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The Sexual Addiction Screening Test ( SAST)

  1. Were you sexually abused as a child or adolescent?
  2. Have you subscribed or regularly purchased/used sexually explicit material? Such as magazines or internet porn.
  3. Did your parents have trouble with sexual behavior?
  4. Do you often find yourself preoccupied with sexual thoughts?
  5. Do you feel that your sexual behavior is not normal?
  6. Does your partner ever worry or complain about your sexual behavior?
  7. Do you have trouble stopping your sexual behavior when you know it is inappropriate?
  8. Do you ever feel bad about your sexual behavior?
  9. Has your sexual behavior ever created problems for you or your family?
  10. Have you ever sought help for sexual behavior you did not like?
  11. Have you ever worried about people finding out about your sexual activities?
  12. Has anyone been hurt emotionally because of your sexual behavior?
  13. Are any of your sexual activities against the law?
  14. Have you made promises to yourself to quit some aspect of your sexual behavior?
  15. Have you made efforts to quit a type of sexual activity and failed?
  16. Do you hide some of your sexual behavior from others?
  17. Have you attempted to stop some parts of your sexual activity?
  18. Have you ever felt degraded by your sexual behavior?
  19. Has sex been a way for you to escape your problems?
  20. When you have sex, do you feel depressed afterwards?
  21. Have you felt the need to discontinue a certain form of sexual activity?
  22. Has your sexual activity interfered with your family life?
  23. Have you been sexual with minors?
  24. Do you feel controlled by your sexual desire?
  25. Do you ever think your sexual desire is stronger than you are?

Author: Dr. Patrick Carnes, Ph. D

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Trauma Symptoms And Behaviors (For Partners)

Symptoms may include:

Hyperarousal                          Helplessness

Reliving the event                  Phobias

Intrusive images                     Depression

Panic attacks                            Anxiety

Oversensitivity                        Avoidance

Dissociation                             Sleeplessness

Health problems                     Flashbacks

Hypervigilance                        Restlessness

Withdrawing                            Overeating

Inability to eat                         Immobility

Chronic fatique                       Nightmares

Mood swings                           Denial

Confusion                                 Rage

Autoimmune Disorders

Behaviors may include:

  1. I was constantly thinking and obsessing about the sex addict's behavior and motives.
  2. I engaged in insane and strange behaviors?
  3. I was preoccupied and forgetful?
  4. I had emotional blackouts?
  5. I engaged in self-destructive behaviors.
  6. I was destructive to others.
  7. I changed clothes out of sight of the sex addict.
  8. I checked the sex addict's personal mail, purse, briefcase, or other personal belongings for clues.
  9. I blamed myself for all of the problems related to the addiction.
  10. I believed that if I changed, my partner would stop acting out.
  11. I experienced free-floating shame and anxiety.
  12. I used sex as a tool for manipulation or to patch disagreements.
  13. I focused totally on the sex addict to avoid my own pain.
  14. I became numbed to my own sexual needs and wants.
  15. I accepted the sexual addict's needs as my own.
  16. I made excuses not to be sexual with the addict.
  17. I became "hyper" sexual for the addict.
  18. I felt sex was the most important sign of love.
  19. I took responsibility for the addict's behavior and the consequences of these behaviors.
  20. I kept secrets to protect the addict.
  21. I kept overly busy and overextended.
  22. I rarely felt intimate during sex.
  23. I lied to cover up for the addict.
  24. I went on emotional binges.
  25. I became increasingly self righteous and punitive.
  26. I became overextended financially.
  27. I totally denied the problems.
  28. I tried to create dependency situations where I was indispensable.
  29. I always had a crisis or problem upon which to focus.
  30. I made threats to leave, but I never followed through.
  31. I gave up life goals, hobbies, and interests.
  32. I changed my dress or appearance to accommodate the addict's wishes.
  33. I believed that I could eventually change the addict.
  34. I played martyr, hero, or victim roles.
  35. My life became increasingly unmanageable.
  36. I acted against my own morals, values, and beliefs.
  37. My emotions were out of control.
  38. I denied my intuition.
  39. I joined the addict to present a united front to the world.
  40. I felt more and more unworthy as a person.

Author: Dr. Patrick Carnes, Ph. D

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