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Trouble With Sex: Understanding Hypersexuality and Sex Addiction

Charnel Hunter

Hypersexuality, sex addiction and compulsive sexual behavior are all terms used to describe the experience of those who struggle with sexual urges and behaviors to the point that it interferes with work, relationships and everyday life.

In this episode, host Anita Rao breaks down misconceptions around hypersexuality with sex-positive psychologist Dr. Krista Nabar, who is the executive director and founder of the Carolina Sexual Wellness Center and has a doctorate in professional psychology. Krista also shares her research into causes, symptoms and treatment methods for hypersexuality.

Then, Anita talks with author Erica Garza about her experience with sex addiction and her road to recovery, which she documents in her memoir “Getting Off: One Woman’s Journey Through Sex and Porn Addiction.” Mz. Cici, a content creator who raises awareness about hypersexuality on social media due to her own diagnosis, joins the conversation as well.

Special thanks to author Sue William Silverman, the author of “Love Sick: One Woman’s Journey Through Sexual Addiction,” for sharing her story with us.

Hypersexuality: Commonly Asked Questions

What is hypersexuality?

Hypersexuality, also called sex addiction and compulsive sexual behavior, “means people who engage in too much sex or sexual behavior despite having negative consequences,” said Dr. Krista Nabar of the Carolina Sexual Wellness Center.

But since there’s no “normal” sexual behavior, what defines “too much” varies situationally.

What *isn’t* hypersexuality?

Hypersexuality ≠ sex offending

Those who experience hypersexuality and those who engage in illegal boundary crossing behavior like sex offending are two distinct groups of people.

While there is some overlap, the conflation occurs out of a cultural stigma around sex, Dr. Nabar said. “We can cognitively organize what's happening if we just demonize both groups and put them in [the ‘bad sex’ box].”

What are the causes?

Issues with sexual behavior can arise as a coping mechanism for negative experiences, whether that has to do with mental health, relationship difficulties, self-esteem issues or conflict at work, Dr. Nabar said.

But, she added, the overarching answer is: unknown. Medical experts are still conducting research to better understand hypersexuality.

How is it treated?

Treatment is highly individualized. But routes people pursue include therapy, medication (depending on the cause) and 12 step groups.

Copyright 2023 North Carolina Public Radio. To see more, visit North Carolina Public Radio.

Kaia Findlay is a producer for The State of Things, WUNC's daily, live talk show. Kaia grew up in Minneapolis, Minnesota, in a household filled with teachers and storytellers. In elementary school, she usually fell asleep listening to recordings of 1950s radio comedy programs. After a semester of writing for her high school newspaper, she decided she hated journalism. While pursuing her bachelor’s in environmental studies at UNC-Chapel Hill, she got talked back into it. Kaia received a master’s degree from the UNC Hussman School of Journalism, where she focused on reporting and science communication. She has published stories with Our State Magazine, Indy Week, and HuffPost. She most recently worked as the manager for a podcast on environmental sustainability and higher education. Her reporting passions include climate and the environment, health and science, food and women’s issues. When not working at WUNC, Kaia goes pebble-wrestling, takes long bike rides, and reads while hammocking.
Anita Rao is the host and creator of "Embodied," a live, weekly radio show and seasonal podcast about sex, relationships & health. She's also the managing editor of WUNC's on-demand content. She has traveled the country recording interviews for the Peabody Award-winning StoryCorps production department, founded and launched a podcast about millennial feminism in the South, and served as the managing editor and regular host of "The State of Things," North Carolina Public Radio's flagship daily, live talk show. Anita was born in a small coal-mining town in Northeast England but spent most of her life growing up in Iowa and has a fond affection for the Midwest.