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Compulsive Sexual Behavior

Samantha K Swetter, Ralph Fader, Tiffany Y. Christian, Brentt J. Swetter

Substance and Non-Substance Related Addictions — via Consensus · January 1, 2022

Compulsive sexual behavior disorder (CSBD) is a newly defined entity in the International Classification of Diseases 11th Revision (ICD-11) as of 2018 to characterize a persistent difficulty to control sexual feelings, urges, and behaviors leading to distress or functional impairment. Small preliminary studies show high prevalence rates with various medical and psychiatric comorbidities, illustrating the need for further diagnostic clarity to identify and treat afflicted and at-risk individuals. There is some preliminary data regarding effective treatment, although most treatment data comes from individuals with paraphilic behaviors. This chapter describes the history and evolution of the current CSBD diagnosis, general characteristics and prevalence, treatment guidelines, and prognosis of individuals with sexually compulsive behavior around the world.

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