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"Current attempts at diagnosis focus on the extent to which sexual compulsions interfere with a person's good judgment or are pursued despite obvious risks to health, job and family.
If a married man has a lot of extramarital sex, is he necessarily a sex addict?
If a seemingly straight man frequents restrooms for casual sex, is he an addict?
Traditional addictions like those to alcohol or heroin always involve the presence of tolerance and withdrawal; that is, increasing amounts of the substance are required to achieve the same effect, and in its absence the addict suffers an increasingly painful psychophysiological state as the body and brain rebound.
But when it comes to sex addiction, physiological tolerance and withdrawal are usually not present, and if they are, they don't govern the addict's life in the same way that, say, opiates do.