Hypersexuality is a mental disorder that causes unwanted or excessive sexual arousal, causing people to engage in or think about sexual activity to a point of distress or impairment. It is controversial whether it should be included as a clinical diagnosis used by mental healthcare professionals. Nymphomania and satyromania were terms previously used for the condition in women and men, respectively.
Pornography addiction is the scientifically controversial application of an addiction model to the use of pornography. Pornography may be part of compulsive behavior with negative consequences to one's physical, mental, social, or financial well-being. While the World Health Organization's ICD-11 (2022) has recognized compulsive sexual behaviour disorder (CSBD) as an "impulsive control disorder", CSBD is not an addiction, and the American Psychiatric Association's DSM-5 (2013) and the DSM-5-TR (2022) do not classify compulsive pornography consumption as a mental disorder or a behavioral addiction.
Virtual sex is sexual activity where two or more people gather together via some form of communications equipment to arouse each other, often by the means of transmitting sexually explicit messages. Virtual sex describes the phenomenon, no matter the communications equipment used.
Sex therapy is a therapeutic strategy for the improvement of sexual function and treatment of sexual dysfunction. This includes dysfunctions such as premature ejaculation and delayed ejaculation, erectile dysfunction, lack of sexual interest or arousal, and painful sex ; as well as problems imposed by atypical sexual interests (paraphilias), gender dysphoria, highly overactive libido or hypersexuality, a lack of sexual confidence, and recovering from sexual abuse ; and also includes sexual issues related to aging, illness, or disability.
Sexual addiction is a state characterized by compulsive participation or engagement in sexual activity, particularly sexual intercourse, despite negative consequences. The concept is contentious; as of 2023, sexual addiction is not a clinical diagnosis in either the DSM or ICD medical classifications of diseases and medical disorders, which instead categorize such behaviors under labels such as compulsive sexual behavior.
Sexual anorexia is a term coined in 1975 by psychologist Nathan Hare to describe a fear of or deep aversion to sexual activity. It is considered a loss of "appetite" for sexual contact, and may result in a fear of intimacy or an aversion to any type of sexual interaction. The term largely exists in a colloquial sense and is not presently classified as a disorder in the Diagnostic Statistical Manual.
Emotional dysregulation is characterized by an inability to flexibly respond to and manage emotional states, resulting in intense and prolonged emotional reactions that deviate from social norms, given the nature of the environmental stimuli encountered. Such reactions not only deviate from accepted social norms but also surpass what is informally deemed appropriate or proportional to the encountered stimuli.
Patrick Carnes is an American proponent of the viewpoint that some sexual behavior is an addiction. According to CBS News, he popularized the term sex addiction. He created the International Institute for Trauma and Addiction Professionals (IITAP), as well as numerous addiction treatment facilities, and created the CSAT certification.
Internet sex addiction, also known as cybersex addiction, has been proposed as a sexual addiction characterized by virtual Internet sexual activity that causes serious negative consequences to one's physical, mental, social, and/or financial well-being. It may also be considered a subset of the theorized Internet addiction disorder. Internet sex addiction manifests various behaviours: reading erotic stories; viewing, downloading or trading online pornography; online activity in adult fantasy chat rooms; cybersex relationships; masturbation while engaged in online activity that contributes to one's sexual arousal; the search for offline sexual partners and information about sexual activity.
Sexual Compulsives Anonymous (SCA) is a twelve-step program for people who want to stop having compulsive sex. SCA founding is attributed variously to 1982 in New York City and to 1973 in Los Angeles. Although the fellowship originally sought to address issues of sexual compulsion among gay and bisexual men, and this is still the fellowships predominant demographic, today the program is LGBT friendly, open to all sexual orientations, and there is an increasing number of women and heterosexual men participating. SCA meetings are most likely to be held in urban areas with larger gay and bisexual male populations. The majority of members are white, but vary in age and socioeconomic background. The only requirement for membership is a desire to stop having compulsive sex.
Sex and Love Addicts Anonymous (SLAA) is a twelve-step program for people recovering from sex addiction and love addiction. SLAA was founded in Boston, Massachusetts in 1976, by a member of Alcoholics Anonymous (AA). Though he had been a member of AA for many years, he repeatedly acted out and was serially unfaithful to his wife. He founded SLAA as an attempt to stop his compulsive sexual and "romantic" behavior. SLAA is also sometimes known as the Augustine Fellowship, because early members saw many of their shared symptoms described by St. Augustine of Hippo in his work Confessions. COSLAA is another twelve-step fellowship created to support the family members and friends of sex and love addicts.
Human sexuality covers a broad range of topics, including the physiological, psychological, social, cultural, political, philosophical, ethical, moral, theological, legal and spiritual or religious aspects of sex and human sexual behavior.
Joe Kort is an American psychotherapist, clinical social worker, board-certified clinical sexologist, author, lecturer and facilitator of therapeutic workshops. He works as Clinical Director and founder of The Center for Relationship and Sexual Health in Royal Oak, Michigan.
Alexandra Katehakis is the clinical director of the Center for Healthy Sex in Los Angeles and an author. Katehakis is a clinical supervisor at American Association of Sex Educators, Counselors and Therapists (AASECT) and clinical supervisor and member of the teaching faculty for the International Institute for Trauma and Addiction Professionals (IITAP) a national certifying body for sex addiction therapists. She has been a contributor to Psychology Today, Los Angeles Times and The Huffington Post, as well as a panelist at sexuality conferences and public events.
Robert Weiss is an American author, educator, and clinical expert in the treatment of Sexual Addiction and Related intimacy disorders. Weiss currently serves as Founder Seeking Integrity Treatment Programs.
The American Association of Sexuality Educators, Counselors and Therapists (AASECT) is a professional organization for sexuality educators, sexuality counselors and sex therapists.
Surrogate partners, formerly referred to as sex surrogates, are practitioners trained in addressing issues of intimacy and sexuality. A surrogate partner works in collaboration with a talk therapist to meet the goals of their client. This triadic model, composed of the client, talk therapist, and surrogate partner therapist is used to dually support the client and the surrogate partner therapist. The client engages with the surrogate partner therapist in experiential exercises and builds a relationship with their surrogate partner therapist while processing and integrating their experiences with their talk therapist or clinician.
Certified Sex Therapists (CST) have graduate degrees in a clinical mental health field and have obtained advanced training in sex therapy from a credentialed training body, resulting in certification. One of the largest such bodies is the American Association of Sexuality Educators, Counselors and Therapists (AASECT).
About 1 in 7 Americans suffer from active addiction to a particular substance. Addiction can cause physical, psychological, and emotional harm to those who are affected by it. The American Society of Addiction Medicine defines addiction as "a treatable, chronic medical disease involving complex interactions among brain circuits, genetics, the environment, and an individual's life experiences. People with addiction use substances or engage in behaviors that become compulsive and often continue despite harmful consequences." In the world of psychology and medicine, there are two models that are commonly used in understanding the psychology behind addiction itself. One model is referred to as the disease model of addiction. The disease model suggests that addiction is a diagnosable disease similar to cancer or diabetes. This model attributes addiction to a chemical imbalance in an individual's brain that could be caused by genetics or environmental factors. The second model is the choice model of addiction, which holds that addiction is a result of voluntary actions rather than some dysfunction of the brain. Through this model, addiction is viewed as a choice and is studied through components of the brain such as reward, stress, and memory. Substance addictions relate to drugs, alcohol, and smoking. Process addictions relate to non-substance-related behaviors such as gambling, spending money, sexual activity, gaming, spending time on the internet, and eating.
Wendy Maltz is an American sex therapist, psychotherapist, author, educator, and clinical social worker. She is an expert on the sexual repercussions of sexual abuse, understanding women's sexual fantasies, treating pornography-related problems, and promoting healthy sexuality. She has taught at the University of Oregon and, up until her retirement in 2016 from providing counseling services, was co-director with her husband, Larry Maltz, of Maltz Counseling Associates therapy practice in Eugene, Oregon.
