Discovering that your partner might be struggling with sex addiction can feel overwhelming and frightening. You may be experiencing confusion, deep hurt, or uncertainty about your next steps. If you’re asking yourself, “Is my partner a sex addict?” this article is here to provide you with the understanding and clarity you deserve during this difficult time.

Sexual addiction, also known as compulsive sexual behavior or hypersexual disorder, is a complex mental health condition that affects many individuals and the people who love them. Recognizing the signs and understanding the true nature of sex addiction becomes a powerful starting point for addressing its impact on your partner, your relationship, and your emotional well-being.

Key Points in This Article

• Understanding Sex Addiction: Sex addiction is a mental health condition rooted in emotional and psychological wounds, characterized by compulsive behaviors similar to other addictions, affecting about 3% to 10% of the population.


• Distinguishing Sex Addiction from Healthy Sexuality and Porn Addiction: Unlike healthy sexuality, which fosters emotional connection, sex addiction involves secrecy, shame, and behaviors used to avoid difficult emotions, often linked with broader compulsive sexual activities and pornography use.


• Signs, Symptoms, and Causes of Sex Addiction: Signs include loss of control, preoccupation with sexual thoughts, risky behaviors, and continuation despite negative consequences, often caused by trauma, family background, neurochemical factors, and co-occurring mental health conditions.


• Treatment and Support Options for Sex Addiction: Effective treatment includes individual, group, and couples therapy, sometimes medication, and support groups like Sex Addicts Anonymous, focusing on managing urges, addressing emotional wounds, and rebuilding trust.


• Supporting Partners and Moving Toward Recovery: Supporting a partner involves encouraging professional help, honest communication, boundaries, and patience, with recovery being a long-term process that can restore trust and foster emotional healing.

What Is Sex Addiction?

Sex addiction is a real, tangible challenge rooted in deeper emotional and psychological wounds—not simply a relationship issue or a matter of willpower. It’s crucial for you to understand that sex addiction isn’t caused by a lack of love or attraction toward you; rather, it stems from underlying psychological struggles that require specialized, professional support.

Sex addiction mirrors other addictions, such as substance abuse, involving compulsive behaviors, intense cravings, and difficulty stopping despite devastating consequences. Studies suggest that sex addiction may affect about 3% to 10% of the general population in North America. Additionally, sex addiction occurs more frequently in men than women, with research indicating that for every two to five males with hypersexuality, one woman is affected.

This article explores what sex addiction truly is, how it differs from healthy sexuality, the underlying causes, and the proven treatment options available for those ready to reclaim their lives from this condition.

Defining Sex Addiction

Sex addiction is often misunderstood, creating confusion about what actually constitutes compulsive sexual behavior versus a healthy sexual appetite. It’s important for you to understand that sex addiction isn’t simply having a high sex drive or enjoying frequent sexual activity with your partner.

Healthy sexuality involves intimacy, closeness, and affection that foster emotional growth and deeper connection between you and your partner. In contrast, compulsive sexual behavior is characterized by using sexual acts to avoid difficult emotions, ultimately leading to significant amounts of shame, lies, betrayal and alienation within your relationship.

Sex Addiction vs. Porn Addiction

Sex addiction is also distinct from porn addiction, though the two can be interconnected. While some individuals struggling with sex addiction may frequently engage in pornography or phone sex, sexual addiction encompasses a much broader range of compulsive sexual behaviors.

These behaviors include reckless sexual activity, excessive masturbation, frequent one-night stands, infidelity, paying for sexual services, seeking out strangers for sexual encounters, or involvement with sex workers and strip clubs. Cheating on you as their partner is a behavior that arises from the compulsive nature of sex addiction, creating even deeper wounds in your relationship.

Moreover, sex addiction is not synonymous with sex offending, although many sex offenders may also struggle with sexual addiction.

Criteria for Sex Addiction

Mental health professionals rely on specific criteria to identify this disorder, including:

• Loss of control over sexual actions and compulsive behaviors despite repeated efforts to stop.


• Preoccupation with sexual thoughts and fantasies that dominate daily life.


• Inability to fulfill personal, professional, or relational obligations due to compulsive sexual behavior.


• Continuation of sexual activities despite devastating consequences such as relationship breakdown, legal problems, or physical and mental health deterioration.


• Escalation of sexual behaviors to satisfy increasing cravings.


• Experiencing withdrawal symptoms when unable to engage in sexual acts.

For example, your partner may find themselves engaging in inappropriate sexual conduct even when it puts their work and/or personal health at risk or interferes with their daily responsibilities.

Sex Addiction Assessments

Sex Addiction Screening Test – Revised (SAST-R)

This is one of the most widely used screening tools, which has been used in at least eight published, peer-reviewed empirical studies, and is routinely used in practice at several inpatient residential treatment centers, and by certified sex addiction therapists (CSATs) across the United States, and in other countries (Carnes et al., 2012).

Originated in 1989, and has been subsequently revised to adjust to homosexual or female populations. In our practice, we use this as part of a larger assessment called the SDI which is a very comprehensive bundle of assessments which form an effective basis for planning treatment of sexual addiction.

However, it is freely available on the Internet and is a great tool to use at the start of therapy to begin to understand the severity of your partner’s addiction.

PATHOS

Because the SAST is a little bit long, some folks also developed an assessment called PATHOS.

It’s just six questions long and has had a couple of studies done already to establish its validity (Carnes et al, 2012):

1. Do you often find yourself preoccupied with sexual thoughts? (Preoccupied)


2. Do you hide some of your sexual behavior from others? (Ashamed)


3. Have you ever sought help for sexual behavior you did not like? (Treatment)


4. Has anyone been hurt emotionally because of your sexual behavior? (Hurt)


5. Do you feel controlled by your sexual desire? (Out of control)


6. When you have sex, do you feel depressed afterwards? (Sad)

If your spouse answers “yes” to 3 or more of those questions, we gently recommend that you reach out to a Certified Sex Addiction Therapist who can walk alongside you on this healing journey. Please remember that this is an informal assessment, and there’s always the possibility of false positives or negatives—connecting with a qualified, compassionate clinician will help you gain the clarity and support you deserve for a proper understanding of your situation.

We encourage you to approach self-diagnosis with care and kindness toward yourself. For instance, you might consider the example of a 22-year-old who is struggling with pornography—perhaps viewing it once a week. He could easily answer yes to 4, 5, or even 6 of those questions, but labeling him as a sex addict would really overstate and misrepresent the true nature of his challenge and potentially cause unnecessary distress. Many of the young adults we’ve had the privilege of supporting through pornography concerns find their path to recovery and maintain lasting sobriety after just 10 to 14 counseling sessions.

In contrast, someone with a more complex sex addiction typically embarks on a deeper 3 to 5-year therapeutic journey to build the robust foundation of sobriety and healing they deserve. Your journey is unique, and there’s hope and specialized care available no matter where you find yourself today.

The Addictive Cycle

As compulsive sexual behaviors escalate, individuals often experience intense excitement or heightened arousal that reinforces the addictive cycle, making it even harder to break free. This cycle is influenced by the type of dopamine response triggered by different types of sexual stimuli or behaviors, which can further ent