Understanding & Healing Out of Control Sexual Behaviors (OCSB)

Understanding & Healing Out of Control Sexual Behaviors (OCSB)

As an AASECT Certified Sex Therapist specializing in Out of Control Sexual Behaviors (OCSB), I want to shed light on this often misunderstood topic. OCSB can have a profound impact on individuals and their relationships.

Let's explore this issue together and learn how to heal and reclaim control.


Photo by Bernard

What is OCSB - Compulsive Sexual Behavior?

OCSB, also known as compulsive sexual behaviors or sexual addiction, refers to patterns of sexual behavior that feel distressing, overwhelming, and challenging to manage. These behaviors can manifest as excessive pornography use, compulsive masturbation, infidelity, anonymous sexual encounters, and more. It's important to understand that OCSB is not simply a result of a high sex drive or healthy sexual exploration; it stems from deeper emotional and psychological factors.

Out of Control Sexual Behavior (OCSB) encompasses intrusive sexual thoughts and behaviors that are challenging to manage. Individuals grappling with OCSB experience a strong compulsion to engage in these overwhelming sexual impulses, regardless of the negative consequences they may face. OCSB should not be equated with the concept of "sex addiction," as it goes beyond that label.

The OCSB model, developed by respected sex therapists Doug Braun-Harvey and Michael Vigorito, takes a comprehensive, empowering, and compassionate approach to addressing problematic sexual thoughts, urges, and behaviors that have had an adverse impact on an individual's life or relationships. This model deviates from addiction-based perspectives and aims to dismantle the shame cycles and internal conflicts that often trap individuals in a state of feeling "out of control" regarding their sexual behaviors.

Adopting an OCSB framework allows for individuals to assess and uncover the underlying factors that contribute to their problematic thoughts and behaviors. The goal is to assist clients in finding a personalized path towards healthy sexuality and sexual integrity, ultimately enhancing their lives and relationships.

The American Association of Sexuality Educators, Counselors, and Therapists (AASECT) recently endorsed this model due to its sexological framework and its nurturing, non-judgmental (sex positive) approach to working with individuals facing problematic sexual behaviors.


The impact on individuals and relationships

OCSB can have devastating effects on individuals' mental health, self-esteem, and overall well-being. It often leads to feelings of shame, guilt, and a sense of powerlessness. Relationships can suffer greatly, as trust is eroded and emotional intimacy becomes strained. However, I want to emphasize that recovery and healing are possible, and nobody should face this alone.

Understanding the underlying cause

Addressing OCSB requires a comprehensive understanding of the underlying causes. While each person's experience is unique, common contributing factors may include childhood trauma, unresolved emotional issues, low self-worth, or attempts to cope with stress or emotional pain.

As an AASECT Certified Sex Therapist specializing in OCBS, my role is to provide a safe space to explore these factors and develop effective strategies for healing.


Photo by Ales Maze

The path to healing

Recovery from OCBS involves a holistic approach. It often includes therapy, support groups, and the development of healthy coping mechanisms.

You’re Not Alone!

If you or someone you know is struggling with OCSB, it's crucial to know that support is available. Reach out to an AASECT Certified Sex Therapist or a mental health professional specializing in OCBS.

Remember, your journey towards healing begins by taking the first step towards seeking help.

Let’s work together to break the stigma, foster open dialogue, and promote healing. With support, we can overcome OCBS & thrive.


Meet the Author:

Susan Stork, LCPC, LPCC, LPC, CST (SHE/THEY), AASECT Certified Sex Therapist

Susan utilizes the Psychobiological Approach to Couple Therapy (PACT), to assist couples in moving towards secure functioning - which means the relationship is based on principles of true mutuality, collaboration, justice, fairness, and sensitivity. Susan helps couples to build awareness of thoughts, feelings, and physical sensations to develop greater insight and uncover new choices within their relationships. Her style is nurturing, supportive & interactive with a huge dose of common sense.