Sex addiction is a way some people medicate their feelings and/or cope with their stresses to the degree that their sexual behavior becomes their major coping mechanism for stresses in their life. The individual often can not stop this sexual behavior for any great length of time by themselves. The sex addict spends a lot of time in the pursuit of his or her sexual behavior/fantasy or they may have a binge of sexual behaviors.
Why do people become sex addicts combined with regular masturbation is the cornerstone for most sex addicts. Many sex addicts have great difficulty getting sober from this combination of behavior. The pornography with fantasy creates an unreal world that the sex addict visits throughout their adolescence and other developmental stages and creates an object relationship that conditions their emotional and sexual self to depend upon these objects and fantasies to meet their emotional and sexual needs hundreds of times before having sex with a real person.
Can someone be a sex addict and not be sexual with their spouse or committed relationship? YES! We call this later stage of sex addiction, sexual anorexia. In this stage of sex addiction, the addict prefers the fantasy world and fantasy sex with themselves or others instead of relational sex with their spouse or partner. The addict/anorexic avoids relational sex and hence this couple has sex infrequently and often at the partners request not the addict/anorexics.