How is Sex Addiction diagnosed? Are there DSM-5 criteria?
Published:
Nov 9, 2024
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08:20 p.m.
ET
Updated:
Jan 21, 2025
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11:44 a.m.
ET
The classification of and diagnosis criteria for sex addiction are hotly debated. There are currently no DSM-5 criteria for "sex addiction" specifically. However, sexual addiction has been referred to as compulsive sexual disorder or hypersexuality. To meet this criteria, an individual would have to experience compulsive sexual fantasies, intense urges, and behaviors that interfere with daily life in the past six months. It may also be diagnosed in the DSM-5 as Unspecified Sexual Dysfunction (F52.9).
In the ICD-10-CM (International Classification of Diseases, Tenth Revision, Clinical Modification), there is diagnosis code F91.8 for "other conduct disorders," under which sex addiction can fall. However, in the ICD-11 there is now code 6C72 for "Compulsive Sexual Behavior Disorder" (CSBD) through which individuals with sex addiction can be diagnosed. There are debates in the clinical world around whether CSBD should be its own clinical diagnosis, plus whether or not it should be classified as a "behavioral addiction."
Is Sex Addiction real?
This is also a debated topic, but compulsive sexual behaviors are definitely real and prevalent across the world. Sex addiction isn't recognized as a diagnosable condition in the DSM-5, like many other behavioral addictions. Still, it can be considered a mental health condition.
Some experts and doctors might associate sex addiction with impulsive control disorder (ICD) or "Compulsive Sexual Behavior Disorder" (CSBD) which is in the ICD-11. Sex addiction might also at times be conflated with for other behavioral addictions, such as love addiction or pornography addiction.
How is Sex Addiction diagnosed? DSM-5 criteria? Is there a test?
Since sex addiction isn't listed in the DSM-5, formally diagnosing can be complex. Therefore, if you notice that you struggle with compulsive sexual behavior, you might want to consult a doctor or mental health professional.
You will likely then undergo a psychological evaluation, in which you will be asked about your compulsions, fantasies, and behaviors related to sex. A clinician will also help determine whether your behavior has impacted your relationships, academics or career. If the symptoms are persistent, your doctor may diagnose you with sex addiction or another related affliction. This evaluation can also help determine if in-patient or outpatient treatment is the best course of action (if care is needed).
You can also take a free, quick self-assessment online. Birches Health offers a Sex Addiction Test that can help you determine if your sexual behaviors may be problematic. You won't have to wait for the results, which are secure and confidential.
Warning Signs of Sex Addiction
Most people experience sexual attraction or sexual desire. It's natural to feel this way. Normal sexual behavior becomes addictive when those compulsive urges are unsettling and difficult to overcome.
Some of the most common signs of sex addiction include:
Inability to control or quit sexual behavior
Increased sexual urges and fantasies accompanied by behaviors
Increased spending on hookup apps, pornography, and escort services
Feelings of guilt or shame after sexual acts
Sexual fantasies, thoughts, and behaviors that disrupt one's daily life
Making sexual acts a priority over other responsibilities
Legal fallout from risky sexual behavior
Contracting sexually transmitted diseases
Potential causes of becoming a sex addict
There can be several contributing factors that lead to sex addiction, such as sexual trauma, early exposure to pornography or even parenting. Mental health challenges such as anxiety, depression, obsessive-compulsive disorder and substance abuse are common with sex addiction.
Because of this, there's no single underlying reason for sex addiction. Experts have researched certain biological or environmental factors that could contribute to the disorder. Studies found that those with a history of addiction in their family are more likely to struggle with sex addiction.
Sex addiction can also be attributed to early childhood trauma. For example, some individuals might have been exposed to sexual abuse or pornography at a young age. Other co-occurring problems such as obsessive-compulsive disorder, personality disorder, and substance abuse are also linked to sex addiction.
Treatment options for Sex Addiction
Treatment for sex addiction is similar to treatment for other behavioral addictions. This comprehensive treatment includes counseling, medication, and self-help support groups. Cognitive behavioral therapy (CBT) is most commonly used to treat sex addiction. Individuals learn how to rewire their brains and recognize the thoughts that cause their addiction. Dialectical Behavior Therapy (DBT) and Internal Family Systems (IFS) are also both therapeutic approaches that have earned recognition for effectiveness. Gestalt therapy can help individuals become more aware of themselves and their experiences in the moment.
Individualized counseling, family therapy, and couples counseling might also be required. Either of these sessions will help individuals uncover their trauma or attachment issues stemming from sex.
Support groups can offer community and accountability. One example is Sex Addicts Anonymous (SAA), which allows members to share their experiences. Meetings are available online, in person, or via phone.
Depending on the severity of the addiction, medication might be prescribed. Some medications can help reduce sexual cravings. Medication might also be used to treat any co-occurring conditions such as anxiety, depression, or obsessive-compulsive disorder.
Comprehensive treatment will offer all of these therapy options. Individuals will also learn how to develop healthy habits and maintain healthy relationships with themselves and others.
Birches Health offers comprehensive treatment for sex addiction in a virtual environment. Individuals can receive the help they need without leaving their homes or running into someone they know at the doctor's office. Plus, they can book appointments around their schedule.
Birches Health offers counseling and support groups. Individuals will work with a licensed clinician who's knowledgeable about sex addiction. Therapy comes via video chat, text chat, or telephone.
There are different ways to get support from Birches Health. You can click here to book an appointment with a licensed clinician, speak with the care coordination team at 833-483-3838 or email help@bircheshealth.com to connect with Birches Health today.
Sex Addiction Statistics
The Begin Again Institute reported that 12 to 30 million individuals in the United States alone admitted to having a sex addiction. However, there is a big span of reported individuals. Most people fail to report their behavior.
Because of this, it can be hard to determine how many people in the world suffer from sex addiction. The study found an occurrence rate of 5%. Sex addiction is now as common as other behavioral addictions and mental health disorders.
