Compulsive Sexual Behavior Disorder (CSBD)
CSBD self-assessment
A brief confidential screener informed by the SAST-R. What the result means, what it cannot tell you, and what to do with it either way. Nothing is stored.
Clinically reviewed by Ian Birdwell, LPC, CSAT · 2026-08-19 · Next review 2027-08-19
Iron Ridge publishes a brief confidential screener informed by the SAST-R and the ICD-11 6C72 criteria. It takes a few minutes, nothing you enter is stored, and it produces an indication rather than a diagnosis.
This page explains what it is, what it is not, and what to do with the result. The instrument itself lives on the tool page.
What it is for
It exists for the specific moment before someone is willing to talk to anyone — where the question is not "which program should I choose" but "is this even a real thing, or am I overthinking it."
A structured set of questions is often easier to face than a conversation. Being asked directly about escalation, failed attempts to stop, and continuation despite consequences turns a diffuse worry into something specific enough to act on.
What it is not
It is not a diagnosis. Compulsive sexual behaviour disorder is diagnosed by a clinician assessing against the ICD-11 criteria, taking a history, and considering the differentials. No questionnaire does that.
It is not a gate. You do not need a particular result to contact us, and we do not ask for one. Men reach us having taken it, having ignored it, and having never seen it.
It is not stored, transmitted, or attached to you. Nothing you enter is retained.
What to do with the result
If it indicates a pattern consistent with CSBD, that is a reason to have a clinical conversation — not a conclusion. Screening instruments are deliberately built to over-identify, so a positive result is a prompt rather than a finding.
If it does not, that is not a clearance either. Under-reporting on questions about concealed sexual behaviour is predictable, and if you are here at all, something prompted it. That is worth taking seriously regardless of a score.
If the questions were hard to answer honestly, that is frequently the most informative part of the exercise, and worth saying out loud on a consult call.
The honest limits
A screener cannot tell the difference between functional impairment and moral distress. The ICD-11 is explicit that distress arising entirely from moral judgements about sexual impulses does not meet the diagnostic threshold — and a questionnaire has no way of knowing which one it is measuring in you.
It also cannot distinguish CSBD from OCD with sexual content, bipolar hypersexuality, or high sexual interest without impairment. Those distinctions change treatment substantially, and getting them wrong is not harmless.
If you would rather just talk
A consult call is a clinical conversation, not a sales call. A licensed member of the clinical team replies within one business day, nothing is charged, and if Iron Ridge is not the right level of care we will say so.
Request a confidential consult → or call (512) 877-8616.
This page is part of the Compulsive Sexual Behavior Disorder (CSBD) clinical hub.
You do not have to be ready to change to reach out.
Every inquiry is read by a member of our clinical team and answered within one business day. Nothing is charged for reaching out, and contacting us commits you to nothing.
Request a Confidential Consult → Take the assessment privately
Reading this late? The form is open now and a clinician picks it up in the morning — you do not have to speak to anyone tonight.