Even if the addition is really driven by the environment, rather than its subject itself, can individuals actually solve the underlying social problem? Can they do so in a way that's actually scalable to a significant portion of the population?

If your work, or lack of money, or your kids school, or your parents health are causing you stress, most often you can't simply "change your environment" to a less stressful one.

I swear comments on posts like this one always read like some religious support group for people that think sex outside of the context of marriage is worthy of shame. It's depressing.