Mental and sexual health perspectives of the International Classification of Diseases (ICD-11) Compulsive Sexual Behavior Disorder Commentary to the debate: Behavioral addictions in the ICD-11

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 dis-order 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.

Automated summary

After the introduction of compulsive sexual behavior disorder (CSBD) in the ICD-11, there are still many unanswered questions regarding its etiology, classification, and diagnostic criteria. This commentary critically reviews the ongoing discussion and highlights the risks of oversimplification, as well as the neglected aspects such as psychosexual development, intimacy disorder, and the role of sexological expertise in assessment and treatment. The authors advocate for a multimodal, transtheoretical approach and suggest reconsidering CSBD as a condition related to sexual health.