Sexual compulsive disorder, often referred to as compulsive sexual behavior, is a mental health condition characterized by an inability to control intense sexual thoughts, urges, or behaviors. While sexual activity is a natural part of life, this disorder causes it to become excessive or harmful, disrupting personal relationships, careers, and overall well-being.
What Is Sexual Compulsive Disorder?
Defining the Disorder
It involves an overwhelming preoccupation with sexual thoughts and behaviours. Individuals may engage in frequent or risky sexual activities despite negative consequences, including emotional distress, financial strain, or damage to relationships.
Is It the Same as Sex Addiction?
Though similar, sexual compulsive disorder is not identical to sex addiction. While both involve problematic sexual behaviors, the distinction often lies in the underlying causes and approaches to treatment. A mental health professional can provide clarity on these terms.
Symptoms of Sexual Compulsive Disorder
Behavioural Signs
- Persistent sexual urges or fantasies that interfere with daily life.
- Engaging in sexual behavior to escape from stress or negative emotions.
Emotional Symptoms
- Guilt or shame following sexual encounters.
- Heightened anxiety or depression due to a lack of control over urges.
Causes of Sexual Compulsive Disorder
Psychological Factors
SCD often stems from unresolved trauma, such as abuse or neglect. Co-occurring mental health conditions, such as anxiety, depression, or obsessive-compulsive disorder, may also play a role.
Neurological and Biological Influences
Imbalances in brain chemistry, particularly involving dopamine, can contribute to compulsive behaviors. Additionally, hormonal changes may intensify urges.
Diagnosing Sexual Compulsive Disorder
Seeking Professional Help
If you or someone you know exhibits symptoms of SCD, consulting a mental health professional is crucial. They can provide a comprehensive assessment and recommend tailored treatments.
Common Diagnostic Tools
Mental health providers may use detailed interviews, questionnaires, and behavioral observations to identify the condition.
Treatment Options for Sexual Compulsive Disorder
Therapy Approaches
- Cognitive Behavioral Therapy (CBT): Helps individuals identify and change unhealthy thought patterns.
- Group Therapy: Offers support from peers experiencing similar challenges.
Medication
Medications such as antidepressants or mood stabilizers can help regulate brain chemistry and reduce compulsive urges.
Lifestyle Adjustments
Incorporating stress-relief activities, such as exercise and mindfulness, can aid recovery. Avoiding triggers and building a supportive social network are also essential.
How to Seek Help For Sexual Compulsive Disorder
Overcoming Stigma
Many people with SCD feel ashamed or embarrassed to seek help. However, understanding that this is a mental health condition—not a moral failing—is key to recovery.
Finding Support Networks
Numerous resources, including helplines and online communities, can connect individuals with professional assistance and peer support.
Rob Terry is a therapist for clients in Utah and coach for clients outside of Utah and across the globe. He specializes in sex addiction recovery for individuals and couples. He integrates the CSAT, OCSB, and Minwalla models for individual recovery and Gottman Method, RLT, and ERCEM for couples recovery. He is betrayal trauma informed. His therapy modalities are IFS, ACT, CBT, EMDR, and Attachment Theory.
