Sex Addiction has often been described as a “behavioral addiction” and is under consideration in the upcoming 5th edition of the Diagnostic and Statistical Manual of Mental Disorders for inclusion in the category: Impulse Control Disorders. Accurate understanding of the disease process requires recognition that sometimes these behaviors are manifestations of other primary psychiatric diseases (e.g., Mood Disorders, Schizophrenia, etc.). Regardless of the label, all patients suffer from the inability to resist sexual impulses prior to incurring negative consequences. Similar to Substance Use Disorders (SUD), patient with sex addiction often experience withdrawal, craving, and tolerance. In contrast to SUD where relapse is defined as any consumption of the substance in question, successful recovery in sex addiction means patients can enjoy meaningful sexual intimacy without endangering the well being of themselves or others. A comprehensive psychiatric evaluation and multi-disciplined treatment approach is critical to the healing process.