Structured Clinical Interview For Compulsive Sexual Behavior Disorder

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Clinical Interview for Compulsive Sexual Behavior Disorder for Adults

I am going to ask about your sexual feelings and experiences. When I ask about “sexual
behaviors”, please think about sex you have with other people, masturbation, viewing
pornography, cybersex or internet sex, telephone sex, and other, similar behaviors.

Question Reponses
1. Do you feel constantly unable to control
intense, sexual impulses or sexual urges, NO (GO TO 2) YES
such that you repeat sexual behaviors?
1a. Do the sexual behavior(s) that
you are repeating become a central
focus of your life to the point that
you do not take care of your health NO YES (+1)
and personal care, or other
interests, activities or
responsibilities?
1b. Do you try unsuccessfully to stop
or reduce the sexual behavior(s) NO YES (+1)
that you are repeating?
1c. Do you repeat the sexual
behavior(s) despite that they cause
bad consequences?
IF EXAMPLES REQUESTED: your NO YES (+1)
partner being upset, having money
or legal problems, or having worse
health?
1d. Do you keep repeating this
sexual behavior(s) even though it is NO YES (+1)
not satisfying to you?
SUBTOTAL A 1 if any +1, 0 otherwise
2. Have you struggled to control sexual
impulses or urges, that lead to repeated NO YES (+1, GO TO 2a)
sexual behaviors, for 6 months or longer?
2a. Was this time period related to a
change, like moving cities or NO YES (-1)
becoming single?
3. Some people are concerned that they
have a disease or take medicine that
changes their sexual experiences. For
NO (+1, GO TO 4) YES
example, Parkinson’s Disease, Bipolar
Disorder, and medications for depression
can change how you experience sex. Do you
have concerns that a diagnosed disease or
medication may be affecting your sexuality?
3a. List disease or medication and
reported effect
4. Do you feel very distressed by your sexual
NO (GO TO 5) YES (+1)
behaviors?
4a. Do you think that you are
distressed because of religious or
NO YES (-1, GO TO 5)
moral beliefs that you, personally
hold?
4b. Are you, yourself distressed, or
did someone else, like a partner,
friend, counselor, or religious NO (-1) YES
leader, tell you that you should be
distressed?
5. Do these sexual behaviors cause you
major problems in your life, such as for you
NO (GO TO 6) YES (+1)
personally, your family, social life, at school,
or at work?
5a. Do you think that these
behaviors cause problems because
NO YES (-1, GO TO 6)
of religious or moral beliefs that you,
personally hold?
5a. Do you, yourself believe that
your sexual behaviors caused
problems, or did someone else, like
a partner, friend, counselor, or NO (-1) YES
religious leader, tell you that your
sexual behaviors caused the
problems?
6. If you knew that no one could ever find
out about your sexual urges and behaviors, NO YES (+1)
would you still find them distressing?
7. Does your community or culture expect
people like you to have sexual urges or
NO (+1, GO TO END) YES
behaviors that are different than what you
experience?
7a. Describe the place or community
and how their expectations are
different.
SUBTOTAL B
TOTAL (SUBTOTAL A + SUBTOTAL B)

Risk of CSBD
<2 No CSBD
2-5 Unlikely CSBD
6 Possible CSBD
7 Likely CSBD

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