Sex Addiction Symptoms,
Causes and Effects
This
page contains the following information:
·
What is Sex and Porn Addiction?
·
Signs, Symptoms, and Effects of Sex
Addiction
·
Self-Assessment for Addiction to Sex
·
Causes of Sex Addiction
·
Sexual Addiction Treatment
·
Similarities Between Being Addicted
to a Drug and Being Addicted to Sex
·
Dual Diagnosis: Sex Addiction and
Co-Occurring disorders
This
page is dedicated to providing you with useful information on sex and porn
addiction. It will explain the sign/symptoms you should look for, how they
affect your life and those around you, and what treatment optionsare
available.
Definition of Sex
Addiction
Sex
addiction can refer to a range of behaviors that are done in excess and significantly
impact one’s life in a negative way.
·
The Diagnostic and Statistical Manual
of Mental Disorders-V (DSM-5) does not list sex addiction as a diagnosable
condition yet, but research indicates that there is a clear prevalence
of adverse sexual behaviorthat is similar in development to a “chemical”
addiction.
Is Porn Addiction
the Same as Sex Addiction?
Porn addiction and
sex addiction are not the same disorder. Addiction to porn is considered to be
a type of sex addiction and can manifest itself differently than other types of
sex addiction. Like “sex addiction,” “porn addiction” is not an official
diagnosis in the DSM-5 yet. However, an addiction to porn can lead to
serious distress and consequences in many facets of life.
What Are the
Different Types of Sexual Addictions?
There
are no distinct categories, but sexual addictions can come in different forms,
including addiction to:
·
Pornography.
·
Prostitution.
·
Masturbation or fantasy.
·
Sadistic or masochistic behavior.
·
Exhibition/Voyeurism.
·
Other excessive sexual pursuits.
What are the Signs,
Symptoms, and Effects of a Sexual Addiction?
Several
signs can serve to indicate whether someone is addicted to sex. These can be
emotional or physical. Furthermore, it’s important to know the debilitating
effects of sexual addiction.
Emotional Symptoms
of Sex Addiction
If
you or someone you love suffers
from a sex addiction, you might not have healthy boundaries. If your husband is addicted to porn or sex, you
may feel alienated, isolated, depressed, angry, or humiliated and need
treatment yourself. If you are addicted to sex, you might become easily
involved with people sexually or emotionally regardless of how well you know
them, according to Sex and Love Addicts Anonymous. Because most sex addicts
fear being abandoned, they might stay in relationships that aren’t healthy, or
they may jump from relationship to relationship. When alone, they might feel
empty or incomplete. They might also sexualize feelings like guilt, loneliness
or fear.
Physical Symptoms
of Sex Addiction
Although
a sex addiction or pornography addiction can
create many physical side effects, few physical symptoms of this disorder
exist. However, the most common physical sex addict symptoms you might notice
from having a sexual addiction is feeling immobilized due to sexual or
emotional obsessions.
Effects of Sex
Addiction
The
effects of a sex addiction can be severe.
·
According to Departmental Management
of the USDA, about 38% of men and 45% of women with sex addictions have
a venereal disease as a result of their behavior.
·
Pregnancy is also a common side
effect that can occur due to risky behavior. In one survey, nearly 70%
of women with sex addictions reported they’d experienced at least one unwanted
pregnancy as a result of their addiction.
Additionally,
sex addiction likely has a negative impact on several areas of one’s life. It
can lead to:
·
A decline in personal
relationships, social, and family engagement.
·
Decreased concentration and
productivity at work.
·
Physical consequences like sexual
dysfunction or sexually transmitted diseases (STDs).
It
can have profound psychological effects, like generating feelings of
shame, inadequacy, and emotional distress. It can lead to, or stem from,
comorbid psychological disorders like:
·
Anxiety.
·
Depression.
·
Substance abuse.
·
Problems related to impulse control
and emotion dysregulation.
·
Obsessive-Compulsive type symptoms.
It
is important to know that addressing co-occurring problems in one’s life, like
depression, social anxiety, or social isolation, can make it easier to recover
from sexual addiction.
Is There a Sex Test
or Self-Assessment I Can Do?
You
can always take a sex addiction self-evaluation to learn
more about your level of addiction. However, it is best to consult with a
healthcare professional for proper evaluation.
In
addition, you may look for the presence of the following signs. If you notice
any of these, you may want to seek professional help.
·
You feel powerless over how you act
sexually.
·
Your sexual choices are making your
life unmanageable.
·
You feel shame, embarrassment or even
self-loathing over your sexual acts.
·
You promise yourself you’ll change,
but fail to keep those promises.
·
You’re so preoccupied with sex it
becomes like a ritual to you.
If
you’re exhibiting any of these symptoms, it might be time to seek sex addiction treatment. If you also have
a co-occurring substance addiction (e.g., alcohol, cocaine), call 1-888-487-9823 to learn more about treatment
options.
Get Help For Sex
Addiction
It
is important to understand that although sex and porn addiction are not
“formally” diagnosable, these conditions exist and often present with very
adverse consequences and high levels of distress, guilt, and emotional turmoil.
If you can relate to the symptoms mentioned above, or know somebody who meets
these criteria, do not hesitate to ask for help. Call 1-888-487-9823 to
speak to a treatment support specialist who can provide you with more
information.
Video on Sex
Addiction
Understanding
Addiction to Sex – Video
What Causes an
Addiction to Sex?
Sexual
addiction, like porn addiction, can develop due to factors that encompass all
aspects of an individual’s life. These include:
Biological:
·
Genes: You may have a genetic
predisposition to emotional dysregulation, impulsivity, or sensation-seekingbehavior.
You may also have a predisposition to other traits that are commonly associated
with sexual addiction, like anxiety or depression.
·
Hormones: As one might expect, higher
levels of sex hormones like testosterone or estrogen can affect libido. If
you are inclined towards impulsive behavior and have high levels of sex-related
hormones, you may be more likely to engage in excess sexual activities.
Psychological:
·
Environmental influences: Early-life
environmental factors, including adverse events like abuse or exposure
to sexual content, can contribute to some of the underlying characteristics
that drive hypersexual behavior.
·
Mental health: Anxiety,
depression, personality disorders, poor impulse
control, and performance anxietymight be simultaneous issues that one
struggles with alongside sex addiction. Those that have been diagnosed with Bipolar
Disorder, or have a tendency toward “manic” states, are much more
likely to engage in excessive or risky sexual behavior.
Social:
·
Rejection in relationships and social circles can lead
to other, less healthy ways to find sexual gratification.
·
Social isolation: Not only does social isolation
increase one’s likelihood of seeking inappropriate ways of being sexually
gratified, it also leads to a host of other problems–like depression and
physical maladies–that can contribute to sex addictions or unhealthy sex
behaviors.
·
Social learning: Watching others perform a behavior, or “modeling,”
is one way to learn something new–especially when you “like” or “identify” with
that person. So having a friend, or a group of friends, who engage in excessive
sexual activities or porn viewing can influence you in a very subtle, yet
powerful, way.
Can Sex Addiction
Be Treated?
Yes,
sex addiction can be treated. You will
typically want to speak with a mental health professional, like a psychologist
or licensed social worker. They will help you address some of the underlying
factors that are maintaining your sex or porn addiction, and teach you to cope
with your thoughts, feelings, and behaviors in a healthy way.
·
Individual therapy
o 30-60 minute sessions with a certified mental
health professional, focused on your sexually compulsive behaviors and any
co-occurring disorders.
·
Cognitive-Behavioral Therapy (CBT).
o Focuses on the idea that our behaviors, emotions,
and thoughts are all interrelated and works to change negative thoughts to
positive thoughts and self-talk.
·
Psychodynamic therapy.
o Built around the premise that unconscious memories
and conflicts affect our behavior, Psychodynamic therapy uncovers early
childhood influencers of current habits or present factors that contribute to
the current sex addiction.
·
Dialectical-Behavioral Therapy (DBT).
o Contains four components: skills training group, individual
treatment, DBT phone coaching, and consultation team and these four components
are designed to teach four skills: mindfulness, distress tolerance,
interpersonal effectiveness, and emotion regulation.
·
Group therapy
o Led by qualified therapists, group therapy is
designed to replace negative and detrimental behaviors with pro-social and
positive ones. It provides the addict with assurance that he or she is not
alone in his or her experiences.
·
Couple’s counseling or Marriage
counseling.
o This can be very beneficial for the sex addict and
his or her partner. Couple’s counseling can help to improve communication
skills, trust, and healthy sexual functioning between partners.
·
12-step recovery.
o Sex Addicts Anonymous imitates the 12-step program
of Alcoholics Anonymous and is a group-based model focused on acknowledging
one’s powerlessness and willingness to live a life free of addiction.
·
Inpatient therapy.
o There are some inpatient recovery centers designed
to treat sex and porn addiction. The patient resides at the recovery facility
for the duration of treatment so that he or she can focus on the healing
process without the distractions and temptations of everyday life.
To
find an addiction treatment center or to find out more information about the
process of treating sex and/or porn addiction, call 1-888-487-9823.
If
you would like to assess your degree of addiction before seeking treatment, you
can take an online sex addiction self-evaluation. However, it is
always best to consult with a healthcare professional to be properly evaluated.
Medication: Are
There Sex Addiction Drug Options?
There
are currently no US Food and Drug Administration (FDA)-approved medications for
the treatment of sex addiction.
·
Although some research has been
conducted, conclusive recommendations cannot be made because of a lack of
randomized controlled trials.
Sex
addiction and related sexual dysfunctions frequently co-occur with
conditions such as anxiety and depression and can be treated with
medications such as antidepressants.
·
Antidepressants called SSRIs (Selective
Serotonin Reuptake Inhibitors) can decrease intense sexual urges and
cravings that characterize sexual addictions by mitigating the brain’s
response to rewarding behaviors.
If
a patient doesn’t respond well to antidepressants, there are a couple of other options.
·
Naltrexone, a drug used for the treatment of alcoholism and
opioid addiction, has been shown to decrease sexually compulsive
behaviors.
Additionally, anti-androgenic
medications can help curb sexual cravings by decreasing the
levels of male hormones in the body.
·
However, there is a lack of
controlled trials in research on anti-androgenic medications and severe
side effects have been reported, raising questions about their overall
efficacy.
·
Further, the effect of
anti-androgenic medications is temporary and hormone levels will
return to normal once cessation occurs.
Medication Overdose
If
your doctor prescribes you medication, be sure to read the label carefully and follow
the doctor’s dosage instructions in order to avoid an overdose. If you feel
tempted to overdose on your medication, call for help immediately.
Medication Side
Effects
Although
there are no FDA-approved medications for sex or porn addiction,
antidepressants are one of the most common medications prescribed to treat sex
addiction. Antidepressants are very safe to take but can have some side
effects.
·
Gastrointestinal disturbances.
·
Weight gain.
·
Sleep disturbance.
·
Anxiety.
Naltrexone, a medication used to treat alcohol and opioid
addiction, has proven promising in treating sex and porn addiction. It may
cause some side effects as well:
·
Nervousness.
·
Dizziness.
·
Headache.
·
Nausea.
·
Vomiting.
·
Diarrhea.
·
Muscle or joint pain.
·
Sleep disturbance.
·
Rash.
·
Loss of appetite.
·
Stomach pain.
·
Irritability.
·
Drowsiness.
While
these side effects may be troubling, some side effects are far more dangerous
and life-threatening:
·
Hallucinations.
·
Confusion.
·
Severe vomiting and/or diarrhea.
·
Blurred vision.
Call
your doctor immediately if you experience any of these serious side effects.
Anti-androgens, medications that block the effects of male
hormones, present with an array of side effects:
·
Impaired memory.
·
Impaired concentration.
·
Impaired verbal skills.
·
Moodiness.
·
Excessive crying.
·
Depression.
·
Anxiety.
·
Hot flushes.
·
Abdominal pain.
·
Diarrhea.
·
Constipation.
·
Nausea/vomiting.
·
Weight gain/increases in fat
deposits.
·
Osteoporosis.
·
Decrease in muscle mass.
·
Fatigue.
Similarities
Between Being Addicted to a Drug and Addicted to Sex
Effects on the
Brain
Drug
addiction and sex addiction have similar effects on the brain–both primarily
influence the brain’s reward system through a neurotransmitter called dopamine.
When a person satisfies a need or desire that is vital to survival or
reproduction, dopamine is released, causing the person to experience pleasure
or euphoria. This reinforces the expectation of reward and increases
the desire to engage in the underlying behavior.
·
The use of a drug stimulates the
release of dopamine and mimics those behaviors necessary for survival, causing
a person to become increasingly reliant on drugs for the release of dopamine.
·
Sex addiction works in a similar
manner; each time a sex addict partakes in sexual behaviors, he or she
experiences a rush of endorphins, creating a powerful incentive to engage in
the behavior again.
·
This perpetuates a
vicious cycle and the person finds that he or
she is driven and controlled by the desire for reward.
This
is what makes it so difficult for addicts to quit and why professional help
should be sought.
Dependence
Many
sex addicts believe that they are in control of their behaviors, but without
proper treatment, they can develop dependence. It’s important to know the signs
and symptoms of dependence, so that you can seek helpimmediately. A
few signs include:
·
Loss of control around sexual
activity.
·
Development of withdrawal symptoms.
·
Preoccupation with desire for sexual
behavior.
·
Avoiding responsibilities and/or
enjoyable activities in favor of sexual behavior.
Perhaps
the most important sign that one is dependent on sex is that the person continues
to partake in sexual behavior despite negative consequences caused by the
behavior, such as:
·
Failing marriage.
·
Missing work.
·
Ruining friendships.
·
Health problems.
·
Financial problems.
Withdrawal
Withdrawal
is a characteristic feature of chemical addictions and reports indicate
that individuals struggling with sexual addictions frequently report
experiencing withdrawal after a reduction in sexual activity. Withdrawal
symptoms can include but are not limited to:
·
Irritability.
·
Craving.
·
Depression.
·
Restlessness.
·
Anxiety.
·
Guilt or shame.
It
is important to note that no two sex addicts are the same and that withdrawal
symptoms may vary.
Sex Addiction and
Substance Abuse
There
is a significant correlation between sexual addiction and substance use
disorders:
·
According to some research, an
estimated 40-64% of sex addicts also have a substance abuse disorder.
·
Alcohol abuse is most common, present in 30-40%, followed
by marijuana abuse, present in 18-21.7%.
Treating
co-occurring addictions is a complex process. Medical professionals must assess
the pattern of drug use and sexual behaviors and how they relate to each other.
Research indicates that there are two important things to consider when
evaluating the relation:
·
Whether the addictions are
alternating or parallel.
·
Whether they interact in an
escalating manner.
Once
the interaction of multiple addictions is assessed, then proper treatment can
be administered.
While
some sex addicts use substances in order to cope with the pain and guilt caused
by their sexual behaviors, others use them to enhance the sexual experience. If
you think that you have issues with both sex addiction and substance addiction,
it is critical to your recovery that you find a treatment center that can cater
to both of these addictions.
Sex Addiction and
Mental Health Disorders
There
seems to be a high correlation between sex addiction and psychiatric
conditions, particularly mood, anxiety and personality disorders.
·
According to some research, around 40%
of individuals struggling with a sexual addiction or compulsion also have a
history of mood disorders such as depression.
·
The correlation between depression
and sex addiction is one of the reasons that antidepressants can be useful when
treating sex addiction.
Clinical
depression, which is often co-occurring with sex addiction, is a serious mental
health illness that, if left untreated, can be life-threatening. Typical
symptoms include:
·
Persistent sad, anxious, or empty
mood.
·
Feelings of hopelessness.
·
Feelings of guilt, worthlessness,
helplessness.
·
Loss of interest in hobbies and
activities.
·
Fatigue.
Difficulty
concentrating on tasks.
·
Sleeping too much or too little.
·
Restlessness, irritability.
·
Suicide thoughts or attempts.
Again,
if you are a sex addict and believe that you suffer from depression, contact
your medical provider immediately. It is pertinent that your treatment plan
addresses both your depression and sex addiction.
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