In other words, the most common problem now is not social taboos on sexual activity or guilt feeling about sex in itself, but the fact that sex for s… - Rollo May

<...> the persons who get to the consulting rooms of psychotherapists and psychoanalysts are not a cross-section of the population. By and large they are the ones for whom the conventional pretenses and defenses of the society no longer work. Very often they are the more sensitive and gifted members of the society; they need to get help, broadly speaking, because they are less successful at rationalizing than the “well-adjusted” citizen who is able for the time being to cover up his underlying conflicts.

anxiety, with its concomitant feelings of helplessness, isolation, and conflict, is an exceedingly painful experience. One tends to be angry and resentful toward those responsible for placing him in such a situation of pain. Clinical experience yields many examples like the following: A dependent person, finding himself in a situation of responsibility with which he feels he cannot cope, reacts with hostility both toward those who have placed him in the situation and toward those (usually parents) who caused him to be unable to cope with it. Or he feels hostility toward his therapist, whom he believes should bail him out

The line between 'normal' and 'neurotic' begins to appear when any activity becomes compulsive - that is, when the person feels pushed to perform the act because it habitually allays his anxiety rather than because of any intrinsic wish to perform the act.