Is sex addiction an official diagnosis in the DSM-5-TR or ICD-11?

The DSM-5-TR has no diagnosis called sex addiction, and hypersexual disorder was rejected for the DSM-5 in 2013. The World Health Organization's ICD-11 has listed compulsive sexual behavior disorder (6C72) since January 2022, among impulse control disorders rather than addictions.

How is porn addiction different from sex addiction?

Neither the DSM-5-TR nor ICD-11 lists porn addiction as its own diagnosis. Problematic pornography use is assessed as part of compulsive sexual behavior disorder, so solo use counts as much as partnered sex. That's why this screening also works as a porn addiction test, with items on needing stronger stimulation than before and on rearranging your routine around access.

Can religious or moral guilt look like sexual addiction?

Guilt tied to faith or personal values can make someone feel addicted even when their behavior is moderate, a pattern Grubbs and colleagues call moral incongruence. ICD-11 doesn't count distress that comes entirely from moral judgments. When distress, more than failing to stop, drove your strongest answers, spirituality-informed therapists can help you sort guilt from lost control.

Do women experience hypersexuality as often as men?

Women report it less often than men, but the gap is modest: in a nationally representative US survey, 7.0% of women and 10.3% of men reported clinically relevant distress or impairment linked to difficulty controlling sexual urges (Dickenson et al., 2018). None of the 20 questions assumes a gender.

Could another condition explain a sudden change in sexual behavior?

Hypersexuality can be part of a manic or hypomanic episode in bipolar disorder, alongside a reduced need for sleep and racing thoughts. Dopamine agonists for Parkinson's disease or restless legs syndrome can also trigger compulsive sexual behavior. A hypersexuality test can't tell these causes apart, so a sudden change, or one that followed a new prescription, needs a doctor's review before any medication change.

Should you see a sex therapist or a certified sex addiction therapist?

Either can help if they hold a state license. AASECT-certified sex therapists use a sexual-health model, while a Certified Sex Addiction Therapist (CSAT) trains through IITAP in Patrick Carnes' addiction model. Before your first session, note the statements you agreed with most: they point a therapist to the areas that matter for you. Profiles of sex therapy specialists list each therapist's credentials.

High Libido or Hypersexual? Free Sex Addiction Screening

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Sex Addiction Test Clinical Framework

This Sex Addiction Test draws on the ICD-11 framework for compulsive sexual behavior disorder (CSBD) and research on problematic pornography use. It focuses on loss of control, interference with daily life, repeated unsuccessful attempts to cut back, and related consequences rather than sexual desire or frequency alone.

CSBD Screening Method and Limitations

Designed for adults, the 20 original items assess control, salience, relapse, consequences, dissatisfaction, coping, duration, impairment, and moral incongruence. The questionnaire is informed by validated CSBD and hypersexuality measures but has not itself been psychometrically validated. It is an educational screening tool, not a diagnosis. Self-report, cultural context, and current circumstances can influence results.

Sexual Behavior Response Privacy

Your personal information and individual responses are never collected. Answers remain on your device. Only the anonymous final score is retained for aggregate statistical analysis used to improve the tool.

Hypersexuality Score Interpretation

Answers are scored from 1 to 5 and summed, with positively worded items reverse-scored. Higher scores indicate more difficulty controlling sexual behavior and more reported consequences; lower scores indicate greater control and less interference. The score is indicative, not diagnostic. If your result raises concerns, a licensed mental health professional can assess the pattern in context.

Compulsive Sexual Behavior Scientific References

World Health Organization (2025). ICD-11 for Mortality and Morbidity Statistics: Compulsive Sexual Behaviour Disorder Official diagnostic framework for CSBD.
Bőthe et al. (2020). The Development of the Compulsive Sexual Behavior Disorder Scale (CSBD-19): An ICD-11 Based Screening Measure Across Three Languages Validation of the five CSBD-19 domains used to inform this test.
Bőthe et al. (2023). Compulsive Sexual Behavior Disorder in 42 Countries International assessment of CSBD across 42 countries.
Briken et al. (2024). Assessment and Treatment of Compulsive Sexual Behavior Disorder: A Sexual Medicine Perspective Clinical review addressing differential diagnosis, moral incongruence, and high sexual desire.

Sex Addiction Screening FAQ

Two people can land on the same score for very different reasons, and the reason, more than the number, decides what kind of help fits.

Sex Addiction Test: Compulsive Sexual Behavior (ICD-11)