no diagnosis?i

I recently began seeing a new person for therapy.  He is a tall, handsome man, which adds to his problem.

His problem is that he likes sex.  That is not so unique to him, but he takes it to an extreme.  He thinks about sex a lot.  The idea seems to cross his mind with almost every woman under 80 he sees.

That may not be so unique.

What is unique is that he often acts on his wishes, and has a great deal of success in meeting his needs.  His wife is mostly accepting of this, as are the women.  The trouble is that he has run afoul at his work, in his neighborhood, and with others who have to deal with the atmosphere he creates.

He is now in danger of losing his job, his marriage, and of being dismembered by several men who were involved with some of the women he became involved with.

So I went to give him a diagnosis.  I was looking for some kind of impulse control disorder related to sexual impulses.

But it's not there.

There are sexual dysfunctional disorders, but they area all about NOT being able to have or enjoy sex. Having too much is never seen as a disorder.  There are diagnoses for fetishes, for sadism and masochism.  But he is not like that.  he just likes getting laid.

There is the diagnosis called paraphilia, but that is mostly a fancy name for necrophilia, which is sex with dead people.  that's not him either.

Interesting.
too much sex, not a problem.  Except for him it is.

Diagnosis:  312.10:  impulse control disorder, NOS