DIAGNOSIS AND TREATMENT OF SEXUAL ADDICTION

Following a brief introduction to the concept of addiction, the defini tion of and diagnostic criteria for sexual addiction are presented. A theoretical framework for treatment of sexual addiction is then outlin ed, based on an understanding of the underlying addictive process: the compulsive dependence on external actions as a means of regulating on e's internal states. Effective treatment addresses both addictive beha vior and the addictive process. Addictive sexual behavior is addressed through behavioral symptom management, which includes relapse prevent ion and other cognitive-behavioral techniques. The addictive process i s addressed by enhancing self-regulatory functions through individual psychotherapy, therapeutic group experience, and pharmacotherapy (medi cation treatment, when indicated). An integrated system for treatment of sexual addiction, which brings together these therapeutic methods i n one theoretically coherent, clinically unified approach, is outlined .