Self-Assessment

Recognize the pattern. Decide what to do about it.

Twelve questions, two minutes, fully confidential. This is not a diagnostic test — it is a structured way to recognize whether your pattern has reached the clinical threshold where intensive outpatient care becomes the appropriate next step.

The questions below are written by Iron Ridge's clinical team and informed by the diagnostic domains used in validated sex addiction screening — preoccupation, loss of control, escalation, consequences, and concealment. They are designed to help you see the pattern in your own behavior the way a clinician would.

Important. This self-assessment is for informational purposes only. It does not constitute a diagnosis, clinical evaluation, or medical advice. Results indicate whether a clinical consultation may be warranted — not whether you have a specific disorder. Only a licensed clinician can make a diagnosis. If you are in crisis, call or text 988.

How it works. Answer each question honestly based on the past twelve months. Your responses are processed entirely in your browser — nothing is stored, transmitted, or recorded. When you finish, you'll receive a tier result and a recommended next step.

0 of 12 answered
Question 1 of 12

Do thoughts about sex, pornography, or sexual fantasy occupy a significant portion of your mental energy most days?

Question 2 of 12

Have you used sex or sexual fantasy as a way to manage stress, low mood, loneliness, or boredom?

Question 3 of 12

Have you tried to stop or cut back on a sexual behavior and found that you returned to it within days or weeks?

Question 4 of 12

Have you continued a sexual behavior longer or more often than you originally intended in a given session?

Question 5 of 12

Have you needed more intense, more frequent, or more novel sexual content or activity to feel the same effect over time?

Question 6 of 12

Have you crossed a line in your sexual behavior that you had previously told yourself you would not cross?

Question 7 of 12

Has your sexual behavior caused tension, conflict, or harm in your relationship, marriage, or family?

Question 8 of 12

Has your sexual behavior interfered with your work performance, sleep, finances, or physical health?

Question 9 of 12

Do you actively hide the frequency, content, or nature of your sexual behavior from your partner or people close to you?

Question 10 of 12

Have you lied to a partner, therapist, or other significant person about the extent of your sexual behavior?

Question 11 of 12

Do you feel shame, regret, or a sense of being out of alignment with your values after the behavior — and yet return to it anyway?

Question 12 of 12

If your sexual behavior were fully exposed to the people who matter most to you, would the consequences feel catastrophic?