they’re doing good stuff with Electro-shock-therapy around here, apparently… 
i’m half serious- dunno if you’re tried THAT one (i was dubious myself, but apparently times have changed and so have methods and so on- and besides- if the threat of being electrocuted isn’t an incentive to feel better, i dunno what is!).
maybe let the temp agency work out what they think’d work for you work wise, then once you’re actually doing what you’re not yet gonna think about doing, then you can network and bounce some ideas off your own and other peoples heads. when you’re actually in the middle of the board, its easier to see what you’re working with, and the puzzle pieces tend to fall into place a bit easier, you know? maybe it’ll be something completely different to what you’ve done before. who knows, you might end up working a paid gig at a cat shelter, or finding something new and interesting to try through them. keep an open mind and all that.
does your local government or a local chairty offer any schemes/programs to help you look at your skills and personality type, and the different career routes or jobs you might be suited to? i know a few places around here do! if not, you can still do that stuff online. 
your brain will unfog a bit once it gets out of the house, in the fresh air, and doing different stuff. mine always does. there seem to be a fair few sexual addiction forums online where you could get specialised support from others going through the same stuff as you are. this one looks relatively active: http://www.psychforums.com/sexual-addiction/
its funny how everyone is good at helping everyone but themselves. i’m equally guilty. 