The Sexual Addiction Controversy-Does Sexual Addiction actually exist?
The term addiction stems from the Latin word “addicere” meaning “bound to” or “enslaved by”. The term sexual addiction is controversial. No universally accepted definition or criteria for sexual addiction exists within the mental health or medical community, and it is not included in the most recent edition of the American Psychiatric Association’s Diagnostic and Statistical Manual of Mental Disorders (DSM-5). Despite the inclusion of the first non-substance behavioral addiction, Pathological Gambling, some psychologists argue against the existence of behavioral addictions. They believe that an addictive disorder must involve the use of an external mood-altering substance, and must result in physiological effects resulting from the use or termination of the substance (i.e. intoxication and withdrawal).
Does sexual addiction exist?
While there is debate regarding what to call it, few argue against its existence. More and more men and women are showing up in the offices of mental health providers reporting problematic sexual thoughts, feelings, and behaviors that are negatively impacting their lives. These sexual experiences are nonparaphilic (meaning they are forms of sexual expressions that are considered normal and culturally acceptable) and examples include, but are not limited to, cybersex, masturbation, and sex among consenting adults.
What are the signs? How do I know if I have a sexual addiction?
If no universally accepted definition or criteria for sexual addiction exists, how do I know what to look for? Individuals suffering from sexual addiction often report the following symptoms:
- A pattern of sexual thoughts, feelings, and behaviors that feel problematic, out-of-control, and excessive
- Sexual thoughts, feelings, and behaviors persist despite attempts to reduce or control the behavior
- Sexual thoughts, feelings and behaviors persist despite severe negative consequences. These can be, but are not limited to:
- Marriage/Partner problems
- Financial/Employment problems
- Loss of social/family relationships
When is therapy recommended?
Seeking mental health treatment for sexual addiction is not easy. It is associated with denial, deep emotional pain, shame, and guilt. Often individuals feel socially isolated and sometimes there are co-occurring issues such as depression, anxiety, and substance abuse. It is important to seek help, as it is hard to recover alone. Individual therapy and couples therapy can be helpful and have shown to be effective in treating sexual addiction.
