abstinenceThis term was made popular by sex addiction expert Dr. Patrick Carnes. Carnes used the term to describe the compulsive avoidance of sex and sex-related matters, although he was not the first to write on the subject or to use the term. He presents sexual anorexia as a form of sex addiction in his book, Sexual Anorexia: Overcoming Sexual Self-Hatred.

According to Carnes, the word anorexia means without appetite. So sexual anorexia refers to a lack of sexual appetite. What makes it a form of addiction is the compulsive avoidance of sex that sexual anorexics build their lives around.

Both men and women who survive sexual abuse and trauma are at a higher risk for developing substance abuse problems than people who have not had negative sexual experiences. In addition, conflict over one’s sexual identity is one of the reasons many people abuse alcohol and drugs. Essentially, when a person has a traumatic sexual past or troubling sexual present they use substances and methods to manage painful emotions.

Sexual anorexia is one of the ways people attempt to manage emotional pain. It’s a condition where a person starves their selves of sex. By closing the door on their sexual lives, these men and women feel a sense of mastery over their bodies, their lives and – most importantly – their emotions. Like other addictions, in the short run, this method of coping seems to work. Over time, however, shutting down one’s sexuality extracts a dire toll.

Four of the most common characteristics of sexual anorexia are:

  • Rigidity around sex (i.e. never having sex and/or refusing to discuss sex)
  • Fear of sex, sexuality and sexually related issues and objects (i.e. becoming anxious when the topic of sex is discussed, when other people express their sexuality, or when sexual objects such as lingerie are shown or discussed)
  • Shame and guilt around sex (i.e. feeling “damaged” because of your sexual past or current sexual desires)
  • Self-harm to avoid appearing sexual (i.e. gaining weight to avoid sexual advances from others)

People who strongly identify with cultural, social or religious groups that involve sexual oppression, repression or other negative approaches to sexuality may be particularly vulnerable to developing the obsessive avoidance of sex that characterizes sexual anorexia.

Here, there is no one standard solution. Different approaches work for different people. The key is to create a sexual frame that is safe, contained, and objectively measured. A good example of such a frame is to come up with a strategic plan that outlines the steps one will take to engage in nurturing and safe intimate encounters. It’s also critically important to explore and understand the emotions that are beneath the behavior. Unless we are clear about what drives us, we are doomed to continue down a self-sabotaging path.  

It’s also important to remember that easy-does-it. Sexuality involves vulnerability, intimacy and trust. These qualities must be intuitively felt in ourselves and earned by others.