Mental and sexual health perspectives of the International Classification of Diseases (ICD-11) Compulsive Sexual Behavior Disorder •

J Behav Addict. 2022 Jul 13;11(2):226-229. doi: 10.1556/2006.2022.00032. Print 2022 Jul 13.


After introduction of compulsive sexual behavior disorder (CSBD) in the ICD-11, many questions regarding etiology, classification and diagnostic criteria remain unanswered, providing rationale for further research. In this commentary, we critically review the ongoing discussion reflected in some relevant articles, and try to point out the risks of oversimplification of the broad clinical phenomenon, as well as attract attention to the neglected aspects, such as psychosexual development, intimacy disorder and the role of sexological expertise in the assessment and treatment of individuals presenting with out-of-control sexual behaviors. We also advocate for multimodal, transtheoretical approach and suggest that CSBD may be reconsidered as a condition related to sexual health.

Keywords: compulsive sexual behavior; diagnostic criteria; emotion dysregulation; hypersexual impulse control; sexual addiction.

MeSH terms

  • Compulsive Behavior
  • Humans
  • International Classification of Diseases
  • Paraphilic Disorders* / diagnosis
  • Sexual Behavior
  • Sexual Health*