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How Do You Identify a Porn Addiction?

Porn is bad only if it’s taking over your life, say the experts. Here’s how to know


a graphic illustration shows a face with eyes bugging out of its head looking at a smartphone
Jon Krause

This week’s question about porn addiction took me into unexpected territory, starting with this big reveal: Medically speaking, there’s no such thing.

As certified sex therapist Chris Fariello puts it: “It’s not a medical term; it’s a social term. It is not a diagnosis.” 

And while our experts say that using porn excessively can be unhealthy, moderate use may yield some benefits. Curious about where you fit on that scale? Read on.

My husband thinks he has an addiction to watching porn. How do you know when someone is addicted to porn, and are there support groups for that?

First, some background. The clinical sex therapy community — certified sexuality therapists, educators and counselors — has ditched the concept of “porn addiction” and “sex addiction,” preferring the term “out-of-control sexual behavior.”

Ask this question instead. Licensed psychologist Rachel Needle, codirector of Modern Sex Therapy Institutes, a continuing-education provider based in Florida, says the more helpful question isn’t “Is he addicted?” but, rather: “Is this behavior feeling out of control, causing distress or interfering with his well-being or your relationship?”

In the Mood columnist

In the Mood

For AARP’s In the Mood column, writer Ellen Uzelac will ask experts your most pressing 50+ sex and relationship questions. Uzelac is the former West Coast bureau chief for The Baltimore Sun. She writes frequently on sex, relationships, travel and lifestyle issues.

Do you have a question? Email us at sexafter50@aarp.org

A quick self-check. How can you be certain your porn habit is out of control? Fariello, who heads the Philadelphia Institute for Individual, Relational & Sex Therapy, says to tick off this checklist:

  • I feel unable to control my porn use.
  • I keep using despite clear negative effects.
  • I’ve tried to stop and failed repeatedly.
  • It feels compulsive rather than chosen.
  • It’s become my main way of coping emotionally.

If you answer yes to several of these, Fariello says it’s worth exploring whether you are exhibiting out-of-control sexual behavior — and, in that case, he says to consider consulting a sex therapist.

Exploring the “why.” When porn use is causing distress or conflict, certified sex therapist Marianne Brandon says the key question is what may be driving it — such as untreated depression, anxiety or loneliness.

Other influences, according to Needle: stress, retirement transitions, changes in libido between partners and avoidance of difficult emotions.

“Understanding these influences doesn’t excuse secrecy or relational harm, but it does help move the conversation away from shame and toward clarity,” says Needle.

The role of messaging and beliefs. Brandon says it’s not uncommon for people to worry about their porn use, not because they use it that much but because they have moral or religious concerns about using it at all.

Daily porn use, by itself, isn’t necessarily a problem, adds Brandon, cohost of The Sex Doctors podcast. Plus, she says, it’s normal and common to have an interest in sexual content.

Moreover, porn use has its benefits. As Allison Kent, a licensed clinical social worker and relationship counselor, frames it: “As long as the pornography content is legally obtained, moderate use of pornography can be a fun or healthy tool.”

Yet, Needle says, if someone holds strong beliefs that porn is inherently wrong, sinful or a betrayal, even moderate use may feel catastrophic.

“In those cases,” Needle adds, “the distress may be less about the behavior itself and more about values incongruence — meaning the behavior conflicts with internalized beliefs.”

A path forward — with support. The clinical sex therapy community, in rejecting the term “porn addiction,” also rejects the idea that abstinence — the goal of 12-step programs for substance use addicts, as an example — is the right way to handle a porn habit that you or your partner might think is becoming too all-consuming.

As Fariello notes, “This isn’t about quitting forever or labeling yourself — it’s about regaining agency.”

When Fariello treats a person for compulsive sexual behavior, he explores questions like: “Is the person using porn because they’re not having the sex in their relationship they want?” and “Is someone highly anxious and using it as a coping mechanism?”

“What we look at are: What are the behaviors, the thoughts, the experiences? That’s the stuff we want to treat,” he says, adding that the answers aren’t always quick.

In addition to seeing a sex therapist trained in out-of-control sexual behavior, Needle suggests couples therapy to rebuild trust and clarify boundaries, along with support groups that focus on behavior change.

To locate a therapist, Brandon recommends seeking a referral through the Society for Sex Therapy and Research at sstarnet.org, or the American Association of Sexuality Educators, Counselors and Therapists at aasect.org.

Parting thoughts. What matters most, according to Needle, is not the word used to describe the behavior (addiction versus out-of-control sexual behavior). What matters is whether it’s harming either partner or creating distance in the relationship.

“Approached with curiosity rather than accusation,” Needle says, “this can become an opportunity for deeper honesty, clearer agreements and a healthier sexual relationship — both individually and together.”

Do you have questions about sex or relationships as a 50-plus adult? Send them to sexafter50@aarp.org.

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