Archives for Hypersexual Disorders

Addictions




Can Therapists “Officially” Diagnose Sexual Addiction?

A Hopeful Outlook

In the April 2016 edition of Addiction, Dr. Richard B. Krueger of Columbia University and the New York State Psychiatric Institute provided a short commentary on the ways in which psychotherapeutic clinicians, if and when it’s appropriate, can make a DSM-5 and/or an ICD-10-CM diagnosis of sexual addiction. This is important primarily as it relates to insurance companies, who don’t especially like to pay for the treatment of any issue...
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Hypersexual Disorders

Recognizing the Consequences of Sexual Addiction

Assessment Questions

It’s not exactly a clinical secret that most of the sex addicts who enter therapy do so in response to their addiction’s related symptoms—disintegrating relationships, depression, severe anxiety, inability to focus at work or in school, social isolation, and the like. Rarely do these individuals walk in the door say, “You know, I think maybe I’m a sex addict, and that’s probably the first thing I need to deal with.” Instead,
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Hypersexual Disorders

Esteemed Study Identifies Sexual Addiction as Identifiable and Diagnosable

All Highly Pleasurable Substances and Behaviors Have Addiction Potential

Led by Dr. Valerie Voon, a group of researchers at the University of Cambridge (UK) recently published a detailed fMRI study showing that the brain activity in sex addicts, when they are shown pornography, mirrors the brain activity in drug addicts when they are exposed to drug-related imagery. This study strongly suggests that sexual addiction not only...
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Hypersexual Disorders

Sex Addiction: The Never-Ending Debate

A few weeks ago, after writing and publishing a blog titled “Treating Sexual Addiction” on the Counselor Magazine website, links to this fairly brief article made its way into various LinkedIn forums, including the Professional Sexology group (1,700 members), a forum that leans heavily toward the “sex addiction is a myth” school of thought. Generally, in virtual professional forums I am willing to answer questions, but I try to avoid...
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Hypersexual Disorders

Misunderstanding Sexual Addiction

In a nationally distributed, recently published study a group of researchers argued that what is often called “sexual addiction” or “sexual compulsivity” could be better understood as a pathological variation of “high sexual desire.” After the publication of this article, released with great fanfare to the broadcast and print media, a multitude of media outlets suggested that the conclusions of this study demonstrate that there is...
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Hypersexual Disorders

What Sexual Addiction is NOT…

As an addiction and sexual disorders specialist, I often write about sexual addiction. As most readers are “psychologically minded” in venues like this one, I typically assume that you already understand what that term means and does not mean. Nevertheless, it seems like a good idea to at least occasionally state what sexual addiction - aka, sexual compulsion, hypersexuality, hypersexual disorder, etc. - means to those of us who treat it....
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Hypersexual Disorders

No Sex Please, We’re Psychiatrists

Last week we learned that the proposed diagnosis of Hypersexual Disorder, more commonly known as sexual addiction, would not be included as a criteria-based diagnosis in the forthcoming DSM-5. As I have written previously, I did not expect Hypersexual Disorder to "make it" into the DSM-5 as a standalone diagnosis. I did, however, expect it to be listed in the Appendix of next spring's publication as a potential diagnosis requiring further research....
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Hypersexual Disorders

Sex Addiction, Paraphilias, and Offending… Oh My!

What the Heck is a Paraphiliac?

Within the therapeutic community there is considerable confusion as to what constitutes sexual addiction, what constitutes paraphilic behavior, and what constitutes sexual offending. In part this is caused by our collective inability as sexual addiction professionals, sex therapists, and sex offender treatment providers to engage in useful, integrated discourse, perform research, create conferences, and most of all to work together. Complicating matters is the APA's lamentable inability/unwillingness (so far)...
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Hypersexual Disorders

Recent UCLA-led Study Strongly Supports Proposed DSM-5 “Hypersexual Disorder” Diagnosis

The Debate

The proposed Hypersexual Disorder diagnosis now being considered by the APA for inclusion in the forthcoming DSM-5 has generated a great deal of heat in the therapeutic community. And frankly, there should always be significant dialog before any form of inherently healthy human behavior (eating, sleeping, sex, etc.) is clinically designated as pathological. After all, the power to “label” must always be carefully wielded to avoid turning social, religious, or moral judgments into...
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