Compulsive Sexual Behavior

Sexual addiction is an intense focus on sexual fantasies, urges or activities that can’t be controlled and cause distress or harm your health, relationships, career or other aspects of your life. Sexual addiction is the most commonly used lay term. You may hear healthcare professionals call this compulsive sexual behavior, problematic sexual behavior, hypersexuality, hypersexuality disorder, sexual compulsivity or sexual impulsivity.

Although sex addiction involves activities that can be common to a sex life — such as masturbation, pornography, phone sex, cybersex, multiple partners and more — it’s when your sexual thoughts and activities consume your life that you may be considered to have a sexual addiction.

Is a sex addiction similar to other addictions?

Yes. The “addiction feeling” is what makes it similar. The craving for sex is similar to cravings felt for alcohol or drugs by those who have addictions to these substances. It’s an overwhelming compulsion or temptation that’s so strong you feel that you have to have it. It’s an out-of-control feeling, never feeling satisfied feeling or a constant battle to take control of something that’s on autopilot. You return to the behavior — over and over again — despite the negative consequences.

How common is sexual addiction and who is most affected?

Hypersexuality appears to affect about 3% to 10% of the general U.S. population. It’s more common in men than women. For every two to five males with hypersexuality, one woman is affected. Sexual addiction begins, on average, at 18 years of age. Most individuals don’t reach out for professional help until age 37.

Many individuals (88%) have a history of other mental health conditions, too, including:

• Mood disorders, including bipolar disorder.
• Anxiety disorders.
• History of suicide attempts.
• Personality disorders.
• Other addictive disorders.
• Impulse control disorders.
• Obsessive-compulsive disorder (OCD).
• Attention deficit hyperactivity disorder (ADHD).

Is sex addiction or hypersexuality considered a mental health disorder?

Debate is ongoing if hypersexuality can be classified as a mental health disorder. The American Psychiatric Association rejected a proposal to include hypersexual disorder as a condition in DSM-5 (Diagnostic and Statistical Manual of Mental Disorders, fifth edition), their manual for assessing and diagnosing mental health conditions. Their reason was lack of evidence and the potential consequences of calling excessive sexual activity a “pathology” (calling it a disease or disorder).

What does a sexual addict think or feel about their sexual obsession?

A sex addict may feel:

• Guilt, shame or remorse.
• Hopelessness, powerless over the addictive behavior.
• Depressed, lonely.
• Fearful, anxious.
• Suicidal.