What other mental illnesses cause hypersexuality? In addition to bipolar disorders, major depressive disorder, ADHD, PTSD, and obsessive-compulsive disorder may be underlying mental illnesses for people with out-of-control sexual issues.
Hypersexuality can exist as a sign of bipolar disorder or on its own. Also referred to as compulsive sexual behavior or sexual addiction, hypersexuality is described as a dysfunctional preoccupation with sexual fantasies, urges, or behaviors that are difficult to control.
Compulsive sexuality is a logical coping strategy to deal with trauma, dissociation, and shame. Sex is a highly stimulating–even intoxicating–experience that makes being in one's own skin pleasurable. Men especially may be hypersexual due to the association men learn between having sex and social acceptance.
Diagnosis criteria
A person should contact a mental health professional if they think they are experiencing hypersexuality. Although it is not an official diagnosis according to the DSM-5, the WHO's ICD-11 recognizes it as a compulsive sexual disorder.
Scientists aren't totally sure what causes hypersexuality. Possible theories include: Imbalance of mood chemicals in your brain. High levels or overactivity of certain chemicals in your brain called neurotransmitters (dopamine, norepinephrine and serotonin) might result in increased sexual desire and behavior.
While hypersexuality can occur with PTSD, sexual avoidance is also a consequence in some cases. Many people feel hypersexual impulses as their brains are focused on the trauma. They can enter an unhealthy cycle where they seemingly reenact their trauma. As mentioned, this can be a coping mechanism for many.
What Is Hypersexuality? During manic episodes, people with bipolar disorder may experience a heightened sense of sexuality. It's only when this is paired with other symptoms of bipolar mania—including risk-taking, impulsivity, and poor judgment—that it can shift into problematic hypersexuality.
A 2021 study in the Journal of Affective Disorders found that hypersexual behavior may be a reaction to past trauma, and that it's linked to post-traumatic stress disorder and depression.
Case vignettes are provided to illustrate the most common profiles of hypersexuality referral that presented to a large, hospital-based sexual behaviors clinic, including: (1) Paraphilic Hypersexuality, (2) Avoidant Masturbation, (3) Chronic Adultery, (4) Sexual Guilt, (5) the Designated Patient, and (6) better ...
[1] Hypersexuality is usually seen in mania, but can also be seen in depression and anxiety disorders. Persons afflicted with these conditions are currently diagnosed as sexual disorder not otherwise specified on diagnostic and statistical manual IV edition text revision (DSM IV-TR).
Diagnosis. Though hypersexuality disorder is not included in the DSM-5 as a formal diagnosis, clinicians assess patients similarly to how they would for a mental health condition. They may also use the criteria for compulsive sexual behavior disorder in the ICD-11.
Does bipolar hypersexuality last forever? Bipolar disorder is a lifelong condition. 9 However, that does not necessarily mean bipolar hypersexuality will last forever. People with bipolar disorder experience episodes of depression, mania, and even phases without depression or mania.
Bipolar disorder is characterised by extreme mood swings. These can range from extreme highs (mania) to extreme lows (depression). Episodes of mania and depression often last for several days or longer.
Additionally, hypersexuality is usually classified as an obsessive compulsive disorder (OCD) and can be a symptom of OCD, as well as being a symptom of drug abuse, bipolar disorder and attention deficit disorder.
Hypersexual and paraphilic disorders have been frequently associated with concomitant psychiatric disorders, including schizophrenia. A growing number of published cases has recently indicated that hypersexual behavior may also arise in conjunction with treatment with second-generation antipsychotics.
Both a manic and a hypomanic episode include three or more of these symptoms: Abnormally upbeat, jumpy or wired. Increased activity, energy or agitation. Exaggerated sense of well-being and self-confidence (euphoria)
During manic episodes
A manic episode can cause a person with bipolar disorder to experience hypersexuality. They may feel as if their sex drive is always very high, which can create difficulties. People experiencing hypersexuality may never feel satisfied with sex.
Results: Testosterone has a primary role in controlling and synchronizing male sexual desire and arousal, acting at multiple levels.
The amygdalae. Findings from animal studies have clearly demonstrated that within the temporal lobe it is the amygdala that is the pivotal structure in mediating sexual behaviour. A recent study has directly examined the role of the amygdala in human sexual functioning.
n. an abnormally low level of sexual behavior. Hyposexual individuals may show no sex drive or interest in sexual activity. —hyposexual adj.
A study investigating sexual behavioral patterns in a female online sample reported a 3.1% prevalence of hypersexuality and stated that high masturbation frequency, increased number of sexual partners, and frequent pornography use are associated factors (Klein et al., 2014. (2014).