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Behavioral Addictions

Sex Addiction & Compulsive Sexual Behavior: Signs & Treatment

Compulsive sexual behavior disorder is included in the WHO's ICD-11 as an impulse control disorder.

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Compulsive sexual behavior disorder is included in the WHO's ICD-11 as an impulse control disorder. It is not formally listed in the DSM-5-TR as a distinct diagnosis. Clinical understanding is evolving.

Overview

Compulsive sexual behavior (sometimes called sex addiction or hypersexual disorder) is characterized by persistent, repetitive sexual urges, fantasies, or behaviors that the individual feels unable to control, that cause significant distress, and that continue despite negative consequences to relationships, employment, health, or legal standing.

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  • Compulsive use of pornography
  • Compulsive sexual encounters
  • Excessive use of dating apps or sex-related services
  • Compulsive masturbation that interferes with daily life
  • Sexual behavior that puts oneself or others at risk

Treatment

  • CBT and psychodynamic therapy
  • Group therapy (including 12-step groups like Sex Addicts Anonymous)
  • Couples/relationship therapy
  • Treatment of co-occurring conditions (depression, anxiety, trauma, OCD)
  • In some cases, medications may be considered (SSRIs, naltrexone)

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Related Resources

Sources

  1. WHO ICD-11
  2. APA
  3. Society for the Advancement of Sexual Health

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