CLINICAL CASE REPORT SERIES A Treatment-Oriented Typology of Self-Identified Hypersexuality Referrals

Abstract Men and women have been seeking professional assistance to help control hypersexual urges and behaviors since the nineteenth century. Despite that the literature emphasizes that cases of hypersexuality are highly diverse with regard to clinical presentation and comorbid features, the major models for understanding and treating hypersexu-ality employ a‘‘one size fits all’’approach. That is, rather than identify which problematic behaviors might respond best to which interventions, existing approaches presume or assert without evidence that all cases of hypersexuality (however termed or defined) represent the same underlying problem and merit the same approach to intervention. The present article instead provides a typology of hypersexuality referrals that links individual clinical profiles or symptom clusters to individual treatment suggestions. Case vignettes are pro-vided to illustrate the most common profiles of hypersexu-ality referral that presented to a large, hospital-based sexua