Sexual Addiction Self-Assessment

  1. Do you become restless or irritable when sex is not available?

    Yes No
  2. Have you ever tried and failed to control the amount of sexual activity you engage in?

    Yes No
  3. Do you feel a need to conceal from others either the nature or frequency of your sexual activities? Do you lead a “secret life”?

    Yes No
  4. Have you had sex at inappropriate times, in inappropriate places, or with inappropriate partners?

    Yes No
  5. Have you lost count of how many sexual partners you have had?

    Yes No
  6. Do you continue to have compulsive sex despite negative consequences: disease, arrest, loss of finances, career, reputation, family or friends?

    Yes No
  7. Do you feel your sexual activities compromise your personal values and spiritual development?

    Yes No
  8. Do you feel shame about your sexual activities?

    Yes No
  9. Have you neglected your family, friends, or work because of the time you spend in sexual activities?

    Yes No
  10. Has your sexual behavior ever left you feeling hopeless, alienated from others, or suicidal?

    Yes No

SCORE out of 10

If your score is 3 or more , your sexual behavior may be out of control. You might be an addict. The good news is that you are not alone, and there is help. If you are concerned about your sexual behavior, call for an appointment or more information. (415) 776-0960


Located in Santa Clara, the California Institute for Sexual Recovery provides an intensive outpatient treatment program for men and women who are sexually addicted. The CIFSR staff works one on one with each client to develop an individualized treatment program.

Our goal is to assist and support clients on their journeys toward healthier, more satisfying lives. Addressing underlying psychological issues, which perpetuate cycles of sexual compulsivity, is crucial for long-term recovery, and is an essential feature of the program.

Our therapeutic approach is based on the model of Dr. Patrick Carnes, Ph.D., (author of Out of the Shadows and Contrary to Love), and incorporates elements of Cognitive Behavioral, Psychodynamic, Family Systems, and Experiential Therapies.

Donald D. St. Louis, D.Min., MFT

Founder and Director of CIFSR, Dr. Donald St. Louis has brought an integrated perspective to his work with sexually addicted men and women since 1990. He is a licensed psychotherapist (MFC 31106) with Masters and Doctoral level degrees in counseling psychology and spirituality. Having trained in sex addiction therapy with Patrick Carnes, Ph.D., widely recognized as the leading authority in the field, Dr. St. Louis is a Certified Sexual Addiction Therapist (CSAT).

Dr. St. Louis has taught at Santa Clara University where he held a joint appointment to the Graduate Program in Counseling Psychology and the Graduate Program in Pastoral Ministries. He frequently lectures and presents workshops on issues related to sexual compulsivity and recovery.

Trainings and Presentations

  • The International Institute for Trauma and Addiction Professionals (IITAP)
  • The Society for the Advancement of Sexual Health (SASH)
  • The California Association of Marriage and Family Therapists (CAMFT)
  • Santa Clara University: The Center for Professional Development (CPD)
  • Grand Rounds for Psychiatry Department, Kaiser Hospital, South San Francisco
  • California State University at Bakersfield, Chi Sigma Iota/Theta Chapter