Compulsive Sexual Behaviour Self-Assessment Questionnaire

This questionnaire aims to help you reflect on patterns of sexual thoughts and behaviours. It is not a diagnostic tool, but it may help you consider whether your behaviour is difficult to control or affecting your wellbeing or relationships.

Please answer the following questions honestly. There are no right or wrong answers.

You may respond with:

Never / Occasionally / Often / Very Often

1: Control and Regulation

  • Do you find it difficult to control or reduce your sexual thoughts or behaviours?
  • Have you tried to stop or change your behaviour but found it difficult to do so?
  • Do you feel compelled or driven to engage in sexual behaviour, even when you would rather not?

2: Preoccupation

  • Do you spend a significant amount of time thinking about, planning or engaging in sexual activity?
  • Do sexual thoughts interfere with your ability to focus on work, relationships or daily life?

3: Emotional Triggers

  • Do you engage in sexual behaviour to cope with stress, anxiety, loneliness or low mood?
  • Do you notice urges increasing during periods of emotional difficulty or distress?

4: Impact and Consequences

  • Has your behaviour affected your relationships, work or emotional wellbeing?
  • Do you continue the behaviour despite negative consequences?
  • Have you experienced conflict, secrecy or a breakdown of trust within relationships as a result of your behaviour?

5: Emotional Response

  • Do you feel guilt, shame or regret after sexual behaviour?
  • Do you experience a brief feeling of relief during the behaviour, only to feel uncomfortable afterwards?

6: Escalation and Patterns

  • Have you observed a rise in how often or how severely your behaviour occurs over time?
  • Do you seek new or different experiences to reach the same level of satisfaction?

7: Attempts to Change

  • Have you tried to set limits or boundaries around your behaviour but found it difficult to uphold them?
  • Do you find yourself repeating the same patterns despite your intentions?

If you answered “Often” or “Very Often” to several of these questions, it may indicate patterns of compulsive sexual behaviour.

This does not mean there is anything inherently wrong with you, but it might suggest that your behaviour has become difficult to control on your own or is serving a specific emotional or psychological purpose.

Next Steps

Compulsive sexual behaviour is often associated with underlying patterns, including emotional regulation, stress, relationship issues or past experiences.

Speaking with a qualified therapist can help you understand the patterns behind the behaviour, reduce shame or confusion, develop healthier coping strategies, and regain a sense of control.

If you wish to explore this further, please contact me to arrange a confidential consultation.

This questionnaire is intended as a reflective tool and does not constitute a formal diagnosis.

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