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Sex Addiction Explained by a Sex Therapist

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Most of us will only hear about sex addiction in the movies and, to many, it will always be a convenient excuse to excuse bad behaviour. But what is sex addiction? And is it an actual thing? We give you the lowdown on this addiction according to a sex therapist and you might be surprised by what you learn.

What is Sex Addiction?

Sex addiction (or Hypersexuality) is when partaking or engaging in sexual activities becomes a compulsive behaviour. Any potential negative consequences are completely ignored. It is not just amongst the general public that the debate around sex addiction runs rampant, even among professionals (psychologists, psychiatrists, sexologists, doctors, etc.) there is conflict regarding its classification.

Does compulsive behaviour constitute an addiction? Whilst this is the question asked on one side of the fence, the other side does tend to hold up some animal research where it was found that the source of compulsive sexual behaviour is the exact same epigenetic and transcriptional mechanisms found in drug addiction.

What Causes Sex Addiction?

Any sex therapist will be able to tell you that it’s hard to pinpoint exactly what the source or trigger for the addiction is. Often, it is a combination of things. These are some of the most common causes of sex addiction:

  • Lesions on the frontal and temporal lobes of the brain
  • Dementia
  • Imbalances in neurotransmitters (especially the highly addictive Dopamine)
  • Medications (especially Dopamine replacement treatments)
  • Emotional dysregulation
  • Boredom
  • Family dysfunction
  • Rigid and extremely conservative family structures
  • Childhood abuse
  • Undiagnosed mental health illnesses such as Bipolar

Symptoms of possible Sex Addiction

Someone watching porn or a couple who has a fairly big sexual appetite doesn’t allude to someone having a problem. It is important to distinguish between a high libido and kinks vs. compulsive sexual behaviour that is almost impossible to control even if the individual tries. When we talk about symptoms, it is also important to remember that relating to just one of the symptoms sometimes is not enough to base a diagnosis on.

Whilst sex addiction displays differently from person to person, the key to problematic behaviour and thinking patterns lie in the compulsivity attached thereto. If you recognise yourself or a loved one in any of the below symptoms or just want to ask a few more questions, a sex therapist will be happy to assist. The following are some of the most prevalent symptoms of sex addiction:

Sex with Multiple Partners

Here it is important to distinguish between a single person just living their best dating life and the aforementioned compulsive behaviour. Having multiple sexual partners (using protection, of course) is no longer the taboo it was years ago. As long as it’s not hurting you or the people around you, there’s no need why you can’t enjoy a healthy and active sex life as a single.

But when you’re starting to struggle with intrusive sexual thoughts that are affecting your work or you’re blowing off family events or a friend’s birthday party just to have sex with a stranger, something’s wrong. The fact that statistics show an average of 40% of all sex addicts have an STI says a lot about the mindset of an addict. Their multiple partners are chosen completely at random and with not much discernment, and their cardinal needs trump any possible safety measures.

Extra-Marital Affairs

Once again, the “but I think I’m a sex addict” get-out-of-jail-free card is not going to work for a husband or wife caught having an affair. A sex addict situation is what we refer to as a serial cheater. And it almost seems out of place and character for the spouse. Usually, the marriage is going strong, both spouses are committed to each other and love each other very much.

But for some strange reason, Peter or Mary just can’t seem to stay faithful. Most of these extra-marital affairs are also characterised by their sexual nature (there’s not much talking going on if you know what we mean). Sex addiction in marriages can lead to some of the most heartbreaking sex therapist sessions with the genuine love between the spouses being overshadowed by hurt, resentment and overwhelming guilt.

Having “Unwanted” Sex

This might be an odd concept for people to comprehend. How can one not really want sex, yet make the choice to perform the act anyway? But this is where that uncontrollable compulsivity comes in. The need and the urge are much stronger than logic, common sense, priorities, responsibilities, etc.

Most people will associate their post-sex mood with positive feelings, but a sex addict will be struggling with feelings of regret, guilt, shame and depression.

The Physical Sex is Accompanied by Other Sexual Activities

This is one of the biggest misconceptions about sex addiction. Sex addiction is not just someone running around humping everyone like a dog in heat. It’s an incredibly nuanced addiction where sex has essentially taken over someone’s life, but it doesn’t just entail physical sex.

If there are 12 hours in a day and it’s mostly spent thinking about sex, having physical sex as well as watching porn, sexting and visiting online sex chat rooms, it’s very evident that there is a problem. Saying “but I only had sex once today” isn’t going to tip the scales in your favour when compared to the myriad of other hours spent on various sexual activities throughout the day.

“Normal” Sex Doesn’t Cut it Anymore

Once again, discernment is needed here. Firstly “normal” looks different to everybody. Secondly, we are not referring to anyone practising a particular kink safely. This is why context is so important when one starts evaluating these symptoms. In the case of an addict (irrelevant of their drug of choice) a tolerance is built up over time. That means 3 drinks or 2 pills or sex with a stranger in a hotel doesn’t cut it anymore. They need to up the stakes to keep the thrill.

This is when sex addiction turns dangerous. Once you reach that stage, you start to engage in very risky behaviour and acts. Things such as seeking out prostitutes in the bad part of town, having unprotected sex with a stranger in a public bathroom, or attending orgies at sex parties where no participants have been vetted are just some of the things we hear during a sex therapist session.

You Have No Time for Anything Else

You start declining invites to events, suddenly you’re too busy for your usual catch-up coffee with friends, and you’re even too busy for upcoming dinner engagements. It may seem or feel like there are just not enough hours in the day, but if you’re really honest with yourself and actually start tracking your time, you’ll realize that you’re extremely busy – but with all the wrong things.

These sexual thoughts and activities eat up your day and whilst the day was “busy” not much happened in terms of real productivity. It’s usually at this point that friends and family also start noticing and becoming concerned.

Sexual Activities Result in Sexual Dysfunction

This may seem counterintuitive, but a sex addict’s sexual activities can actually lead to sexual dysfunction with their partner. Men who’ve spent the majority of the day watching porn have a higher chance of experiencing erectile dysfunction afterwards.

This is due to an incredibly intricate psychological and biological effect. The incredibly unrealistic scenarios depicted in porn can cause extremely high levels of Dopamine. This constant Dopamine high conditions the body and makes it believe that this is the “new normal”.

That means, higher and higher levels of Dopamine are needed to experience physical arousal. If you’ve been watching five plumbers filling every possible cavity of a French maid all day, your wife undressing after a long day of work simply isn’t going to do it for you anymore.

Treatment for Sex Addiction

Treatment for sex addiction will usually consist of a combination of the following:

  • Medication – various prescription medications can be used such as antidepressants.
  • 12-Step program – just like you get AA and NA, you also get SAA.
  • CBT (Cognitive Behavioural Therapy) – helps addicts identify and recognize any potential triggers and teaches them how to deal with them in a healthy manner.
  • Art Therapy – this is not just for fun and games. Since art is a form of expression it can help with decoding and understanding deeper emotions, feelings and behaviours).
  • EMDR (Eye Movement Desensitization Reprocessing) – this is a type of trauma therapy since trauma and addiction often go hand-in-hand).

Any sex therapist will be able to tell you that sex addiction is a very real problem. And one that can have disastrous consequences for one’s career, relationships, health and general well-being. If you suspect that you or someone you love might be dealing with such an addiction, please do not hesitate to reach out to us via our website, by popping a mail to or by completing the form below. We’ll get back to you as soon as possible.

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