Compulsive sexual behavior disorder


Hypersexual disorder is a proposed diagnosis for people who engage in sex or think about sex through

What are the symptoms of compulsive sexual behavior?

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The diagnosis is characterized by repetitive sexual behavior that lasts for at least 6 months, to achieve gratification, that is, to achieve some type of sexual satisfaction. It is often associated with guilt or shame, which leads to depression and/or social isolation. The person tries unsuccessfully to control the need for sex, being tempted increasingly by new partners or forms of expression for their sexuality.

the active sexual disorder is another diagnosis that has been added to the beta draft of ICD-11. This refers to people who can not experience pleasure or orgasm, and it is often confused with compulsive sexual behavior disorder (CSBD). However, in this case, they are not repetitive behaviors; rather, they are long periods without sexual activity.

Difference between sexual addiction and compulsive sexual behavior disorder

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The most significant difference is that in sexual addiction there is a repetition of certain acts, such as masturbation or pornography, whereas CSBD has more to do with an impulse control problem. In both cases, they lead to similar consequences: shame, guilt, and lack of control of the subject.

Is compulsive sexual behavior recognized by society?

Although many people insist that this problem does not exist, it is increasingly more common in different parts of the world, both in men and women. Some researchers estimate that about 6% of adults could be affected by it at some point in their lives. Others give a prevalence of 3% among the general population.

What kind of professionals can help people with compulsive sexual behavior?

It is a difficult diagnosis to make because it has no specific symptoms, so doctors must rely on complaints from other people or patients themselves. In some cases, patterns of dependency should be studied in detail: for example, the diagnosis of hypersexual disorder, which is related to compulsive sexual behavior. Part of the treatment can be self-help groups such as Sex Addicts Anonymous or Sexaholics Anonymous.

Patients are ashamed to seek help

The problem with this type of addiction, as with other addictions, is that patients are ashamed to seek help. They are afraid they will have to live with the stigma of having a sexual addiction, which is not currently classified as an official disorder. Although it has been proposed to include compulsive sexual behavior disorder in the new ICD-11, it is still under discussion by experts.

In general, sexual addiction does not appear in ICD-11 because there is no universal consensus on its definition. Also, it is often confused with other disorders of sex behavior. The beta draft contains CSBD as an obsessive-compulsive disorder, but many people integrate this diagnosis with hypersexuality.

A review of the literature

A review of the literature reveals several similarities between CSBD and hypersexuality. The three main components of CSBD (sex drive, compulsivity, and impulsivity) are the same components that distinguish people who suffer from this disorder from other disorders such as paraphilias, obsessive-compulsive disorder, or manic-depressive illness.

However: there is no consensus on what divides hypersexuality from CSBD. Some researchers define hypersexuality as a clinical disorder that causes distress or impairment in someone’s life. Others define it as a result of sexual addiction, and others see it as a form of extreme sexual behavior without intimacy.

What are the treatments for very compulsive sexual behavior?

The treatment of CSBD is similar to that of other addictive disorders. It includes psychotherapy and pharmacotherapy (medication). The first line of medication consists mainly of selective serotonin reuptake inhibitors such as sertraline, fluoxetine, or paroxetine. In some cases, olanzapine can be effective.

In the case of CSBD, there is also a deep neurological study that shows an association with lesions in several areas of the brain, as well as a genetic predisposition associated with dopamine receptors.

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