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Nach jahrzehnteübergreifender Diskussion über die nosologische Einordnung unkontrollierbaren exzessiven Sexualverhaltens, ist die Einführung der Diagnose des zwanghaften Sexualverhaltens für die kommende Ausgabe der International Classification of Disease (ICD-11) geplant. Auch wenn die Zuordnung zur Kategorie der Impulskontrollstörungen etwas widersprüchlich erscheint, ist nach unserem Erachten ein notwendiger Schritt erfolgt. Mit einer kommenden eigenständigen Kategorie wird es möglich sein, zwanghaftes Sexualverhalten diagnostisch zu klassifizieren, welches häufig klinisch relevantes Leid verursacht. Im vorliegenden Artikel stellen wir die Definition des zwanghaften Sexualverhaltens vor sowie Prävalenzschätzungen und zeigen eine mögliche Ätiologie auf. Weiterhin werden die Diagnostik und Grundlagen einer möglichen Psychotherapie und Pharmakotherapie vorgestellt.

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