PMID 29179928
    • Prause N 2017, Arch Sex Behav 46(8):2269-2274, doi:10.1007/s10508-017-1078-2, PMID 28940038
  • Well establishedMarlatt's relapse-prevention model identifies the Abstinence Violation Effect: after a lapse, attributing it to a permanent personal flaw predicts a full return to the behaviour.
    • Marlatt GA & Gordon JR (eds) 1985, Relapse Prevention: Maintenance Strategies in the Treatment of Addictive Behaviors, New York: Guilford Press, ISBN 0-89862-009-0
    • Curry S, Marlatt GA & Gordon JR 1987, J Consult Clin Psychol 55(2):145-149, doi:10.1037/0022-006X.55.2.145
  • Mixed evidenceA randomised trial of 12-session ACT (n=28 adult men, all but one from the same religious community) found a 93% reduction in viewing against 21% in a waitlist group; 54% complete cessation at post-treatment, 35% at three-month follow-up, with 74% still showing at least a 70% reduction. Small, narrow sample.
    • Crosby & Twohig 2016, Behavior Therapy 47(3):355-366, doi:10.1016/j.beth.2016.02.001, PMID 27157029
  • Mixed evidenceMeta-analytic evidence supports CBT and ACT for problematic pornography use and related depressive symptoms, but the studies carry a high risk of bias and small samples.
    • López-Pinar C, Esparza-Reig J & Bőthe B 2025, J Behav Addict 14(2):630-643, doi:10.1556/2006.2025.00018, PMID 40126561

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