illustration of a dark haired woman with her mouth being covered by a shadow hand from an unknown figure behind her

Sexual Abuse and Hypersexuality: a Complex Relationship

Rychel Johnson, LCPC

Is Your Relationship Abusive? Assessment

Do you feel afraid of your partner’s reactions, even to small things?

Do you change your behavior to avoid upsetting them?

Do you feel like nothing you do is ever good enough?

Do they blame you for their anger, outbursts, or problems?

Do they mock, belittle, or humiliate you (privately or publicly)?

Do you feel guilty when you engage in friendships or hobbies outside of your relationship with this person?

Do you feel obligated to justify or explain basic things you do?

Do they dismiss or minimize your feelings when you try to express them?

Do they punish you with silence, withdrawal, or coldness?

Do they twist events to make you doubt your own memory or sanity?

Do you feel like you’re “walking on eggshells” around them?

Do they call you names or use insults during arguments?

Do they hold past mistakes over your head to control you?

Do they twist your words to make you the villain in every conflict?

Do they lash out over small things or switch moods without warning?

Do they act loving one moment and cruel the next, keeping you off balance?

Do you apologize constantly, even when you aren’t wrong?

Do you feel drained, anxious, or “not yourself” in the relationship?

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illustration of a dark haired woman with her mouth being covered by a shadow hand from an unknown figure behind her

The relationship between sexual abuse and hypersexuality, or heightened sexual desire, is intricate and not always straightforward. Childhood sexual abuse is traumatic and can profoundly affect victims and cause dysfunction as an individual seeks out healthy relationships.

One long-lasting effect of sexual trauma is the development of hypersexuality, also known as sexual addiction. Becoming hypersexual does not happen with all people with similar trauma, but it impacts many.

Defining Childhood Sexual Trauma

Childhood sexual trauma may involve a child in sexual touching or other acts of a sexual nature with the intent to control or manipulate the child. Children are not old enough to consent and are not developmentally capable of comprehending what they have experienced as sexual assault.

Sexual gestures in the context of child sexual abuse may be physical or non-physical. Some examples are [1]:

  • Putting objects or body parts inside the vulva or vagina, in the anus, or the mouth of a child
  • Touching a child’s genitals in a manner for sexual pleasure or reason that is unnecessary
  • Sexual violence in the form of coercing a child to touch someone else’s genitals
  • Convincing a child to perform sexual touching or acts with someone else
  • Photographing a child without clothing or in suggestive poses
  • Watching a child undress

What is Hypersexuality

Hypersexuality involves having obsessive thoughts and behaviors in addition to sexual fantasies. It can also be known as compulsive sexual behavior or sexual addiction. Hypersexuality is generally characterized by sexual thoughts and behaviors that interfere with daily functioning at home, work, relationships, and well-being. Some examples are:

  • An intense preoccupation with sexual thoughts, fantasies, and behaviors
  • Engaging in excessive sexual activity with partners or other consenting adults
  • Excessive pornography consumption
  • Excessive masturbation
  • Heightened sexual arousal that feels addictive

Hypersexuality is often a coping mechanism for emotional distress or escaping painful feelings. It is common for other psychiatric, somatic, and addictive disorders to coexist with sexual addiction [2].

The Connection Between Hypersexuality and Sexual Trauma

Childhood is a period of intense learning and development when our belief systems are shaped and our behaviors are established. With this in mind, it’s not surprising that childhood trauma impacts us as we emerge as adults.

Studies on childhood sexual abuse show that an incident occurring in a person’s developmental years strongly connects with problematic sexual behavior or an unhealthy perception of sex and intimacy.

Sexual trauma impacts everyone differently; however, it is common for childhood sexual abuse victims to experience symptoms of post-traumatic stress disorder (PTSD), such as depression, anxiety, and other emotional disturbances.

Is Your Relationship Abusive? Assessment

Do you feel afraid of your partner’s reactions, even to small things?

Do you change your behavior to avoid upsetting them?

Do you feel like nothing you do is ever good enough?

Do they blame you for their anger, outbursts, or problems?

Do they mock, belittle, or humiliate you (privately or publicly)?

Do you feel guilty when you engage in friendships or hobbies outside of your relationship with this person?

Do you feel obligated to justify or explain basic things you do?

Do they dismiss or minimize your feelings when you try to express them?

Do they punish you with silence, withdrawal, or coldness?

Do they twist events to make you doubt your own memory or sanity?

Do you feel like you’re “walking on eggshells” around them?

Do they call you names or use insults during arguments?

Do they hold past mistakes over your head to control you?

Do they twist your words to make you the villain in every conflict?

Do they lash out over small things or switch moods without warning?

Do they act loving one moment and cruel the next, keeping you off balance?

Do you apologize constantly, even when you aren’t wrong?

Do you feel drained, anxious, or “not yourself” in the relationship?

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Signs That a High Sex Drive Might Be a Trauma Response

Sexuality is complicated enough without trauma, and there’s no concrete way to quantify hypersexuality or know the fine line between a healthy sex drive and impulsive sexual behavior. Having multiple sexual partners does not necessarily mean your experience is related to trauma.

Some signs that your high sex drive could be trauma-related include the following [3]:

  • Engaging in compulsive sexual behavior with frequent urges to do certain sexual behaviors that result in feeling grief or negative afterward
  • Pursuing risky sexual behaviors with reduced concern about consequences
  • Noticing that you’re sexualizing everyday non-sexual interactions
  • Seeking sexual encounters to gain external validation or a confidence boost that you struggle to have on your own

Healing from Hypersexuality as a Result of Childhood Abuse

In most cases, hypersexual behavior is a symptom of a more significant underlying issue. It can be a way for a sexual abuse victim to reclaim their sexual expression after experiencing a nonconsensual act. An addiction to something so connected to a traumatic experience seems contradictory; however, sexual abuse victims will try reenacting trauma or “recreate” the traumatizing sexual events, to process the abuse incidents. After a nonconsensual experience, many victims have diminished self-worth and may put themselves into positions of authority to attempt to control the situation. These actions offer victims a perceived sense of control within sexual contexts to regain lost self-esteem.

Healing from hypersexuality is a process with various possible approaches, which depend on the severity of a person’s symptoms. Many people seek individual therapy with a trauma therapist to process past sexual abuse.

To work toward gaining a healthy sense of autonomy in sexual relationships, therapists often utilize cognitive behavioral therapy (CBT) to address faulty ways of thinking and negative self-talk patterns. Additionally, some people use medication to manage accompanying anxiety, depression, and PTSD symptoms. If a person gets professional psychological services after the event, the potential for pronounced lifelong impacts can decrease significantly.

 

Frequently Asked
Questions

Is Sex Addiction a Sign of Trauma?

Possibly. Different forms of trauma result in the development of sex addiction. Trauma from sexual abuse can create unhealthy sexual development, interfering with physical, emotional, and psychological processes conducive to healthy sexual behavior. A sex addiction involving compulsive sexual behavior may develop as an attempt to self-medicate the emotional pain from past trauma.

 

Is It Possible to Have a High Sex Drive Without Having Trauma?

Other explanations exist for having a high sex drive. If it’s higher than average in a way that disrupts your personal life, it could be due to a fluctuation in hormone levels or an increase in exercise.

Additionally, some medications can impact libido when discontinued because they had been suppressing it previously.

 

What are the Risks of Hypersexuality?

Hypersexuality comes with some risks, primarily due to increased frequency of sexual behaviors or increased number of sexual partners. These behaviors can potentially be detrimental to your physical and mental health.
Some consequences of sex addiction may include the following:

  • Sexually transmitted diseases (STDs), such as HIV/AIDS, HPV, or gonorrhea
  • Unwanted pregnancy
  • Anxiety, depression, and other mental health symptoms from feeling incapable of controlling sexual urges
  • Friendships and relationships suffer due to intense preoccupation with sexual behaviors.

Sources

[1] Learn examples of child sexual abuse | Pennsylvania Coalition Against Rape (PCAR). (n.d.). Pcar.org. https://pcar.org/learn-examples-of-child-sexual-abuse

[2] ‌Karila, L., Wéry, A., Weinstein, A., Cottencin, O., Petit, A., Reynaud, M., & Billieux, J. (2014). Sexual addiction or hypersexual disorder: different terms for the same problem? A review of the literature. Current Pharmaceutical Design, 20(25), 4012–4020. https://doi.org/10.2174/13816128113199990619

[3] Childhood Sexual Trauma and Adult Sex Addiction: Is There a Connection? (2020, April 28). Gentle Path at the Meadows. https://gentlepathmeadows.com/childhood-sexual-trauma-and-adult-sex-addiction-is-there-a-connection/

Rychel Johnson, LCPC

View posts by Rychel Johnson, LCPC
Rychel Johnson, LCPC, is a licensed clinical professional counselor in Kansas. She owns a private practice, Empower Mental Wellness, where she specializes in anxiety treatment and social skills development. Rychel also enjoys extensive road trips and spending time with her husband, toddler, and two cats. Learn more about Rychel at rycheljohnson.com.

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