Materiały źródłowe

• #1 Compulsive sexual behavior: A nonjudgmental approach | MDedge

  https://blogs.the-hospitalist.org/content/compulsive-sexual-behavior-nonjudgmental-approach

  Compulsive sexual behavior (CSB), also referred to as sexual addiction or hypersexuality, is characterized by repetitive and intense preoccupations with sexual fantasies, urges, and behaviors that are distressing to the individual and/or result in psychosocial impairment. Individuals with CSB often perceive their sexual behavior to be excessive but are unable to control it. CSB can involve fantasies and urges in addition to or in place of the behavior but must cause clinically significant distress and interference in daily life to qualify as a disorder. […] Various suggestions have been proposed for the classification of compulsive sexual behavior (CSB). It may be related to obsessive-compulsive disorder (OCD), forming an obsessive-compulsive spectrum; to mood disorders (an affective spectrum disorder); or as a symptom of relationship problems, intimacy, and self-esteem. Grouping CSB within either an obsessive-compulsive or an affective spectrum is based on symptom similarities, comorbidities, family history, and treatment responses. Similar to persons with OCD, CSB patients report repetitive thoughts and behaviors. Unlike OCD, however, the sexual behavior of CSB is pleasurable and often is driven by cravings or urges. Given these descriptions, CSB also may share features of substance use disorders, and has generated a theory of sexual behavior being an addiction. There is still much debate as to how best to understand this cluster of symptoms and behaviors as a separate disorder or as a symptom of an underlying problem. DSM-5 did not find sufficient reason to designate sexual addiction as a psychiatric disorder.

• #2 What is Compulsive Sexual Behavior and Sex Addiction? – Help for Porn Addiction

  https://familystrategies.org/What-is-Compulsive-Sexual-Behavior-and-Sex-Addiction-Help-for-Porn-Addiction.html

  Compulsive sexual behavior disorder (CSBD) is recognized as a subtype of impulse control disorder. It manifests as a persistent struggle to manage sexual impulses, leading to repetitive sexual actions lasting at least 6 months. […] CSBD could be considered equivalent to sexual addiction (SA). […] Common symptoms of both CSBD and SA encompass an obsessive focus on and excessive engagement in sexual activities such as pornography, masturbation, multiple or risky sexual partners, prostitution, voyeurism, exhibitionism, sex clubs, serial infidelity, cybersex, sexting, etc. to the detriment of personal well-being, interests, and obligations. […] It’s crucial to understand that the distress associated with CSBD and SA isn’t solely determined by moral beliefs or judgments regarding sexual impulses or actions. Instead, it reflects a genuine challenge in controlling these impulses, which can have profound effects on individuals’ lives.

• #3 Compulsive sexual behaviour disorder – Wikipedia

  https://en.wikipedia.org/wiki/Compulsive_sexual_behaviour_disorder

  Compulsive sexual behaviour disorder (CSBD) is a psychiatric disorder which manifests as a pattern of behavior involving intense preoccupation with sexual fantasies and behaviours that cause significant levels of mental distress, cannot be voluntarily curtailed, and risk or cause harm to oneself or others. […] CSBD is recognised by the World Health Organization (WHO) as an impulse-control disorder in the ICD-11. […] CSBD is defined as a persistent pattern of failure to control intense, repetitive sexual impulses or urges resulting in repetitive sexual behaviour. […] Some treatment guides suggest shame at the core of CSBD mechanism. The shame is associated with the cognitive schema of self-defectiveness, a feeling of social pain and isolation and functions in two ways. Firstly, chronic shame derived from social stigma or early traumatic experiences augments the soothing function of sexual behaviour. That makes sexual behaviour compulsive. Secondly, excessive or inappropriate sexual behaviour, as it is considered socially unacceptable, causes extra shame and forms a self-sustaining cycle of CSBD. Therefore, treatment is primarily aimed at shame reduction and social reintegration.

• #4 Compulsive sexual behavior (Sexual addiction): What to know

  https://www.medicalnewstoday.com/articles/182473

  Compulsive sexual behavior is a condition in which an individual cannot manage their sexual behavior. Persistent sexual thoughts interfere with their ability to work, maintain relationships, and complete their daily activities. […] The World Health Organization (WHO) included compulsive sexual behavior in the International Classification of Diseases (ICD-11) and defined it as an impulse disorder characterized by a persistent pattern of failure to control intense, repetitive sexual impulses or urges resulting in repetitive sexual behavior. […] Some studies theorize that compulsive sexual behavior shares the same reward system and circuits in the brain as substance addiction. However, there is no empirical evidence that supports this. […] The debate is ongoing regarding the diagnostic criteria for compulsive sexual behavior. There are different sets of criteria for diagnosing the condition. […] The increasing number of examples of compulsive sexual behavior and its consequences have expanded the discussion of the disorder as a legitimate mental condition. However, more empirical evidence is necessary before major health authorities add compulsive sexual behavior as a standalone diagnosis.

• #5

  https://link.springer.com/article/10.1007/s11930-018-0176-z

  The current review summarizes the latest findings concerning neurobiological mechanisms of compulsive sexual behavior disorder (CSBD) and provides recommendations for future research specific to the diagnostic classification of the condition. […] Compulsive sexual behavior is associated with altered functioning in brain regions and networks implicated in sensitization, habituation, impulse dyscontrol, and reward processing in patterns like substance, gambling, and gaming addictions. Key brain regions linked to compulsive sexual behavior features include the frontal and temporal cortices, amygdala, and striatum, including the nucleus accumbens. […] Although previous research has helped to highlight some underlying mechanisms of the condition, additional investigations are needed to fully understand this phenomenon and resolve classification issues surrounding CSBD. […] This article describes possible neurobiological mechanisms of compulsive sexual behavior. […] This study integrated structural MRI and resting-state functional MRI to investigate alterations within brain regions in CSB individuals.

• #6 Neurocognitive Mechanisms in Compulsive Sexual Behavior Disorder – Culture Reframed

  https://culturereframed.org/library-article/neurocognitive-mechanisms-in-compulsive-sexual-behavior-disorder/

  Purpose of Review: The current review summarizes the latest findings concerning neurobiological mechanisms of compulsive sexual behavior disorder (CSBD) and provides recommendations for future research specific to the diagnostic classification of the condition. […] Recent Findings: To date, most neuroimaging research on compulsive sexual behavior has provided evidence of overlapping mechanisms underlying compulsive sexual behavior and non-sexual addictions. Compulsive sexual behavior is associated with altered functioning in brain regions and networks implicated in sensitization, habituation, impulse dyscontrol, and reward processing in patterns like substance, gambling, and gaming addictions. Key brain regions linked to compulsive sexual behavior features include the frontal and temporal cortices, amygdala, and striatum, including the nucleus accumbens.

• #7

  https://link.springer.com/article/10.1007/s11930-018-0176-z

  The current review summarizes the latest findings concerning neurobiological mechanisms of compulsive sexual behavior disorder (CSBD) and provides recommendations for future research specific to the diagnostic classification of the condition. […] Compulsive sexual behavior is associated with altered functioning in brain regions and networks implicated in sensitization, habituation, impulse dyscontrol, and reward processing in patterns like substance, gambling, and gaming addictions. Key brain regions linked to compulsive sexual behavior features include the frontal and temporal cortices, amygdala, and striatum, including the nucleus accumbens. […] Although previous research has helped to highlight some underlying mechanisms of the condition, additional investigations are needed to fully understand this phenomenon and resolve classification issues surrounding CSBD. […] This article describes possible neurobiological mechanisms of compulsive sexual behavior. […] This study integrated structural MRI and resting-state functional MRI to investigate alterations within brain regions in CSB individuals.

• #8

  https://link.springer.com/article/10.1007/s11930-018-0176-z

  The current review summarizes the latest findings concerning neurobiological mechanisms of compulsive sexual behavior disorder (CSBD) and provides recommendations for future research specific to the diagnostic classification of the condition. […] Compulsive sexual behavior is associated with altered functioning in brain regions and networks implicated in sensitization, habituation, impulse dyscontrol, and reward processing in patterns like substance, gambling, and gaming addictions. Key brain regions linked to compulsive sexual behavior features include the frontal and temporal cortices, amygdala, and striatum, including the nucleus accumbens. […] Although previous research has helped to highlight some underlying mechanisms of the condition, additional investigations are needed to fully understand this phenomenon and resolve classification issues surrounding CSBD. […] This article describes possible neurobiological mechanisms of compulsive sexual behavior. […] This study integrated structural MRI and resting-state functional MRI to investigate alterations within brain regions in CSB individuals.

• #9

  https://link.springer.com/article/10.1007/s11930-018-0176-z

  The current review summarizes the latest findings concerning neurobiological mechanisms of compulsive sexual behavior disorder (CSBD) and provides recommendations for future research specific to the diagnostic classification of the condition. […] Compulsive sexual behavior is associated with altered functioning in brain regions and networks implicated in sensitization, habituation, impulse dyscontrol, and reward processing in patterns like substance, gambling, and gaming addictions. Key brain regions linked to compulsive sexual behavior features include the frontal and temporal cortices, amygdala, and striatum, including the nucleus accumbens. […] Although previous research has helped to highlight some underlying mechanisms of the condition, additional investigations are needed to fully understand this phenomenon and resolve classification issues surrounding CSBD. […] This article describes possible neurobiological mechanisms of compulsive sexual behavior. […] This study integrated structural MRI and resting-state functional MRI to investigate alterations within brain regions in CSB individuals.

• #10 Structural brain differences related to compulsive sexual behavior disorder in: Journal of Behavioral Addictions Volume 12 Issue 1 (2023)

  https://akjournals.com/view/journals/2006/12/1/article-p278.xml

  This also suggests that the brain metrics investigated may have functional relevance in CSBD. […] Importantly, however, the posterior cingulate cortex is implicated in reward processing, which aligns with the theory that reward-related processes are impacted in CSBD. […] Results from previous studies and the present study are in line with the notion that CSBD is associated with brain alterations in areas implicated in sensitization, habituation, impulse control, and reward processing.

• #11 Compulsive sexual behavior: A nonjudgmental approach | MDedge

  https://blogs.the-hospitalist.org/content/compulsive-sexual-behavior-nonjudgmental-approach

  Accurately diagnosing CSB is difficult because of a lack of consensus about the diagnostic criteria for the disorder. […] These 2 proposed approaches to diagnosis are somewhat similar. Both suggest that the core underlying issues involve sexual urges or behaviors that are difficult to control and that lead to psychosocial dysfunction. […] One imaging study that compared participants with and without CSB found that participants with CSB had higher activity in the ventral striatum, anterior cingulate cortex, and amygdala relative to controls during a cue-reactivity functional MRI task. These findings show notable similarities to the patterns of activation seen in patients addicted to drugs when assessed using drug-craving paradigms. An additional neuroimaging study assessing patients with hypersexuality using diffusion tensor imaging noted that diffusivity in a prefrontal white matter tract within a superior frontal region was greater in patients with CSB. This study also indicated that there was a negative correlation between observed diffusion in the noted location and overall severity score for CSB symptoms such as frequency of urges or behaviors.

• #12 Compulsive sexual behavior: A nonjudgmental approach | MDedge

  https://community.the-hospitalist.org/content/compulsive-sexual-behavior-nonjudgmental-approach

  Accurately diagnosing CSB is difficult because of a lack of consensus about the diagnostic criteria for the disorder. […] These 2 proposed approaches to diagnosis are somewhat similar. Both suggest that the core underlying issues involve sexual urges or behaviors that are difficult to control and that lead to psychosocial dysfunction. […] One imaging study that compared participants with and without CSB found that participants with CSB had higher activity in the ventral striatum, anterior cingulate cortex, and amygdala relative to controls during a cue-reactivity functional MRI task. These findings show notable similarities to the patterns of activation seen in patients addicted to drugs when assessed using drug-craving paradigms. An additional neuroimaging study assessing patients with hypersexuality using diffusion tensor imaging noted that diffusivity in a prefrontal white matter tract within a superior frontal region was greater in patients with CSB. This study also indicated that there was a negative correlation between observed diffusion in the noted location and overall severity score for CSB symptoms such as frequency of urges or behaviors.

• #13 Compulsive sexual behavior: A nonjudgmental approach | MDedge

  https://blogs.the-hospitalist.org/content/compulsive-sexual-behavior-nonjudgmental-approach

  Accurately diagnosing CSB is difficult because of a lack of consensus about the diagnostic criteria for the disorder. […] These 2 proposed approaches to diagnosis are somewhat similar. Both suggest that the core underlying issues involve sexual urges or behaviors that are difficult to control and that lead to psychosocial dysfunction. […] One imaging study that compared participants with and without CSB found that participants with CSB had higher activity in the ventral striatum, anterior cingulate cortex, and amygdala relative to controls during a cue-reactivity functional MRI task. These findings show notable similarities to the patterns of activation seen in patients addicted to drugs when assessed using drug-craving paradigms. An additional neuroimaging study assessing patients with hypersexuality using diffusion tensor imaging noted that diffusivity in a prefrontal white matter tract within a superior frontal region was greater in patients with CSB. This study also indicated that there was a negative correlation between observed diffusion in the noted location and overall severity score for CSB symptoms such as frequency of urges or behaviors.

• #14 Compulsive sexual behavior | Beacon Health System

  https://www.beaconhealthsystem.org/library/diseases-and-conditions/compulsive-sexual-behavior?content_id=CON-20319256

  Compulsive sexual behavior may involve different kinds of commonly enjoyable sexual experiences. […] Although the exact causes of compulsive sexual behavior are not clear, possible causes may include: Changes in brain pathways. Compulsive sexual behavior, over time, might cause changes in the brain’s pathways, called neural circuits. This may happen especially in areas of the brain that are related to reinforcement. Over time, more-intense sexual content and stimulation are usually needed to get satisfaction or relief. […] An imbalance of natural brain chemicals. Certain chemicals in your brain called neurotransmitters such as serotonin, dopamine and norepinephrine help control your mood. When these are out of balance, your sexual desire and behavior could be affected. […] Conditions that affect the brain. Certain health conditions, such as dementia, may cause damage to parts of the brain that affect sexual behavior. Also, treatment of Parkinson’s disease with certain medicines may cause compulsive sexual behavior.

• #15 Compulsive sexual behavior – Hancock Health

  https://www.hancockhealth.org/mayo-health-library/compulsive-sexual-behavior/

  Compulsive sexual behavior is sometimes called hypersexuality or sexual addiction. Its an intense focus on sexual fantasies, urges or behaviors that cant be controlled. This causes distress and problems for your health, job, relationships or other parts of your life. […] Compulsive sexual behavior may involve different kinds of commonly enjoyable sexual experiences. Examples include masturbation, sexual arousal by using a computer to communicate, multiple sexual partners, use of pornography or paying for sex. But when these sexual behaviors become a major, constant focus in your life, are difficult to control, cause problems in your life, or are harmful to you or others, thats likely compulsive sexual behavior. […] Although the exact causes of compulsive sexual behavior are not clear, possible causes may include: Changes in brain pathways. Compulsive sexual behavior, over time, might cause changes in the brains pathways, called neural circuits. This may happen especially in areas of the brain that are related to reinforcement. Over time, more-intense sexual content and stimulation are usually needed to get satisfaction or relief.

• #16 Sexual addiction – Wikipedia

  https://en.wikipedia.org/wiki/Sexual_addiction

  Sexual addiction is a state characterized by compulsive participation or engagement in sexual activity, particularly sexual intercourse, despite negative consequences. […] Animal research has established that compulsive sexual behavior arises from the same transcriptional and epigenetic mechanisms that mediate drug addiction in laboratory animals. […] Animal research involving rats that exhibit compulsive sexual behavior has identified that this behavior is mediated through the same molecular mechanisms in the brain that mediate drug addiction. […] Chronic and excessive activation of certain pathways within the reward system and the accumulation of FosB in a specific group of neurons within the nucleus accumbens has been directly implicated in the development of the compulsive behavior that characterizes addiction.

• #17 Sexual addiction – Wikipedia

  https://en.wikipedia.org/wiki/Sexual_addiction

  Sexual addiction is a state characterized by compulsive participation or engagement in sexual activity, particularly sexual intercourse, despite negative consequences. […] Animal research has established that compulsive sexual behavior arises from the same transcriptional and epigenetic mechanisms that mediate drug addiction in laboratory animals. […] Animal research involving rats that exhibit compulsive sexual behavior has identified that this behavior is mediated through the same molecular mechanisms in the brain that mediate drug addiction. […] Chronic and excessive activation of certain pathways within the reward system and the accumulation of FosB in a specific group of neurons within the nucleus accumbens has been directly implicated in the development of the compulsive behavior that characterizes addiction.

• #18 Sexual addiction – Wikipedia

  https://en.wikipedia.org/wiki/Sexual_addiction

  In humans, a dopamine dysregulation syndrome, characterized by drug-induced compulsive engagement in sexual activity or gambling, has also been observed in some individuals taking dopaminergic medications. […] FosB is the most significant gene transcription factor involved in addiction, since its viral or genetic overexpression in the nucleus accumbens is necessary and sufficient for most of the neural adaptations and plasticity that occur; it has been implicated in addictions to alcohol, cannabinoids, cocaine, nicotine, opioids, phenylcyclidine, and substituted amphetamines. […] FosB also plays an important role in regulating behavioral responses to natural rewards, such as palatable food, sex, and exercise. […] Thus, FosB is also the key transcription factor involved in addictions to natural rewards as well, and sexual addictions in particular, since FosB in the nucleus accumbens is critical for the reinforcing effects of sexual reward. […] Research on the interaction between natural and drug rewards suggests that psychostimulants and sexual reward possess cross-sensitization effects and act on common biomolecular mechanisms of addiction-related neuroplasticity which are mediated through FosB.

• #19 Sexual addiction – Wikipedia

  https://en.wikipedia.org/wiki/Sexual_addiction

  In humans, a dopamine dysregulation syndrome, characterized by drug-induced compulsive engagement in sexual activity or gambling, has also been observed in some individuals taking dopaminergic medications. […] FosB is the most significant gene transcription factor involved in addiction, since its viral or genetic overexpression in the nucleus accumbens is necessary and sufficient for most of the neural adaptations and plasticity that occur; it has been implicated in addictions to alcohol, cannabinoids, cocaine, nicotine, opioids, phenylcyclidine, and substituted amphetamines. […] FosB also plays an important role in regulating behavioral responses to natural rewards, such as palatable food, sex, and exercise. […] Thus, FosB is also the key transcription factor involved in addictions to natural rewards as well, and sexual addictions in particular, since FosB in the nucleus accumbens is critical for the reinforcing effects of sexual reward. […] Research on the interaction between natural and drug rewards suggests that psychostimulants and sexual reward possess cross-sensitization effects and act on common biomolecular mechanisms of addiction-related neuroplasticity which are mediated through FosB.

• #20 Compulsive sexual behavior | Beacon Health System

  https://www.beaconhealthsystem.org/library/diseases-and-conditions/compulsive-sexual-behavior?content_id=CON-20319256

  Compulsive sexual behavior may involve different kinds of commonly enjoyable sexual experiences. […] Although the exact causes of compulsive sexual behavior are not clear, possible causes may include: Changes in brain pathways. Compulsive sexual behavior, over time, might cause changes in the brain’s pathways, called neural circuits. This may happen especially in areas of the brain that are related to reinforcement. Over time, more-intense sexual content and stimulation are usually needed to get satisfaction or relief. […] An imbalance of natural brain chemicals. Certain chemicals in your brain called neurotransmitters such as serotonin, dopamine and norepinephrine help control your mood. When these are out of balance, your sexual desire and behavior could be affected. […] Conditions that affect the brain. Certain health conditions, such as dementia, may cause damage to parts of the brain that affect sexual behavior. Also, treatment of Parkinson’s disease with certain medicines may cause compulsive sexual behavior.

• #21 Compulsive sexual behavior | UM Health-Sparrow

  https://www.uofmhealthsparrow.org/departments-conditions/conditions/compulsive-sexual-behavior

  Compulsive sexual behavior is sometimes called hypersexuality or sexual addiction. It’s an intense focus on sexual fantasies, urges or behaviors that can’t be controlled. This causes distress and problems for your health, job, relationships or other parts of your life. […] Although the exact causes of compulsive sexual behavior are not clear, possible causes may include: Changes in brain pathways. Compulsive sexual behavior, over time, might cause changes in the brain’s pathways, called neural circuits. This may happen especially in areas of the brain that are related to reinforcement. Over time, more-intense sexual content and stimulation are usually needed to get satisfaction or relief. […] An imbalance of natural brain chemicals. Certain chemicals in your brain called neurotransmitters such as serotonin, dopamine and norepinephrine help control your mood. When these are out of balance, your sexual desire and behavior could be affected.

• #22 Sex Addiction: Causes, Symptoms, Treatment & Recovery

  https://www.mainspringrecovery.com/blog/sex-addiction-recovery

  Sex addiction, also known as compulsive sexual behavior disorder, is a complex and multifaceted condition that affects individuals from various backgrounds. […] The causes of sex addiction are diverse and can be attributed to a combination of biological, psychological, and social factors. These factors contribute to the development of compulsive sexual behavior. […] The constant release of dopamine, a neurotransmitter associated with pleasure, during sexual activity can play a significant role in the development of sex addiction. This release of dopamine can create a reinforcing cycle that drives individuals to seek more sexual experiences. […] Psychological factors, such as low self-esteem, trauma, or unresolved emotional issues, can contribute to the development of sex addiction. Engaging in compulsive sexual behavior may serve as a coping mechanism or a way to escape from emotional pain or stress.

• #23 Causes of Sex Addiction Unveiled

  https://www.prescotthouse.com/blog/sex-addiction-causes

  Trauma, whether sexual or not, can have a profound impact on individuals and their relationship with sex. Some individuals who have experienced trauma may develop a fixation on sexual experiences as a way to cope with or recreate the traumatic event. […] Genetic factors play a significant role in addiction, including sex addiction. Studies have shown that genetic variations can affect how substances or behaviors are experienced and processed in the body and brain. […] Sexual activity triggers the release of feel-good chemicals in the brain, such as dopamine, oxytocin, serotonin, and endorphins. These neurotransmitters are associated with pleasure, reward, and bonding. The repeated release of these chemicals during sexual activity can lead to dependence and addiction, as the brain associates sexual behavior with a pleasurable experience.

• #24

  https://link.springer.com/article/10.1007/s40429-021-00403-6

  Compulsive sexual behavior disorder has been recently included in the 11th revision of the International Classification of Diseases (ICD-11), and the possible contribution of neurochemical and hormonal factors have been reported. […] Evidence suggests that the neuroendocrine systems are involved in the pathophysiology of compulsive sexual behavior. The hypothalamus-pituitary adrenal axis, the hypothalamus-pituitarygonadal axis, and the oxytocinergic system have been implicated. […] Further studies are needed to elucidate the exact involvement of neuroendocrine and hormonal systems in compulsive sexual behavior disorder. […] Precise pathophysiological mechanisms, including underlying CSBD and neurochemical alternations, remain largely unknown. […] Dysregulation of the HPA axis, evidenced by the dexamethasone suppression test (DST), has been linked to suicidality and reported in different psychiatric disorders including depression and addiction.

• #25 Neurochemical and Hormonal Contributors to Compulsive Sexual Behavior Disorder | springermedizin.de

  https://www.springermedizin.de/neurochemical-and-hormonal-contributors-to-compulsive-sexual-beh/25647314

  Compulsive sexual behavior disorder has been recently included in the 11th revision of the International Classification of Diseases (ICD-11), and the possible contribution of neurochemical and hormonal factors have been reported. […] Evidence suggests that the neuroendocrine systems are involved in the pathophysiology of compulsive sexual behavior. The hypothalamus-pituitary adrenal axis, the hypothalamus-pituitarygonadal axis, and the oxytocinergic system have been implicated. […] Further studies are needed to elucidate the exact involvement of neuroendocrine and hormonal systems in compulsive sexual behavior disorder. […] Dysregulation of the HPA axis, evidenced by the dexamethasone suppression test (DST), has been linked to suicidality and reported in different psychiatric disorders including depression and addiction.

• #26

  https://link.springer.com/article/10.1007/s40429-021-00403-6

  Compulsive sexual behavior disorder has been recently included in the 11th revision of the International Classification of Diseases (ICD-11), and the possible contribution of neurochemical and hormonal factors have been reported. […] Evidence suggests that the neuroendocrine systems are involved in the pathophysiology of compulsive sexual behavior. The hypothalamus-pituitary adrenal axis, the hypothalamus-pituitarygonadal axis, and the oxytocinergic system have been implicated. […] Further studies are needed to elucidate the exact involvement of neuroendocrine and hormonal systems in compulsive sexual behavior disorder. […] Precise pathophysiological mechanisms, including underlying CSBD and neurochemical alternations, remain largely unknown. […] Dysregulation of the HPA axis, evidenced by the dexamethasone suppression test (DST), has been linked to suicidality and reported in different psychiatric disorders including depression and addiction.

• #27 Neurochemical and Hormonal Contributors to Compulsive Sexual Behavior Disorder | springermedizin.de

  https://www.springermedizin.de/neurochemical-and-hormonal-contributors-to-compulsive-sexual-beh/25647314

  HPA axis was not explicitly investigated in CSBD until recently when we reported for the first time that DST non-suppression status was significantly more prevalent in men with HD compared to healthy volunteers. […] The hypothalamus-pituitarygonadal (HPG) axis is directly involved in sexual behavior with testosterone being essential for maintaining a healthy sexual life. […] In our study investigating the HPG axis, we found higher LH plasma levels in men with CSBD compared to those without. […] The neuropeptide oxytocin, involved in reproduction, prosocial, stress regulation, affiliative behavior, and addiction, has recently been reported to be involved in sexual behavior. […] Preliminary data from our lab, for the first time, report higher oxytocin plasma levels in men with CSBD compared with those in healthy volunteers and that oxytocin levels are significantly positively correlated with CSBD symptom severity. […] We have presented recent findings regarding the involvement of key neuroendocrine systems including the HPA axis, the HPG axis, and the oxytocinergic system in CSBD.

• #28

  https://link.springer.com/article/10.1007/s40429-021-00403-6

  HPA axis was not explicitly investigated in CSBD until recently when we reported for the first time that DST non-suppression status was significantly more prevalent in men with HD compared to healthy volunteers. […] The hypothalamus-pituitarygonadal (HPG) axis is directly involved in sexual behavior with testosterone being essential for maintaining a healthy sexual life. […] Interestingly, testosterone supplementation has been reported to enhance sexual function, and although there is some support for increased libido, results remain mixed. […] In our study investigating the HPG axis, we found higher LH plasma levels in men with CSBD compared to those without. […] The neuropeptide oxytocin, involved in reproduction, prosocial, stress regulation, affiliative behavior, and addiction, has recently been reported to be involved in sexual behavior.

• #29 Neurochemical and Hormonal Contributors to Compulsive Sexual Behavior Disorder | springermedizin.de

  https://www.springermedizin.de/neurochemical-and-hormonal-contributors-to-compulsive-sexual-beh/25647314

  HPA axis was not explicitly investigated in CSBD until recently when we reported for the first time that DST non-suppression status was significantly more prevalent in men with HD compared to healthy volunteers. […] The hypothalamus-pituitarygonadal (HPG) axis is directly involved in sexual behavior with testosterone being essential for maintaining a healthy sexual life. […] In our study investigating the HPG axis, we found higher LH plasma levels in men with CSBD compared to those without. […] The neuropeptide oxytocin, involved in reproduction, prosocial, stress regulation, affiliative behavior, and addiction, has recently been reported to be involved in sexual behavior. […] Preliminary data from our lab, for the first time, report higher oxytocin plasma levels in men with CSBD compared with those in healthy volunteers and that oxytocin levels are significantly positively correlated with CSBD symptom severity. […] We have presented recent findings regarding the involvement of key neuroendocrine systems including the HPA axis, the HPG axis, and the oxytocinergic system in CSBD.

• #30

  https://link.springer.com/article/10.1007/s40429-021-00403-6

  HPA axis was not explicitly investigated in CSBD until recently when we reported for the first time that DST non-suppression status was significantly more prevalent in men with HD compared to healthy volunteers. […] The hypothalamus-pituitarygonadal (HPG) axis is directly involved in sexual behavior with testosterone being essential for maintaining a healthy sexual life. […] Interestingly, testosterone supplementation has been reported to enhance sexual function, and although there is some support for increased libido, results remain mixed. […] In our study investigating the HPG axis, we found higher LH plasma levels in men with CSBD compared to those without. […] The neuropeptide oxytocin, involved in reproduction, prosocial, stress regulation, affiliative behavior, and addiction, has recently been reported to be involved in sexual behavior.

• #31

  https://link.springer.com/article/10.1007/s40429-021-00403-6

  Preliminary data from our lab, for the first time, report higher oxytocin plasma levels in men with CSBD compared with those in healthy volunteers and that oxytocin levels are significantly positively correlated with CSBD symptom severity. […] We have presented recent findings regarding the involvement of key neuroendocrine systems including the HPA axis, the HPG axis, and the oxytocinergic system in CSBD.

• #32 Compulsive sexual behavior | Beacon Health System

  https://www.beaconhealthsystem.org/library/diseases-and-conditions/compulsive-sexual-behavior?content_id=CON-20319256

  Compulsive sexual behavior may involve different kinds of commonly enjoyable sexual experiences. […] Although the exact causes of compulsive sexual behavior are not clear, possible causes may include: Changes in brain pathways. Compulsive sexual behavior, over time, might cause changes in the brain’s pathways, called neural circuits. This may happen especially in areas of the brain that are related to reinforcement. Over time, more-intense sexual content and stimulation are usually needed to get satisfaction or relief. […] An imbalance of natural brain chemicals. Certain chemicals in your brain called neurotransmitters such as serotonin, dopamine and norepinephrine help control your mood. When these are out of balance, your sexual desire and behavior could be affected. […] Conditions that affect the brain. Certain health conditions, such as dementia, may cause damage to parts of the brain that affect sexual behavior. Also, treatment of Parkinson’s disease with certain medicines may cause compulsive sexual behavior.

• #33 Treatment of Pramipexole-Induced Problematic Sexual Behaviors

  https://www.psychiatrist.com/pcc/treatment-of-pramipexole-induced-problematic-sexual-behaviors/

  Pramipexole is a dopaminergic pharmacologic agent with reported adverse effects that include hypersexuality, shift in sexual interests, pathological gambling, compulsive shopping, and binge eating. […] Unfortunately, pramipexole has been associated with adverse side effects including addictive and compulsive behaviors, hypersexuality, deviant sexual interests, pathological gambling, compulsive shopping, and binge eating.210 In many cases, the patient may not make the connection between using pramipexole and the emergence of compulsive interests and behaviors unless specifically asked by the prescribing physician, leading to underreporting of the actual frequency of these side effects. […] The 4 men in this case series reported impulsive sexual behaviors and increased problematic sexual interests during treatment with pramipexole.

• #34 Treatment of Pramipexole-Induced Problematic Sexual Behaviors

  https://www.psychiatrist.com/pcc/treatment-of-pramipexole-induced-problematic-sexual-behaviors/

  Pramipexole is a dopaminergic pharmacologic agent with reported adverse effects that include hypersexuality, shift in sexual interests, pathological gambling, compulsive shopping, and binge eating. […] Unfortunately, pramipexole has been associated with adverse side effects including addictive and compulsive behaviors, hypersexuality, deviant sexual interests, pathological gambling, compulsive shopping, and binge eating.210 In many cases, the patient may not make the connection between using pramipexole and the emergence of compulsive interests and behaviors unless specifically asked by the prescribing physician, leading to underreporting of the actual frequency of these side effects. […] The 4 men in this case series reported impulsive sexual behaviors and increased problematic sexual interests during treatment with pramipexole.

• #35 Treatment of Pramipexole-Induced Problematic Sexual Behaviors

  https://www.psychiatrist.com/pcc/treatment-of-pramipexole-induced-problematic-sexual-behaviors/

  Other case studies have reported increased compulsive sexual behavior after using pramipexole,25,26 as well as worsening of these symptoms when increasing the dose of pramipexole. […] Dopaminergic activity in the mesolimbic or reward pathway is associated with reports of compulsive behaviors that include compulsive eating, gambling, spending, and sex. […] Dopamine dysregulation syndrome (DDS) involves a pattern of behavior that can occur when dopaminergic drugs are used to treat PD. […] In the present case series, the dopaminergic medication, pramipexole, was related to onset or worsening of sexual interests and behaviors. […] Prescription of pramipexole to treat PD or RLS for the 4 men in this case series was associated with an increased desire for sexual stimulation. […] These observations support the hypothesis that pramipexole-associated sexual desire, arousal, and sex-seeking behavior may be effectively treated with testosterone-blocking agents.

• #36 Treatment of Pramipexole-Induced Problematic Sexual Behaviors

  https://www.psychiatrist.com/pcc/treatment-of-pramipexole-induced-problematic-sexual-behaviors/

  Other case studies have reported increased compulsive sexual behavior after using pramipexole,25,26 as well as worsening of these symptoms when increasing the dose of pramipexole. […] Dopaminergic activity in the mesolimbic or reward pathway is associated with reports of compulsive behaviors that include compulsive eating, gambling, spending, and sex. […] Dopamine dysregulation syndrome (DDS) involves a pattern of behavior that can occur when dopaminergic drugs are used to treat PD. […] In the present case series, the dopaminergic medication, pramipexole, was related to onset or worsening of sexual interests and behaviors. […] Prescription of pramipexole to treat PD or RLS for the 4 men in this case series was associated with an increased desire for sexual stimulation. […] These observations support the hypothesis that pramipexole-associated sexual desire, arousal, and sex-seeking behavior may be effectively treated with testosterone-blocking agents.

• #37 Problematic Sexual Behavior | Fermata Psychotherapy | Chicago, IL

  https://www.fermatapsychotherapy.com/problematic-sexual-behavior

  Problematic sexual behavior is a rarely understood and usually stigmatized phenomenon. […] The term „compulsive sexual behavior” was recognized in 2018 by the International Classification of Diseases (ICD) as diagnosable mental health condition. […] Problematic sexual behavior develops as a result of chronic complex trauma, including experiences of neglect, rejection, lack of safety, inconsistency, or physical or emotional abandonment during childhood. […] Those behaviors are but a symptom of deeper underlying issues, related to our conscious and unconscious views about ourselves and others. […] Some researchers suggest that some people have developed a compulsive, and sometimes exclusive, use of online pornography as a result of the unprecedented overstimulation available online, anywhere, anytime.

• #38 Hypersexuality as a Coping Mechanism: Overcoming Your Triggers | Integrative Life Center – Nashville, TN

  https://integrativelifecenter.com/intimacy-disorders/hypersexuality-as-a-coping-mechanism-overcoming-your-triggers/

  For those struggling with unresolved past trauma, they may turn to sex, porn, or masturbation to help them get by. Over time, these sexual pursuits can spiral into compulsive sexual behavior called hypersexuality disorder. […] When you have hypersexuality disorder, things in your daily life—called triggers—can easily make you want to act out sexually. […] This obsession with sex can manifest as excessive porn consumption, cybersex, or intrusive sexual fantasies. You may feel compelled to engage in increasingly hazardous sexual pursuits, such as paying for a sex worker or having sex with multiple partners—even strangers. This escalating compulsive sexual behavior can make a major impact on your life, damaging your career, your mental and physical health, and your relationships with the people you love most.

• #39 What is Hypersexuality Trauma Response? – Sabino Recovery

  https://www.sabinorecovery.com/what-is-hyper-sexuality-trauma/

  Sexual abuse can lead to feelings of shame, guilt, and confusion, which can result in hypersexual behavior. Children who experience sexual abuse may also engage in sexual behavior as a way to cope with the trauma they have experienced. This can lead to compulsive sexual behavior, which can be difficult to control and can have a negative impact on their relationships and daily life. […] Hypersexuality can lead to a variety of negative impacts on your relationships. You may find yourself obsessively seeking out sexual partners or engaging in risky sexual behaviors that put both you and your partners at risk. […] Hypersexuality can also lead to low self-esteem, as you may feel like you are unable to control your behavior or that your behavior is not acceptable. This can further exacerbate your hypersexual behavior, as you may turn to sex as a way to boost your self-esteem. […] Hypersexuality can also increase your risk of contracting sexually transmitted infections (STIs), as you may engage in risky sexual behavior. This can have serious consequences for your health and well-being, as well as the health and well-being of your sexual partners.

• #40 How to Stop Using Sex as a Coping Mechanism | Get Help Now

  https://icarusbehavioralhealth.com/blog/how-to-stop-using-sex-as-a-coping-mechanism/

  If the person doesn’t learn how to cope with the underlying trauma or feelings, they will find it almost impossible to regain control over their life and engage in healthy sexuality. […] Hypersexuality doesn’t fit the root cause. Without professional treatment, the unresolved trauma and emotional pain will continue to erode the person’s self-esteem. […] Many with hypersexuality also struggle with behaviors related to depression, anxiety, or other mental health disorders. Everything interconnects, but the person never developed the self-awareness to see it, because of their traumatic childhood.

• #41 Problematic Sexual Behavior | Fermata Psychotherapy | Chicago, IL

  https://www.fermatapsychotherapy.com/problematic-sexual-behavior

  Problematic sexual behavior is a rarely understood and usually stigmatized phenomenon. […] The term „compulsive sexual behavior” was recognized in 2018 by the International Classification of Diseases (ICD) as diagnosable mental health condition. […] Problematic sexual behavior develops as a result of chronic complex trauma, including experiences of neglect, rejection, lack of safety, inconsistency, or physical or emotional abandonment during childhood. […] Those behaviors are but a symptom of deeper underlying issues, related to our conscious and unconscious views about ourselves and others. […] Some researchers suggest that some people have developed a compulsive, and sometimes exclusive, use of online pornography as a result of the unprecedented overstimulation available online, anywhere, anytime.

• #42 Compulsive sexual behaviour disorder – Wikipedia

  https://en.wikipedia.org/wiki/Compulsive_sexual_behaviour_disorder

  Compulsive sexual behaviour disorder (CSBD) is a psychiatric disorder which manifests as a pattern of behavior involving intense preoccupation with sexual fantasies and behaviours that cause significant levels of mental distress, cannot be voluntarily curtailed, and risk or cause harm to oneself or others. […] CSBD is recognised by the World Health Organization (WHO) as an impulse-control disorder in the ICD-11. […] CSBD is defined as a persistent pattern of failure to control intense, repetitive sexual impulses or urges resulting in repetitive sexual behaviour. […] Some treatment guides suggest shame at the core of CSBD mechanism. The shame is associated with the cognitive schema of self-defectiveness, a feeling of social pain and isolation and functions in two ways. Firstly, chronic shame derived from social stigma or early traumatic experiences augments the soothing function of sexual behaviour. That makes sexual behaviour compulsive. Secondly, excessive or inappropriate sexual behaviour, as it is considered socially unacceptable, causes extra shame and forms a self-sustaining cycle of CSBD. Therefore, treatment is primarily aimed at shame reduction and social reintegration.

• #43 How to Stop Using Sex as a Coping Mechanism | Get Help Now

  https://icarusbehavioralhealth.com/blog/how-to-stop-using-sex-as-a-coping-mechanism/

  Sexual relationships are a natural, often beautiful part of the human experience. But for people who carry emotional pain, including past trauma, sexual encounters can become an addiction or unhealthy way of coping with negative emotions. […] Maladaptive coping mechanisms like a sex addiction come from deep internal pain. […] The cycle of sexual addiction behaviors follows a predictable pattern: emotional pain leads to sexual acts, the sexual experience provides temporary relief, feelings of guilt or shame follow, and the hollow emptiness restarts the loop of compulsive sexual behavior. […] Many who resort to compulsive sexual behavior suffer from trauma, abandonment, or extremely low self-worth. […] Clients with hypersexuality almost always struggle with depression, anxiety, shame, low self-esteem, or emotional numbness.

• #44

  https://healthmatch.io/ptsd/ptsd-and-hypersexuality

  Research has suggested that the PTSD-hypersexuality link is mediated by shame, guilt, and depression. […] People also often feel tremendous guilt or shame in line with their trauma, which can promote hypersexual behavior. […] Many people feel hypersexual impulses as their brains are focused on the trauma. They can enter an unhealthy cycle where they seemingly reenact their trauma. […] Some researchers suggest that when trauma occurs at an early age, it can affect how the child bonds with their parents and others. […] Intimacy issues can appear in the form of hypersexuality. […] Both PTSD and CSB are psychologically and physiologically challenging disorders. While not everyone with CSB has comorbid PTSD, it can occur in many cases. Factors such as guilt, shame, and depression mediate this relationship.

• #45

  https://link.springer.com/article/10.1007/s11930-018-0176-z

  The current review summarizes the latest findings concerning neurobiological mechanisms of compulsive sexual behavior disorder (CSBD) and provides recommendations for future research specific to the diagnostic classification of the condition. […] Compulsive sexual behavior is associated with altered functioning in brain regions and networks implicated in sensitization, habituation, impulse dyscontrol, and reward processing in patterns like substance, gambling, and gaming addictions. Key brain regions linked to compulsive sexual behavior features include the frontal and temporal cortices, amygdala, and striatum, including the nucleus accumbens. […] Although previous research has helped to highlight some underlying mechanisms of the condition, additional investigations are needed to fully understand this phenomenon and resolve classification issues surrounding CSBD. […] This article describes possible neurobiological mechanisms of compulsive sexual behavior. […] This study integrated structural MRI and resting-state functional MRI to investigate alterations within brain regions in CSB individuals.

• #46 Neurocognitive Mechanisms in Compulsive Sexual Behavior Disorder – Culture Reframed

  https://culturereframed.org/library-article/neurocognitive-mechanisms-in-compulsive-sexual-behavior-disorder/

  Summary: Despite much neuroscience research finding many similarities between CSBD and substance and behavioral addictions, the World Health Organization included CSBD in the ICD-11 as an impulse-control disorder. Although previous research has helped to highlight some underlying mechanisms of the condition, additional investigations are needed to fully understand this phenomenon and resolve classification issues surrounding CSBD.

• #47 Sexual addiction – Wikipedia

  https://en.wikipedia.org/wiki/Sexual_addiction

  In humans, a dopamine dysregulation syndrome, characterized by drug-induced compulsive engagement in sexual activity or gambling, has also been observed in some individuals taking dopaminergic medications. […] FosB is the most significant gene transcription factor involved in addiction, since its viral or genetic overexpression in the nucleus accumbens is necessary and sufficient for most of the neural adaptations and plasticity that occur; it has been implicated in addictions to alcohol, cannabinoids, cocaine, nicotine, opioids, phenylcyclidine, and substituted amphetamines. […] FosB also plays an important role in regulating behavioral responses to natural rewards, such as palatable food, sex, and exercise. […] Thus, FosB is also the key transcription factor involved in addictions to natural rewards as well, and sexual addictions in particular, since FosB in the nucleus accumbens is critical for the reinforcing effects of sexual reward. […] Research on the interaction between natural and drug rewards suggests that psychostimulants and sexual reward possess cross-sensitization effects and act on common biomolecular mechanisms of addiction-related neuroplasticity which are mediated through FosB.

• #48 Sexual addiction – Wikipedia

  https://en.wikipedia.org/wiki/Sexual_addiction

  In humans, a dopamine dysregulation syndrome, characterized by drug-induced compulsive engagement in sexual activity or gambling, has also been observed in some individuals taking dopaminergic medications. […] FosB is the most significant gene transcription factor involved in addiction, since its viral or genetic overexpression in the nucleus accumbens is necessary and sufficient for most of the neural adaptations and plasticity that occur; it has been implicated in addictions to alcohol, cannabinoids, cocaine, nicotine, opioids, phenylcyclidine, and substituted amphetamines. […] FosB also plays an important role in regulating behavioral responses to natural rewards, such as palatable food, sex, and exercise. […] Thus, FosB is also the key transcription factor involved in addictions to natural rewards as well, and sexual addictions in particular, since FosB in the nucleus accumbens is critical for the reinforcing effects of sexual reward. […] Research on the interaction between natural and drug rewards suggests that psychostimulants and sexual reward possess cross-sensitization effects and act on common biomolecular mechanisms of addiction-related neuroplasticity which are mediated through FosB.

• #49 Compulsive Sexual Behavior Is Now Recognized as a Disorder, But It isn’t the Same as Sex Addiction | SELF

  https://www.self.com/story/compulsive-sexual-behavior-disorder-who

  A 2016 literature review co-authored by Kraus cited neuroimaging studies showing the same systems in the brain may be involved in both compulsive sexual behavior and substance abuse. […] But the evidence isn’t definitive, at least not yet. […] Reid points out that despite some overlap, CSBD also lacks key features associated with addiction. […] There just isn’t enough proof demonstrating CSBD closely mirrors addiction, whereas with gambling addiction, for example, two of the diagnostic criteria laid out by the APA are a need to gamble with increasing amount of money to achieve the desired excitement (e.g. tolerance-building) and being restless or irritable when trying to cut down or stop gambling (e.g. withdrawal). […] What we call something in public discourse shapes our understanding of what the issue is.

• #50 Compulsive Sexual Behavior Is Now Recognized as a Disorder, But It isn’t the Same as Sex Addiction | SELF

  https://www.self.com/story/compulsive-sexual-behavior-disorder-who

  A 2016 literature review co-authored by Kraus cited neuroimaging studies showing the same systems in the brain may be involved in both compulsive sexual behavior and substance abuse. […] But the evidence isn’t definitive, at least not yet. […] Reid points out that despite some overlap, CSBD also lacks key features associated with addiction. […] There just isn’t enough proof demonstrating CSBD closely mirrors addiction, whereas with gambling addiction, for example, two of the diagnostic criteria laid out by the APA are a need to gamble with increasing amount of money to achieve the desired excitement (e.g. tolerance-building) and being restless or irritable when trying to cut down or stop gambling (e.g. withdrawal). […] What we call something in public discourse shapes our understanding of what the issue is.

• #51 Neurocognitive Mechanisms in Compulsive Sexual Behavior Disorder – Culture Reframed

  https://culturereframed.org/library-article/neurocognitive-mechanisms-in-compulsive-sexual-behavior-disorder/

  Summary: Despite much neuroscience research finding many similarities between CSBD and substance and behavioral addictions, the World Health Organization included CSBD in the ICD-11 as an impulse-control disorder. Although previous research has helped to highlight some underlying mechanisms of the condition, additional investigations are needed to fully understand this phenomenon and resolve classification issues surrounding CSBD.

• #52 Compulsive sexual behavior: A nonjudgmental approach | MDedge

  https://blogs.the-hospitalist.org/content/compulsive-sexual-behavior-nonjudgmental-approach

  Compulsive sexual behavior (CSB), also referred to as sexual addiction or hypersexuality, is characterized by repetitive and intense preoccupations with sexual fantasies, urges, and behaviors that are distressing to the individual and/or result in psychosocial impairment. Individuals with CSB often perceive their sexual behavior to be excessive but are unable to control it. CSB can involve fantasies and urges in addition to or in place of the behavior but must cause clinically significant distress and interference in daily life to qualify as a disorder. […] Various suggestions have been proposed for the classification of compulsive sexual behavior (CSB). It may be related to obsessive-compulsive disorder (OCD), forming an obsessive-compulsive spectrum; to mood disorders (an affective spectrum disorder); or as a symptom of relationship problems, intimacy, and self-esteem. Grouping CSB within either an obsessive-compulsive or an affective spectrum is based on symptom similarities, comorbidities, family history, and treatment responses. Similar to persons with OCD, CSB patients report repetitive thoughts and behaviors. Unlike OCD, however, the sexual behavior of CSB is pleasurable and often is driven by cravings or urges. Given these descriptions, CSB also may share features of substance use disorders, and has generated a theory of sexual behavior being an addiction. There is still much debate as to how best to understand this cluster of symptoms and behaviors as a separate disorder or as a symptom of an underlying problem. DSM-5 did not find sufficient reason to designate sexual addiction as a psychiatric disorder.

• #53 Compulsive sexual behavior | UM Health-Sparrow

  https://www.uofmhealthsparrow.org/departments-conditions/conditions/compulsive-sexual-behavior

  Conditions that affect the brain. Certain health conditions, such as dementia, may cause damage to parts of the brain that affect sexual behavior. Also, treatment of Parkinson’s disease with certain medicines may cause compulsive sexual behavior. […] Many mental health professionals use the Diagnostic and Statistical Manual of Mental Disorders (DSM-5-TR), published by the American Psychiatric Association, as a guide for diagnosing mental health conditions. Compulsive sexual behavior is not listed in the DSM-5-TR as a diagnosis, but sometimes it’s diagnosed as part of another mental health condition, such as an impulse control disorder or a behavioral addiction. […] In the eleventh revision of the International Classification of Diseases (ICD-11), the World Health Organization defines compulsive sexual behavior disorder as an impulse control disorder.

• #54 Compulsive sexual behaviour disorder – Wikipedia

  https://en.wikipedia.org/wiki/Compulsive_sexual_behaviour_disorder

  Given that we do not yet have definitive information on whether the processes involved in the onset and maintenance of the disorder are equivalent to substance abuse disorders, gambling, and gaming, CSBD is not included in the grouping of disorders due to substance and addictive behaviors, but rather in that of impulse control disorders.

• #55 Compulsive sexual behavior – Hancock Health

  https://www.hancockhealth.org/mayo-health-library/compulsive-sexual-behavior/

  An imbalance of natural brain chemicals. Certain chemicals in your brain called neurotransmitters such as serotonin, dopamine and norepinephrine help control your mood. When these are out of balance, your sexual desire and behavior could be affected. […] Conditions that affect the brain. Certain health conditions, such as dementia, may cause damage to parts of the brain that affect sexual behavior. Also, treatment of Parkinsons disease with certain medicines may cause compulsive sexual behavior. […] Compulsive sexual behavior can happen in both men and women, though it may be more common in men. It can affect anyone, regardless of sexual orientation. Factors that may increase the risk of compulsive sexual behavior include: How easy it is to get sexual content. Advances in technology and social media give people easy access to intense sexual images and information.

• #56 Compulsive sexual behavior – Hancock Health

  https://www.hancockhealth.org/mayo-health-library/compulsive-sexual-behavior/

  An imbalance of natural brain chemicals. Certain chemicals in your brain called neurotransmitters such as serotonin, dopamine and norepinephrine help control your mood. When these are out of balance, your sexual desire and behavior could be affected. […] Conditions that affect the brain. Certain health conditions, such as dementia, may cause damage to parts of the brain that affect sexual behavior. Also, treatment of Parkinsons disease with certain medicines may cause compulsive sexual behavior. […] Compulsive sexual behavior can happen in both men and women, though it may be more common in men. It can affect anyone, regardless of sexual orientation. Factors that may increase the risk of compulsive sexual behavior include: How easy it is to get sexual content. Advances in technology and social media give people easy access to intense sexual images and information.

• #57 Compulsive sexual behavior – Hancock Health

  https://www.hancockhealth.org/mayo-health-library/compulsive-sexual-behavior/

  Privacy. The secret and private nature of compulsive sexual activities can allow these problems to worsen over time. […] Because the cause of compulsive sexual behavior isnt known, its not clear how to prevent it. But a few things may help you keep control of problem behavior: Get help early for problems with sexual behavior. Identifying and treating early problems may help prevent compulsive sexual behavior from getting worse over time. Getting help also may prevent shame, relationship problems and harmful acts from getting worse. […] Seek treatment early for mental health conditions. Depression, anxiety or other mental health conditions can make compulsive sexual behavior worse. […] Get help for problems with alcohol and drug use. These can cause a loss of control that leads to poor judgment and sexual behaviors that arent healthy.

• #58 Compulsive sexual behavior – Hancock Health

  https://www.hancockhealth.org/mayo-health-library/compulsive-sexual-behavior/

  Privacy. The secret and private nature of compulsive sexual activities can allow these problems to worsen over time. […] Because the cause of compulsive sexual behavior isnt known, its not clear how to prevent it. But a few things may help you keep control of problem behavior: Get help early for problems with sexual behavior. Identifying and treating early problems may help prevent compulsive sexual behavior from getting worse over time. Getting help also may prevent shame, relationship problems and harmful acts from getting worse. […] Seek treatment early for mental health conditions. Depression, anxiety or other mental health conditions can make compulsive sexual behavior worse. […] Get help for problems with alcohol and drug use. These can cause a loss of control that leads to poor judgment and sexual behaviors that arent healthy.

• #59 The Connections Between Mental Health and Sex Addiction

  https://keystonecenterecu.net/blog/the-real-connections-between-mental-health-and-sex-addiction/

  Sex addiction, also known as compulsive sexual behavior, has been defined as an excessive focus on and participation in sexual activities despite negative consequences. It can have extreme consequences on one’s emotional, psychological and social well-being. […] For 88% of those with a sex addiction, mental illnesses play a key role. […] People with traumatic backgrounds may develop trauma responses that manifest as compulsive sexual behaviors. This can include developing a sense of unworthiness (which can cause guilt and shame in sexual experiences), extreme risk-taking with the goal of achieving fleeting pleasure and re-creation of the traumatic experience, also called trauma reenactment. […] Sexual addiction and depression often go hand in hand. Research shows approximately 40% of sex addicts also have a history of mood disorders such as depression.

• #60 Compulsive sexual behavior – Hancock Health

  https://www.hancockhealth.org/mayo-health-library/compulsive-sexual-behavior/

  Privacy. The secret and private nature of compulsive sexual activities can allow these problems to worsen over time. […] Because the cause of compulsive sexual behavior isnt known, its not clear how to prevent it. But a few things may help you keep control of problem behavior: Get help early for problems with sexual behavior. Identifying and treating early problems may help prevent compulsive sexual behavior from getting worse over time. Getting help also may prevent shame, relationship problems and harmful acts from getting worse. […] Seek treatment early for mental health conditions. Depression, anxiety or other mental health conditions can make compulsive sexual behavior worse. […] Get help for problems with alcohol and drug use. These can cause a loss of control that leads to poor judgment and sexual behaviors that arent healthy.

• #61 The Connections Between Mental Health and Sex Addiction

  https://keystonecenterecu.net/blog/the-real-connections-between-mental-health-and-sex-addiction/

  Bipolar disorder can be both a cause and a symptom of compulsive sexual behavior, as untreated bipolar disorder may lead to behaviors consistent with sex addiction. […] Research has shown that sexual addiction and substance abuse are often correlated. An estimated 40-64% of sex addicts also suffer from substance abuse disorders. […] Understanding the connections between mental health and sex addiction is crucial to developing a holistic and empathetic approach to treatment.

• #62 Hypersexual Behavior: Could You Be Addicted To Sex?

  https://www.verywellhealth.com/hypersexuality-disorder-5205366

  Individuals with easy access to sexual content or material may have a higher risk of developing compulsive sexual behavior. Additionally, mental health conditions such as anxiety, depression, or addiction may also be risk factors. […] Treatment for compulsive sexual behavior can vary based on underlying issues. […] Although hypersexuality is not a symptom of ADHD, studies have also found that childhood ADHD may be associated with hypersexual behavior as an adult. […] If a mood disorder, anxiety disorder, or substance use disorder is the cause, a healthcare provider may recommend the following medications: Mood stabilizers: For patients with mood disorders such as bipolar disorder. Hypersexual behavior may occur during a manic episode. Antidepressants: Can reduce urges in individuals with anxiety and depression. Naltrexone: Used to manage impulses that occur alongside alcohol use disorder and/or opioid addiction (sometimes coupled with antidepressants).

• #63 Compulsive sexual behavior and paraphilic interests in adults with chronic tic disorders and Tourette syndrome: a survey-based study | International Journal of Impotence Research

  https://www.nature.com/articles/s41443-023-00729-x

  Our findings revealed no significant relation between overall CSB scores and sex or antipsychotic medication. […] However, all participants who met the criteria of a clinically significant CSB (HBI53 points) were male. […] We also found an association between self-reported scores consistent with the presence of ADHD and CSB. […] We reported a prevalence of 19.4% for PI in our primary tic cohort. […] This discrepancy may be related to the definition of paraphilic content. […] Importantly, our results diverge from earlier reports on this topic in the TS population. […] Although our results did not reveal any significant effects of current symptoms consistent with the diagnosis of ADHD on PI, there was an association between a preexisting diagnosis of ADHD and the presence of PI. […] Finally, we did not find any effects of antipsychotic medication on PI. […] We did not find evidence for a high prevalence of CSB or PI in adults with a primary tic disorder. There was, however, a relevant association between comorbid ADHD and both CSB and PI, which should be considered in the diagnostic and therapeutic work-up of these patients.

• #64 Hypersexuality as a Coping Mechanism: Overcoming Your Triggers | Integrative Life Center – Nashville, TN

  https://integrativelifecenter.com/intimacy-disorders/hypersexuality-as-a-coping-mechanism-overcoming-your-triggers/

  When you have hypersexuality disorder, both external and internal sexual triggers can set you down a path of compulsive thoughts or behaviors. […] The context of these triggers may be twofold. They could be a negative feeling that you want to flee from strongly. Or, they may be an intense reminder of some sexual pleasure you’ve experienced in the past. […] Knowing your triggers is one of the key initial steps toward long-term healing from hypersexuality and trauma. […] Compulsive sexual triggers can come from anywhere throughout your day, and not everyone will have the same triggers. […] There are often several healthier ways to cope with trauma and unwanted feelings than compulsive sexual behavior. […] By partnering with us, you can both heal from past trauma and reclaim the life you deserve, free from sex addiction.

• #65 Hypersexuality as a Coping Mechanism: Overcoming Your Triggers | Integrative Life Center – Nashville, TN

  https://integrativelifecenter.com/intimacy-disorders/hypersexuality-as-a-coping-mechanism-overcoming-your-triggers/

  When you have hypersexuality disorder, both external and internal sexual triggers can set you down a path of compulsive thoughts or behaviors. […] The context of these triggers may be twofold. They could be a negative feeling that you want to flee from strongly. Or, they may be an intense reminder of some sexual pleasure you’ve experienced in the past. […] Knowing your triggers is one of the key initial steps toward long-term healing from hypersexuality and trauma. […] Compulsive sexual triggers can come from anywhere throughout your day, and not everyone will have the same triggers. […] There are often several healthier ways to cope with trauma and unwanted feelings than compulsive sexual behavior. […] By partnering with us, you can both heal from past trauma and reclaim the life you deserve, free from sex addiction.

• #66 Hypersexuality as a Coping Mechanism: Overcoming Your Triggers | Integrative Life Center – Nashville, TN

  https://integrativelifecenter.com/intimacy-disorders/hypersexuality-as-a-coping-mechanism-overcoming-your-triggers/

  When you have hypersexuality disorder, both external and internal sexual triggers can set you down a path of compulsive thoughts or behaviors. […] The context of these triggers may be twofold. They could be a negative feeling that you want to flee from strongly. Or, they may be an intense reminder of some sexual pleasure you’ve experienced in the past. […] Knowing your triggers is one of the key initial steps toward long-term healing from hypersexuality and trauma. […] Compulsive sexual triggers can come from anywhere throughout your day, and not everyone will have the same triggers. […] There are often several healthier ways to cope with trauma and unwanted feelings than compulsive sexual behavior. […] By partnering with us, you can both heal from past trauma and reclaim the life you deserve, free from sex addiction.

• #67 Compulsive sexual behavior – Augusta HealthSearchClose SearchSearch IconSearch IconClose Search IconMobile Menu IconMobile Menu Close IconInstagramFacebookTwitterYoutube

  https://www.augustahealth.com/disease/compulsive-sexual-behavior/

  Changes in brain pathways. Compulsive sexual behavior may be an addiction that, over time, might cause changes in the brain’s neural circuits, especially in the reinforcement centers of the brain. Like other addictions, more-intensive sexual content and stimulation are typically required over time in order to gain satisfaction or relief. […] Treatment for compulsive sexual behavior typically involves psychotherapy, medications and self-help groups. A primary goal of treatment is to help you manage urges and reduce excessive behaviors while maintaining healthy sexual activities. […] In addition to psychotherapy, certain medications may help because they act on brain chemicals linked to obsessive thoughts and behaviors, reduce the chemical „rewards” these behaviors provide when you act on them, or reduce sexual urges.

• #68 Compulsive sexual behavior – Augusta HealthSearchClose SearchSearch IconSearch IconClose Search IconMobile Menu IconMobile Menu Close IconInstagramFacebookTwitterYoutube

  https://www.augustahealth.com/disease/compulsive-sexual-behavior/

  Changes in brain pathways. Compulsive sexual behavior may be an addiction that, over time, might cause changes in the brain’s neural circuits, especially in the reinforcement centers of the brain. Like other addictions, more-intensive sexual content and stimulation are typically required over time in order to gain satisfaction or relief. […] Treatment for compulsive sexual behavior typically involves psychotherapy, medications and self-help groups. A primary goal of treatment is to help you manage urges and reduce excessive behaviors while maintaining healthy sexual activities. […] In addition to psychotherapy, certain medications may help because they act on brain chemicals linked to obsessive thoughts and behaviors, reduce the chemical „rewards” these behaviors provide when you act on them, or reduce sexual urges.

• #69 Compulsive sexual behavior – Diagnosis and treatment – Mayo Clinic

  https://www.mayoclinic.org/diseases-conditions/compulsive-sexual-behavior/diagnosis-treatment/drc-20360453

  Along with talk therapy, certain medicines may help. These medicines act on brain chemicals linked to obsessive thoughts and behaviors. They lessen the chemical „rewards” these behaviors give when you act on them. They also can lessen sexual urges. Which medicine or medicines are best for you depends on your situation and other mental health conditions you may have. […] Medicines used to treat compulsive sexual behavior are often prescribed mainly for other conditions. Examples include: Antidepressants. Certain types of antidepressants used to treat depression, anxiety or obsessive-compulsive disorder may help with compulsive sexual behavior. […] Naltrexone. Naltrexone (Vivitrol) is usually used to treat alcohol and opiate dependence. It blocks the part of your brain that feels pleasure with certain addictive behaviors. It may help with behavioral addictions such as compulsive sexual behavior or gambling disorder.

• #70 Compulsive sexual behavior – Diagnosis and treatment – Mayo Clinic

  https://www.mayoclinic.org/diseases-conditions/compulsive-sexual-behavior/diagnosis-treatment/drc-20360453

  Along with talk therapy, certain medicines may help. These medicines act on brain chemicals linked to obsessive thoughts and behaviors. They lessen the chemical „rewards” these behaviors give when you act on them. They also can lessen sexual urges. Which medicine or medicines are best for you depends on your situation and other mental health conditions you may have. […] Medicines used to treat compulsive sexual behavior are often prescribed mainly for other conditions. Examples include: Antidepressants. Certain types of antidepressants used to treat depression, anxiety or obsessive-compulsive disorder may help with compulsive sexual behavior. […] Naltrexone. Naltrexone (Vivitrol) is usually used to treat alcohol and opiate dependence. It blocks the part of your brain that feels pleasure with certain addictive behaviors. It may help with behavioral addictions such as compulsive sexual behavior or gambling disorder.

• #71 Compulsive sexual behavior: A nonjudgmental approach | MDedge

  https://blogs.the-hospitalist.org/content/compulsive-sexual-behavior-nonjudgmental-approach

  Evidence for the pharmacologic treatment of CSB consists primarily of small, open-label studies, case series, or retrospective analyses, except for 1 double-blind, placebo-controlled study. Based on this evidence, there may be several pharmacologic treatment options for patients with CSB; however, there are no FDA-approved medications for CSB. One of the most thoroughly documented categories of pharmacologic treatment for CSB is selective serotonin reuptake inhibitors (SSRIs). Several retrospective analyses and case series have reported on the general efficacy of SSRIs in reducing symptoms of CSB. […] Although some initial evidence regarding antidepressant use, particularly SSRIs, to treat CSB has suggested that these medications may be potentially beneficial, the findings are far from conclusive, with only 1 controlled trial and only single-subject case reports for many of the medications studied.

• #72 Compulsive sexual behavior – Diagnosis and treatment – Mayo Clinic

  https://www.mayoclinic.org/diseases-conditions/compulsive-sexual-behavior/diagnosis-treatment/drc-20360453

  Along with talk therapy, certain medicines may help. These medicines act on brain chemicals linked to obsessive thoughts and behaviors. They lessen the chemical „rewards” these behaviors give when you act on them. They also can lessen sexual urges. Which medicine or medicines are best for you depends on your situation and other mental health conditions you may have. […] Medicines used to treat compulsive sexual behavior are often prescribed mainly for other conditions. Examples include: Antidepressants. Certain types of antidepressants used to treat depression, anxiety or obsessive-compulsive disorder may help with compulsive sexual behavior. […] Naltrexone. Naltrexone (Vivitrol) is usually used to treat alcohol and opiate dependence. It blocks the part of your brain that feels pleasure with certain addictive behaviors. It may help with behavioral addictions such as compulsive sexual behavior or gambling disorder.

• #73 Neurobiology of Compulsive Sexual Behavior: Emerging Science

  https://pmc.ncbi.nlm.nih.gov/articles/PMC4677151/

  Compulsive sexual behavior (CSB) is characterized by craving, impulsivity, social/occupational impairment, and psychiatric comorbidity. […] Preliminary evidence suggests that dopamine may contribute to CSB. […] A small number of case studies using naltrexone support its effectiveness at reducing urges and behaviors associated with CSB, consistent with the possible opioidergic modification of mesolimbic dopamine function in reducing CSB. […] In CSB subjects, functional connectivity of this network associated with cue-related sexual desire, thus resonating with findings in drug addictions. […] A small diffusion-tensor-imaging study implicates prefrontal abnormalities in CSB vs non-CSB men. […] Although recent neuroimaging studies have suggested some possible neurobiological mechanisms of CSB, these results should be treated as tentative given methodological limitations.

• #74 Compulsive sexual behavior – Diagnosis and treatment – Mayo Clinic

  https://www.mayoclinic.org/diseases-conditions/compulsive-sexual-behavior/diagnosis-treatment/drc-20360453

  Mood stabilizers. These medicines are generally used to treat bipolar disorder, but they may reduce compulsive sexual urges. […] Anti-androgens. In men, these medicines lessen the effects of sex hormones called androgens in the body. Because they reduce sexual urges, anti-androgens are often used in men whose compulsive sexual behavior is dangerous to others.

• #75 Compulsive sexual behavior – Diagnosis and treatment – Mayo Clinic

  https://www.mayoclinic.org/diseases-conditions/compulsive-sexual-behavior/diagnosis-treatment/drc-20360453

  Mood stabilizers. These medicines are generally used to treat bipolar disorder, but they may reduce compulsive sexual urges. […] Anti-androgens. In men, these medicines lessen the effects of sex hormones called androgens in the body. Because they reduce sexual urges, anti-androgens are often used in men whose compulsive sexual behavior is dangerous to others.

• #76 Compulsive sexual behavior – Hancock Health

  https://www.hancockhealth.org/mayo-health-library/compulsive-sexual-behavior/

  Talk therapy, also called psychotherapy, can help you learn how to manage your compulsive sexual behavior. Types of talk therapy include: Cognitive behavioral therapy (CBT), which helps you identify unhealthy, negative beliefs and behaviors and replace them with more effective ones. […] Medicines used to treat compulsive sexual behavior are often prescribed mainly for other conditions. Examples include: Antidepressants. Certain types of antidepressants used to treat depression, anxiety or obsessive-compulsive disorder may help with compulsive sexual behavior. […] Naltrexone. Naltrexone (Vivitrol) is usually used to treat alcohol and opiate dependence. It blocks the part of your brain that feels pleasure with certain addictive behaviors. It may help with behavioral addictions such as compulsive sexual behavior or gambling disorder.

• #77 Compulsive sexual behavior: A nonjudgmental approach | MDedge

  https://community.the-hospitalist.org/content/compulsive-sexual-behavior-nonjudgmental-approach

  Evidence for the pharmacologic treatment of CSB consists primarily of small, open-label studies, case series, or retrospective analyses, except for 1 double-blind, placebo-controlled study. Based on this evidence, there may be several pharmacologic treatment options for patients with CSB; however, there are no FDA-approved medications for CSB. One of the most thoroughly documented categories of pharmacologic treatment for CSB is selective serotonin reuptake inhibitors (SSRIs). Several retrospective analyses and case series have reported on the general efficacy of SSRIs in reducing symptoms of CSB. […] Evidence supporting specific types of psychotherapy for CSB is limited and largely drawn from uncontrolled studies and case reports. Cognitive-behavioral therapy (CBT) is one of the more common psychotherapeutic options used for CSB. Several uncontrolled studies and case reports have found that CBT is beneficial for CSB, although methodologies have varied.

• #78 Compulsive sexual behavior – Therapy in Morristown, NJ

  https://ayrecounseling.com/compulsive-sexual-behavior/

  Mental health impacts: Pornography addiction is often associated with feelings of guilt, shame, anxiety, and depression. […] In therapy, you can get help identifying the factors that power compulsive sexual behaviors. […] Effective treatment for compulsive sexual behavior should be tailored to your circumstances and goals. […] Cognitive Behavioral Therapy (CBT): CBT is a widely used therapeutic approach to help you identify and change negative thought patterns and behaviors. […] Mindfulness-Based Therapy: Mindfulness practices can help you become more aware of your thoughts and urges while reducing your propensity to react using problematic behaviors. […] Compulsive sexual behavior, including pornography addiction, is a severe condition that can significantly disrupt your professional and personal life.

• #79 Hypersexual Behavior: Could You Be Addicted To Sex?

  https://www.verywellhealth.com/hypersexuality-disorder-5205366

  Psychodynamic therapy may help patients identify triggers and examine feelings of guilt, shame, and self-esteem that may contribute to hypersexuality. In cognitive behavioral therapy, patients learn to recognize unhealthy beliefs about themselves and their sexual behavior and develop tools to manage complex thoughts and emotions to sustain healthy behaviors.

• #80 Compulsive Sexual Behavior and Mental Health Disorders

  https://damorementalhealth.com/compulsive-sexual-behavior-and-mental-health-disorders/

  The relationship between CSB and these comorbid disorders can be complex. In some cases, CSB may be a symptom of another underlying disorder, such as bipolar disorder during manic episodes. […] The presence of psychiatric comorbidities necessitates a comprehensive diagnostic approach to ensure all contributing factors and disorders are adequately identified and addressed. […] Understanding the interplay between CSB and other mental health disorders enhances our ability to provide effective, comprehensive care, reducing the likelihood of relapse and improving overall outcomes for those affected. […] Diagnosing Compulsive Sexual Behavior (CSB) presents a complex challenge for healthcare professionals due to several inherent issues, including the lack of consensus on classification, the subjective nature of “normal” sexual behavior, and the overlap with other psychiatric conditions. […] Effective treatment of Compulsive Sexual Behavior (CSB) requires a comprehensive and multifaceted approach, considering the complexity of the condition and its frequent comorbidities.

• #81 Compulsive Sexual Behavior | Carney Counseling and Family Services LLC – Carney Counseling

  https://www.carneycounseling.com/compulsive-sexual-behavior

  Treatment for compulsive sexual behavior typically involves psychotherapy, medications, and self-help groups. A primary goal of treatment is to help you manage urges and reduce excessive behaviors while maintaining healthy sexual activities. […] If you have compulsive sexual behavior, you may also need treatment for another mental health condition. People with compulsive sexual behavior often have alcohol or drug abuse problems or other mental health problems, such as anxiety or depression, which need treatment. […] Psychotherapy, also called talk therapy, can help you learn how to manage your compulsive sexual behavior. Types of psychotherapy include: Cognitive behavioral therapy (CBT), which helps you identify unhealthy, negative beliefs and behaviors and replace them with more adaptive ways of coping.

• #82 The Connections Between Mental Health and Sex Addiction

  https://keystonecenterecu.net/blog/the-real-connections-between-mental-health-and-sex-addiction/

  Sex addiction, also known as compulsive sexual behavior, has been defined as an excessive focus on and participation in sexual activities despite negative consequences. It can have extreme consequences on one’s emotional, psychological and social well-being. […] For 88% of those with a sex addiction, mental illnesses play a key role. […] People with traumatic backgrounds may develop trauma responses that manifest as compulsive sexual behaviors. This can include developing a sense of unworthiness (which can cause guilt and shame in sexual experiences), extreme risk-taking with the goal of achieving fleeting pleasure and re-creation of the traumatic experience, also called trauma reenactment. […] Sexual addiction and depression often go hand in hand. Research shows approximately 40% of sex addicts also have a history of mood disorders such as depression.

• #83 The Connections Between Mental Health and Sex Addiction

  https://keystonecenterecu.net/blog/the-real-connections-between-mental-health-and-sex-addiction/

  Bipolar disorder can be both a cause and a symptom of compulsive sexual behavior, as untreated bipolar disorder may lead to behaviors consistent with sex addiction. […] Research has shown that sexual addiction and substance abuse are often correlated. An estimated 40-64% of sex addicts also suffer from substance abuse disorders. […] Understanding the connections between mental health and sex addiction is crucial to developing a holistic and empathetic approach to treatment.

• #84 The Connections Between Mental Health and Sex Addiction

  https://keystonecenterecu.net/blog/the-real-connections-between-mental-health-and-sex-addiction/

  Sex addiction, also known as compulsive sexual behavior, has been defined as an excessive focus on and participation in sexual activities despite negative consequences. It can have extreme consequences on one’s emotional, psychological and social well-being. […] For 88% of those with a sex addiction, mental illnesses play a key role. […] People with traumatic backgrounds may develop trauma responses that manifest as compulsive sexual behaviors. This can include developing a sense of unworthiness (which can cause guilt and shame in sexual experiences), extreme risk-taking with the goal of achieving fleeting pleasure and re-creation of the traumatic experience, also called trauma reenactment. […] Sexual addiction and depression often go hand in hand. Research shows approximately 40% of sex addicts also have a history of mood disorders such as depression.

• #85 Hypersexuality & Compulsive Sexual Behavior: Symptoms and Treatment

  https://www.treatmyocd.com/blog/hypersexuality-compulsive-sexual-behavior

  Zinman-Ibrahim explains that while mental illness being the cause of hypersexuality is not the most common, it is sometimes seen in people who have experienced sexual abuse, especially as children or teenagers. […] For some individuals, hypersexuality can actually lead to other mental health issues, such as depression and anxiety. […] If your hypersexuality is linked to other mental health conditions, such as bipolar disorder, anxiety, depression, OCD, or PTSD, it’s essential to address these underlying issues.

• #86 Hypersexual Behavior: Could You Be Addicted To Sex?

  https://www.verywellhealth.com/hypersexuality-disorder-5205366

  Individuals with easy access to sexual content or material may have a higher risk of developing compulsive sexual behavior. Additionally, mental health conditions such as anxiety, depression, or addiction may also be risk factors. […] Treatment for compulsive sexual behavior can vary based on underlying issues. […] Although hypersexuality is not a symptom of ADHD, studies have also found that childhood ADHD may be associated with hypersexual behavior as an adult. […] If a mood disorder, anxiety disorder, or substance use disorder is the cause, a healthcare provider may recommend the following medications: Mood stabilizers: For patients with mood disorders such as bipolar disorder. Hypersexual behavior may occur during a manic episode. Antidepressants: Can reduce urges in individuals with anxiety and depression. Naltrexone: Used to manage impulses that occur alongside alcohol use disorder and/or opioid addiction (sometimes coupled with antidepressants).

• #87 Hypersexual Behavior: Could You Be Addicted To Sex?

  https://www.verywellhealth.com/hypersexuality-disorder-5205366

  Individuals with easy access to sexual content or material may have a higher risk of developing compulsive sexual behavior. Additionally, mental health conditions such as anxiety, depression, or addiction may also be risk factors. […] Treatment for compulsive sexual behavior can vary based on underlying issues. […] Although hypersexuality is not a symptom of ADHD, studies have also found that childhood ADHD may be associated with hypersexual behavior as an adult. […] If a mood disorder, anxiety disorder, or substance use disorder is the cause, a healthcare provider may recommend the following medications: Mood stabilizers: For patients with mood disorders such as bipolar disorder. Hypersexual behavior may occur during a manic episode. Antidepressants: Can reduce urges in individuals with anxiety and depression. Naltrexone: Used to manage impulses that occur alongside alcohol use disorder and/or opioid addiction (sometimes coupled with antidepressants).

• #88 Hypersexual Behavior: Could You Be Addicted To Sex?

  https://www.verywellhealth.com/hypersexuality-disorder-5205366

  Individuals with easy access to sexual content or material may have a higher risk of developing compulsive sexual behavior. Additionally, mental health conditions such as anxiety, depression, or addiction may also be risk factors. […] Treatment for compulsive sexual behavior can vary based on underlying issues. […] Although hypersexuality is not a symptom of ADHD, studies have also found that childhood ADHD may be associated with hypersexual behavior as an adult. […] If a mood disorder, anxiety disorder, or substance use disorder is the cause, a healthcare provider may recommend the following medications: Mood stabilizers: For patients with mood disorders such as bipolar disorder. Hypersexual behavior may occur during a manic episode. Antidepressants: Can reduce urges in individuals with anxiety and depression. Naltrexone: Used to manage impulses that occur alongside alcohol use disorder and/or opioid addiction (sometimes coupled with antidepressants).

• #89 Neurobiology of Compulsive Sexual Behavior: Emerging Science

  https://pmc.ncbi.nlm.nih.gov/articles/PMC4677151/

  Compulsive sexual behavior (CSB) is characterized by craving, impulsivity, social/occupational impairment, and psychiatric comorbidity. […] Preliminary evidence suggests that dopamine may contribute to CSB. […] A small number of case studies using naltrexone support its effectiveness at reducing urges and behaviors associated with CSB, consistent with the possible opioidergic modification of mesolimbic dopamine function in reducing CSB. […] In CSB subjects, functional connectivity of this network associated with cue-related sexual desire, thus resonating with findings in drug addictions. […] A small diffusion-tensor-imaging study implicates prefrontal abnormalities in CSB vs non-CSB men. […] Although recent neuroimaging studies have suggested some possible neurobiological mechanisms of CSB, these results should be treated as tentative given methodological limitations.

• #90

  https://link.springer.com/article/10.1007/s40429-021-00403-6

  Compulsive sexual behavior disorder has been recently included in the 11th revision of the International Classification of Diseases (ICD-11), and the possible contribution of neurochemical and hormonal factors have been reported. […] Evidence suggests that the neuroendocrine systems are involved in the pathophysiology of compulsive sexual behavior. The hypothalamus-pituitary adrenal axis, the hypothalamus-pituitarygonadal axis, and the oxytocinergic system have been implicated. […] Further studies are needed to elucidate the exact involvement of neuroendocrine and hormonal systems in compulsive sexual behavior disorder. […] Precise pathophysiological mechanisms, including underlying CSBD and neurochemical alternations, remain largely unknown. […] Dysregulation of the HPA axis, evidenced by the dexamethasone suppression test (DST), has been linked to suicidality and reported in different psychiatric disorders including depression and addiction.

• #91 Neurocognitive Mechanisms in Compulsive Sexual Behavior Disorder – Culture Reframed

  https://culturereframed.org/library-article/neurocognitive-mechanisms-in-compulsive-sexual-behavior-disorder/

  Summary: Despite much neuroscience research finding many similarities between CSBD and substance and behavioral addictions, the World Health Organization included CSBD in the ICD-11 as an impulse-control disorder. Although previous research has helped to highlight some underlying mechanisms of the condition, additional investigations are needed to fully understand this phenomenon and resolve classification issues surrounding CSBD.

• #92 Compulsive Sexual Behavior | Frontiers Research Topic

  https://www.frontiersin.org/research-topics/52081/compulsive-sexual-behavior

  Compulsive sexual behavior (CSB), is often described as having enhanced sexual activity and a lack of success in efforts to control such behavior. It is a pathological condition that results in emotional and cognitive impairments. […] There is a need to investigate the main components of behavioral addiction as well as the cognitive, emotional, and neurobiological mechanisms underlying CSB. […] The aim of the Research Topic is to bring together current research on the cognitive, emotional, and clinical mechanisms associated with CSB. […] In particular, we encourage themes that have been little explored in this area such as the main components of behavioral addiction, cognitive and emotional mechanisms, gender differences, and Neuro-biological mechanisms.

• #93 Compulsive Sexual Behavior | Psychology Today

  https://www.psychologytoday.com/us/blog/why-cant-i-stop/201608/compulsive-sexual-behavior

  The WHO believes that diagnoses, such as CSB, that affect public health should be recognized. CSB is associated with sexually transmitted infections, including HIV infection, unintended pregnancies, viewing of pornography at home and in the workplace, and extensive cybersex users who use the Internet to seek partners. Thus, the WHO believes that it is clinically useful to view CSB as being related to other disorders that are also characterized by repeated failures to resist impulses, drives, or urges despite long-term harm.

• #94 Compulsive Sexual Behavior Is Now Recognized as a Disorder, But It isn’t the Same as Sex Addiction | SELF

  https://www.self.com/story/compulsive-sexual-behavior-disorder-who

  The term [sex addiction] implies that it is like alcohol or heroin addiction, and that’s a completely different mechanism, so you could apply inappropriate treatment to this condition, Coleman explains. […] Experts agree that we need more research on compulsive sexual behavior, and that this research will reveal more about what exactly the disorder is and how to treat it. […] The problem is that for people with out-of-control sexual behavior, it could be driven by a number of different mechanisms, Coleman explains. […] WHOs inclusion of CSBD in the ICD-11 isn’t putting an end to this debate; it establishes that it’s one worth having, and a debate worth putting research dollars towards. […] Now let’s continue to press forward scientifically and clinically learn more about it in terms of what’s causing this, what brain mechanisms or other biological factors might be linked to this, and how we best treat it.

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