Teen Sex Mania

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Teen Sex Mania
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Editorial Sources and Fact-Checking
Compulsive Sexual Behavior. Mayo Clinic . February 7, 2020. Kopeykina I, Kim HJ, Khatun T, et al. Hypersexuality and Couple Relationships in Bipolar Disorder: A Review. Journal of Affective Disorders . May 2016. Hunt GE, Malhi GS, Cleary M, et al. Prevalence of Comorbid Bipolar and Substance Use Disorders in Clinical Settings, 1990–2015: Systematic Review and Meta-Analysis. Journal of Affective Disorders . December 2016.
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An increased sex drive is a common manic symptom of people with bipolar disorder.
Bipolar disorder is a mood disorder in which a person experiences drastic mood swings — from feeling elated, energetic, and risky to feeling sad and disinterested. These mood swings, called episodes of mania and depression, are the classic signs of bipolar disorder.
When someone with bipolar disorder is having a manic episode, impulsive, reckless sexual behaviors and significantly increased sex drive are quite common. Such hypersexual behavior is often a warning sign of a manic episode.
It’s not unusual for people to experience a heightened sense of sexuality during a manic episode. And while an increased interest in sexuality on its own does not present a problem, when the heightened sense of sexuality is paired with the symptoms of bipolar mania — such as impulsivity, risk-taking, and poor judgment — the behavior can be destructive to many aspects of day-to-day life.
Experts aren't sure why some people with bipolar disorder experience symptoms of hypersexuality and others do not.
"In general, hypersexuality is a symptom of hypomania or mania — it goes with that particular mood episode," says Adele C. Viguera, MD , a psychiatrist at the Cleveland Clinic in Ohio. Mania is one of the two main episodes that someone with bipolar disorder may experience, while hypomania is a milder form of mania.
"Hypersexuality can be one of the characteristic symptoms of both," says Dr. Viguera. Other symptoms include:
While there isn't a clear-cut definition or criteria for being hypersexual, for a person with bipolar disorder , it means being more focused on sex and risky sexual behaviors than the person normally is. What's significant is the change or difference from the normal behavior.
People with bipolar disorder who are experiencing hypersexuality may:
Hypersexuality with bipolar disorder isn't a separate condition or problem that needs its own treatment — it's a symptom of bipolar disorder . Once the condition is successfully treated and mood swings and symptoms are under control, those hypersexual feelings will dissipate.
"When bipolar disorder is not being treated effectively, hypersexuality is often a symptom that can wreak havoc in a person's personal life and lead to poor decisions with possible serious and negative consequences. Treating the bipolar symptoms and getting hypomania and mania under control will often target and help hypersexuality as well,” explains Viguera.
"You treat the disease, not the symptom," she adds. “Treatments usually involve medications such as mood stabilizers or antipsychotics , as well as psychotherapy such as cognitive-behavioral therapy or interpersonal social rhythm therapy,” she says.
Once the disease is under control, people with bipolar disorder often react differently to sex and their past behaviors.
"You often see a lot of regret for the past behavior, because they put themselves in very bad situations," says Viguera. "When they're well, they reflect on that, and there can be a lot of regret and remorse. It's just another clue that shows you that it was not their normal state.”
In addition, hypersexuality can be one of the most difficult and challenging symptoms both for people living with the condition and for those close to them.
Sometimes the inability to control sexual urges leads to broken marriages and relationships. Both people in a relationship can suffer if these urges result in infidelity: The partner with bipolar disorder may feel distraught over having hurt the other partner, who in turn feels confused and angry for having been cheated on.
The study found substance abuse disorders to be quite common in people with bipolar disorder. The disorders with the highest prevalence in conjunction with bipolar disorder were alcohol use (42 percent), followed by cannabis use (20 percent) and other illicit drug use (17 percent).
Stimulants in particular can be problematic: The study authors point out that if stimulants are being used or abused, they could mimic symptoms of mania. In addition, alcohol and cannabis use can be linked to poor judgment, which may further contribute to hypersexual behavior.
Bipolar disorder is usually treated with:
The right combination of these various therapies can reduce or eliminate bipolar mood changes between mania and depression, as well as prevent or reduce symptoms, including hypersexuality.
Those symptoms of hypersexuality may be a red flag for some people with bipolar disorder indicating that they are slipping into a manic episode. If a person with bipolar disorder starts to notice themselves thinking more about sex or engaging in promiscuous behavior, they should notify their doctor of this onset of symptoms.
This organization supports people with depression and bipolar disorder. Learn more about treatment options for bipolar disorder , and check out the DBSA Wellness Toolbox .
A top U.S. hospital, Mayo Clinic has educational information about bipolar disorder on its website and also offers care for bipolar disorder at its four locations in the United States. Learn more about how to schedule an appointment .
NIMH is a part of the National Institutes of Health, which is the world’s largest biomedical research agency. If you’re interested, consider participating in a research trial to help researchers discover more about potential treatments for bipolar disorder .
Additional reporting by Barbara Kean .
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The Connection Between Bipolar Disorder and Hypersexuality

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Marcia Purse is a mental health writer and bipolar disorder advocate who brings strong research skills and personal experiences to her writing.


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Kraus SW, Voon V, Potenza MN. Neurobiology of Compulsive Sexual Behavior: Emerging Science . Neuropsychopharmacology . 2016;41(1):385-386. doi:10.1038/npp.2015.300.
Mayo Clinic Staff. Compulsive Sexual Behavior . Mayo Clinic. Updated October 5, 2017.



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Bipolar disorder , also known as manic depression , is a diagnosis bestowed upon those who experience sweeping mood swings that range from depressive lows to manic highs. It's a disorder that can have a variety of adverse effects on your life, including irritability, psychosis , sadness , low energy, low motivation , or loss of interest in previously enjoyable activities.


In addition to these more general symptoms, however, bipolar disorder can also affect your sex life , leading to a drastically increased libido during periods of mania. 1 Some who experience this heightened sexuality may receive a diagnosis of hypersexuality or sexual addiction , a diagnosis that still carries a lot of controversy within the fields of both psychology and sexuality. There are those who hesitate to pathologize sexuality in this way. After all, it's difficult to measure how much of a sex drive is too much.

No matter what you choose to call it, however, if these symptoms become disruptive to your life, it's worth seeking out help.

Hypersexuality is defined as an increased need or pressure for sexual gratification. It can often be a symptom of mania , and may also include decreased inhibitions or a need for "forbidden" sex. 2

Hypersexuality is listed as one of the diagnostic criteria for bipolar disorder, so it's a common part of bipolar disorder.

Understandably, if you're experiencing a manic episode and you succumb to your urges, you're putting your relationships at risk, as well as yourself. Unrestrained hypersexuality can place you at an increased risk of contracting a sexually transmitted infection (STI).


Sexual addiction, also known as compulsive sexual behavior, is thinking about and engaging in sexual behavior so often that it interferes with your relationships, your health, your job, or other aspects of your life. It can damage many aspects of your life if it's left untreated.


Sexual addiction can be just as destructive as being addicted to chemical substances . An estimated 3 to 6 percent of adults in the United States, predominantly male, are sexually addicted. 3 Although sexual addiction is not listed as a disorder in the current Diagnostic and Statistical Manual of Mental Disorders (DSM-5), it can be diagnosed as an impulse-control disorder in the current International Classification of Diseases (ICD-10), which is the international standard for diagnosis.

Some of the specific behaviors associated with sexual addiction include:
It's important to note here that any one of these behaviors in and of itself does not constitute an addiction.

These compulsive sexual behaviors can carry a high price. Financially, they can lead to outrageous charges from prostitutes or phone sex lines. Professionally, your behavior may cause you to lose your job. Personally, your relationships, intimate and otherwise, could be damaged. Health-wise, if you're indiscriminate, sexual contacts could lead to disease.


If you're concerned about your own behavior, talk to your doctor, or to another sexuality professional. You may require additional sexual counseling/therapy in addition to the treatment you're already receiving for bipolar disorder.

Kopeykina I, Kim HJ, Khatun T, et al. Hypersexuality and couple relationships in bipolar disorder: A review . J Affect Disord . 2016;195:1-14. doi:10.1016/j.jad.2016.01.035
Karila L, Wéry A, Weinstein A, et al. Sexual addiction or hypersexual disorder: different terms for the same problem? A review of the literature . Curr Pharm Des . 2014;20(25):4012-20. doi:10.2174/13816128113199990619
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