Compulsive sexual behaviour disorder

Compulsive sexual behaviour disorder, abbreviated CSBD, is a psychiatric disorder that manifests as a persistent pattern of intense preoccupation with sexual fantasies and behaviours that causes significant mental distress, cannot be voluntarily curtailed by the person experiencing it, and risks or causes harm to the person or to others. The disorder causes real impairment in social, occupational, personal, or other important areas of a person's functioning. CSBD is not classified as an addiction, but rather describes a distinct pattern of behaviour. The World Health Organization recognizes it as an impulse-control disorder under code 6C72 in the ICD-11, while the American Psychiatric Association's DSM-5 does not list it as a standalone diagnosis. Related patterns such as chemsex and paraphilias frequently occur alongside CSBD, though mental distress arising only from moral disapproval of one's own sexual impulses is not sufficient grounds for a diagnosis. Research spanning 42 countries suggests that almost five percent of people may be at high risk of CSBD, yet only fourteen percent of that group has sought treatment. As of 2019 no medication had been approved specifically for the condition, and cognitive-behavioural treatment focuses on reducing shame and supporting social reintegration.