Compulsive sexual behaviour disorder

Overview

Compulsive sexual behaviour disorder (CSBD) is characterized by a persistent pattern of failure to control intense, repetitive sexual impulses or urges, resulting in repetitive sexual behaviour. This disorder can lead to significant distress or impairment in personal, family, social, educational, occupational, or other important areas of functioning.

Classification

CSBD is recognized in the International Classification of Diseases (ICD-11) as an impulse control disorder. It is important to distinguish CSBD from other sexual disorders, such as hypersexuality or paraphilic disorders, which may have different underlying causes and treatment approaches.

Symptoms

Individuals with CSBD may exhibit a variety of symptoms, including:

• Recurrent and intense sexual fantasies, urges, or behaviors that consume a significant amount of time and interfere with daily life.
• Repeated unsuccessful efforts to control or reduce these sexual behaviors.
• Engaging in sexual behaviors despite the risk of harm or negative consequences.
• Using sexual behavior as a way to cope with stress, anxiety, or depression.

Causes

The exact causes of CSBD are not fully understood, but it is believed to result from a combination of biological, psychological, and social factors. Potential contributing factors include:

• Neurobiological factors, such as imbalances in brain chemicals or neurotransmitters.
• Psychological factors, including trauma, anxiety, or depression.
• Social and environmental influences, such as exposure to sexual content or cultural attitudes towards sex.

Diagnosis

Diagnosis of CSBD involves a comprehensive assessment by a mental health professional. This assessment typically includes:

• A detailed clinical interview to understand the individual's sexual behavior patterns and their impact on daily life.
• Evaluation of any co-occurring mental health conditions.
• Consideration of the individual's personal and family history.

Treatment

Treatment for CSBD often involves a combination of psychotherapy and medication. Common therapeutic approaches include:

• Cognitive behavioral therapy (CBT) to help individuals identify and change problematic thoughts and behaviors.
• Mindfulness-based therapies to increase awareness and control over impulses.
• Medications, such as antidepressants or antiandrogens, to help manage symptoms.

Prognosis

With appropriate treatment, many individuals with CSBD can achieve significant improvement in their symptoms and quality of life. Ongoing support and therapy may be necessary to maintain progress and prevent relapse.

See Also

• Impulse control disorder
• Addiction
• Sexual addiction