Sex Addiction Test

1. When I feel upset, lonely, bored, or rejected, sexual thoughts or behaviors are one of my main go-to responses.

2. My sexual behavior has created ongoing stress that makes it harder to focus, relax, or be present in daily life.

3. My sexual behavior has caused serious conflict or ongoing tension in a romantic relationship.

4. I feel like I have little control over whether I will seek sexual stimulation on a given day.

5. Even after getting sexual release, the relief doesn’t last long and I soon want more.

6. I feel like my sexual urges sometimes “take over” my decision-making.

7. I have taken risks that could lead to job loss, disciplinary action, or academic consequences due to my sexual behavior.

8. I spend time thinking about sexual behavior I already did (replaying, reviewing, or seeking the feeling again).

9. Over time, I have needed more time spent on sexual behavior to feel satisfied or get the same relief.

10. I have broken personal values or commitments (e.g., monogamy agreements, boundaries) due to my sexual behavior.

11. I keep my sexual behaviors secret because I worry how others would react if they knew.

12. I arrange my schedule or prioritize opportunities so I can engage in sexual behavior.

13. I have used sexual content or engaged in sexual behavior during times when it was inappropriate (e.g., at work/school or in public).

14. I have continued sexual behaviors even after they led to arguments, breakups, or threats of separation.

15. Over time, I have needed more intense or novel sexual content/experiences to get the same effect.

16. My sexual behavior has led to situations that could have legal or safety consequences (e.g., unsafe locations, coercive dynamics, violating rules).

17. When I try to resist sexual urges, I often give in anyway.

18. I tell myself “just this once,” but it happens repeatedly.

19. My sexual urges can feel like they take over my thoughts until I act on them.

20. I continue sexual behavior even when part of me is telling me to stop.

21. I find myself searching for sexual content even when it conflicts with my values or goals.

22. I use sexual activity (including porn or online sexual content) to cope with stress, anxiety, or difficult emotions.

23. Once sexual thoughts or urges start, I find it hard to stop or shift my attention.

24. I spend significant time planning when, where, or how I can engage in sexual behavior.

25. I have tried to cut back on sexual behaviors and failed.

26. Even when I clearly see negative consequences, I still return to the same sexual behaviors.

27. I have continued sexual behavior despite knowing it could harm my physical health (e.g., STI risk, injury, sleep loss).

28. I feel compelled to keep certain sexual habits hidden, even from people close to me.

29. After sexual behavior or sexual content use, I often feel guilt or distress that disrupts my day.

30. After engaging in sexual behavior, I need a long time to recover, regroup, or “come down” before I can refocus.

31. I feel restless, irritable, or preoccupied when I try to cut back on sexual behavior.

32. I hide evidence of sexual behavior (clearing history, using private accounts, deleting messages).

33. When I try to delay sexual behavior, I usually cannot delay it for long.

34. I repeatedly return to sexual behavior even after deciding to take a break from it.

35. I have skipped social activities, hobbies, or goals because I prioritized sexual activity or sexual content.

36. I have neglected important self-care (e.g., hygiene, meals, exercise, medical needs) because of sexual behavior or sexual content use.

37. I lose track of time while engaging with sexual content or sexual behavior.

38. I have stayed in situations that felt unsafe or disrespectful to me because of sexual urges or opportunities.

39. Sexual thoughts or fantasies intrude even when I am trying to focus on something else.

40. I get “stuck” in sexual fantasizing or planning and have trouble stopping.

41. I think about sex or sexual content so much that it distracts me from work, school, or daily responsibilities.

42. Even when I decide not to, I still find myself looking for sexual content or stimulation.

43. I have missed deadlines, appointments, or commitments because of sexual activity or sexual content use.

44. I have spent money on sexual activities or content that I later regretted because it harmed my finances.

45. My sexual behavior has negatively affected my mental health (e.g., increased shame, anxiety, low mood, or self-esteem problems).

46. I have made rules for myself about sexual behavior and then broken them.

47. I feel unable to control how often sexual thoughts interrupt my day.

48. I find myself repeatedly checking for sexual content (apps, sites, messages) even when I didn't intend to.

49. My sexual behavior has led me to lie, hide accounts, or cover up activities in ways that damaged trust with others.

50. My sexual behavior has interfered with my friendships or family relationships (e.g., withdrawal, conflict, broken trust).

51. I have progressively pushed my boundaries (time, intensity, or type of content/behavior) to maintain excitement or relief.

52. I feel restless or driven until I act on a sexual urge, even if I don’t want to.

53. My sexual behavior has caused financial strain (e.g., spending on sex, escorts, porn, apps, gifts, travel, subscriptions).

54. I have kept my sexual behavior secret even though secrecy itself has created stress or problems in my life.

55. I engage in sexual behavior to numb out or escape from emotional pain.

56. I feel a strong urge to engage in sexual behavior when I feel stressed or overwhelmed.

57. Once I begin viewing sexual material, I struggle to stop even if I need to do other things.

58. I have had health scares, symptoms, or medical concerns linked to my sexual behavior or sexual risk-taking.

59. I have had to repair damage (e.g., apologies, therapy, relationship repair, financial fixes) because of my sexual behavior.

60. My sexual behavior has reduced my sleep, energy, or ability to function the next day.

61. I use sexual behavior to change my mood (to feel calmer, less numb, more confident, or less sad).

62. I return to sexual behavior even when I had decided to avoid it (for example, “just this once”).

63. My sexual behavior has interfered with my performance at work, school, or other responsibilities.

64. I feel pulled toward sexual behavior in a way that is hard to resist.

65. I often end up engaging in sexual behavior longer than I intended.

66. I start with a small sexual activity (e.g., checking something quickly) and it escalates despite my intention to stop.

67. I often act on sexual impulses without fully thinking it through.

68. I have promised myself I would stop a sexual behavior and then did it anyway.