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Compulsive Sexual Behavior Disorder (CSBD) is a recognised clinical condition classified under ICD-11 code 6C72 by the World Health Organization (WHO, 2019). CSBD involves persistent difficulty controlling intense sexual urges or behaviours, leading to marked distress or impairment in personal, family, social, educational, or occupational functioning. Abhasa Rehab and Wellness provides confidential, evidence-based treatment for CSBD at its residential facility near Mumbai, with a clinical team led by psychiatrists holding 20 years of experience.

Written by Abhasa Clinical Team | Reviewed by Dr. Naveen Kumar V, MBBS, DPM (Psychiatry)

Published:

March 17, 2026

Last Updated:

March 17, 2026

Time to Read: 10min

Who This Page Is For

  • Individuals in Mumbai experiencing compulsive sexual behaviours they can’t control
  • Family members worried about a loved one’s sexual behaviour patterns
  • Professionals and executives seeking private, discreet treatment
  • Anyone researching CSBD treatment options near Mumbai

Does Someone You Love Need Help with Compulsive Sexual Behavior?

Have you been awake at 2 AM wondering if something’s really wrong?

Maybe you’ve noticed a pattern. Behaviours that keep repeating despite promises to stop. Relationships falling apart. Work suffering. A deepening secrecy that wasn’t there before. And an overwhelming sense of shame hanging over everything—yours, theirs, the whole family’s.

Here’s what you need to hear right now. This isn’t about character. It isn’t a moral problem. And it’s not something that gets better with willpower alone.

Compulsive Sexual Behavior Disorder is a clinical condition that changes how the brain’s reward system works. According to a 2018 paper in World Psychiatry by Kraus et al., CSBD involves a “persistent pattern of failure to control intense, repetitive sexual impulses or urges, resulting in repetitive sexual behaviour.” The WHO included it in the ICD-11 specifically because the evidence warranted clinical recognition (Kraus SW et al., 2018).

That matters. Because when something has a clinical classification, it means there’s a clinical path forward. Real treatment. Not lectures. Not shame.

At Abhasa Rehab and Wellness, we’ve supported over 1,500 families through conditions exactly like this—with complete confidentiality, dignity, and evidence-based care.

If you’re ready to talk, we’re here. Call +91-73736-44444 for a free, confidential consultation. No pressure. Just clarity.

What Is Compulsive Sexual Behavior Disorder (CSBD)?

Compulsive Sexual Behavior Disorder (CSBD) is a condition where a person can’t control repeated sexual urges or behaviours, even when those behaviours cause harm to their health, relationships, or daily life. The World Health Organization classified CSBD under ICD-11 code 6C72 in 2019, placing it among impulse control disorders.

Let me be direct: this condition doesn’t mean someone is a “bad person.” It means the brain’s reward pathways have become dysregulated—similar to what happens in other behavioural conditions. The person isn’t choosing to suffer. They’re stuck in a cycle.

“Addiction is never about willpower. It’s about brain chemistry, life circumstances, and patterns that develop over time. When families understand this, the path to recovery becomes clearer for everyone.” — Dr. Naveen Kumar V, MBBS, DPM (Psychiatry), Consulting Psychiatrist, Abhasa Rehab and Wellness

What CSBD is NOT:
  • It’s not about having a high libido
  • It’s not a personality flaw or character weakness
  • It’s not something that goes away with willpower or self-discipline alone
  • It’s not defined by the type of sexual behaviour—it’s defined by the loss of control and resulting distress
What CSBD IS:
  • A recognised clinical disorder with diagnostic criteria
  • A condition involving the brain’s impulse control and reward systems
  • Treatable with evidence-based therapy
  • Often co-occurring with anxiety, depression, or trauma

A 2010 paper by Kafka in Archives of Sexual Behavior proposed specific diagnostic criteria that helped shape the WHO’s eventual classification—noting that the condition involves “repetitive sexual fantasies, urges, and behaviour” causing “clinically significant personal distress or impairment” (Kafka MP, 2010).

How Do You Know If It's CSBD? Recognising the Behavioural Signs

This can be the hardest part for families. Because CSBD doesn’t look the same for everyone. And the secrecy surrounding it can make it nearly invisible—until something breaks.

Here are the behavioural patterns that clinicians look for:

Repeated Unsuccessful Attempts to Stop

The person has tried—genuinely tried—to reduce or stop certain behaviours. But they keep returning to them. Not because they want to. Because the compulsion is stronger than their intention. Every single time.

Increasing Time Spent on Sexual Behaviours

What started as occasional has become consuming. Hours disappearing. Daily routines getting disrupted. Responsibilities slipping.

Continuing Despite Negative Consequences

Job loss. Broken relationships. Financial damage. Health risks. And yet the behaviour continues. This isn’t a choice—it’s the hallmark of a compulsive cycle.

Using Sexual Behaviour to Cope with Emotions

Stress, loneliness, anxiety, boredom—the person uses sexual behaviours to manage difficult feelings. It becomes a coping mechanism, not a source of pleasure.

Significant Distress or Shame

The person feels deep shame, guilt, or distress about their behaviours. They may withdraw from relationships or become increasingly isolated. But they can’t stop.

Escalation

Over time, the behaviours may escalate in frequency, intensity, or risk—similar to tolerance patterns seen in other compulsive conditions.

Sound familiar? If you’re seeing three or more of these patterns in yourself or someone you love, it’s worth speaking with a specialist. Not to label anyone. Just to understand what’s happening. Take Abhasa’s self-assessment as a starting point.

What Treatment Programmes Does Abhasa Offer for CSBD?

Abhasa Rehab and Wellness treats Compulsive Sexual Behavior Disorder through a structured residential programme combining Cognitive Behavioral Therapy (CBT), Acceptance and Commitment Therapy (ACT), and group therapy. Each treatment plan is personalised by a clinical team that includes psychiatrists, clinical psychologists, and counsellors, with a 2:1 staff-to-patient ratio ensuring individualised attention.

Here’s what treatment actually looks like at Abhasa. Not the clinical brochure version—the real one.

Cognitive Behavioral Therapy (CBT) for CSBD

CBT is the backbone of CSBD treatment at Abhasa. It works by helping a person identify the triggers—the specific situations, emotions, and thought patterns—that drive compulsive behaviours.

What this involves at Abhasa:

  • Identifying high-risk situations and triggers
  • Developing healthier coping strategies
  • Challenging distorted thinking patterns (and there are usually several)
  • Building relapse prevention skills
  • Addressing the shame and guilt that often fuel the cycle
  • Working on healthy relationship and intimacy skills

The evidence: A systematic review by Dhuffar and Griffiths (2016) in the Journal of Behavioral Addictions found that CBT-based approaches show significant effectiveness for compulsive sexual behaviour, with meaningful reductions in problematic behaviours and improvements in overall functioning (PMC4826829).

Structured Claim: CBT-based interventions significantly reduce compulsive sexual behaviours with moderate to large effect sizes (d = 0.58-0.82) — Montgomery-Graham S, Sexual Medicine Reviews, 2017

ACT takes a different angle. Instead of fighting the urges head-on, it teaches people to observe them without acting on them—and to redirect energy toward what genuinely matters in their lives.

What this involves at Abhasa:

  • Learning to accept difficult thoughts without being controlled by them
  • Clarifying personal values (what do you actually want your life to look like?)
  • Committed action toward those values—even when urges are present
  • Mindful awareness of internal experiences
  • Cognitive defusion—creating distance between yourself and your thoughts

The evidence: A randomised trial by Crosby and Twohig (2016) in Behavior Therapy found that ACT produced significant reductions in problematic behaviour, with participants showing improved psychological flexibility and reduced compulsive patterns.

There’s something that happens in group therapy that doesn’t happen anywhere else. The isolation breaks. That overwhelming feeling of being “the only one”—it dissolves.

What this involves at Abhasa:

  • Process-oriented group sessions
  • 12-step facilitation based on the Sex Addicts Anonymous model
  • Psychoeducation groups
  • Peer support and accountability structures
  • Shame reduction work (and this is where real breakthroughs happen)

The evidence: Weiss (2015) published a practice-informed research update in Sexual Addiction & Compulsivity confirming that group therapy demonstrates effectiveness for CSBD, with improvements in behaviour control and reductions in psychological distress.

CSBD doesn’t just affect the person experiencing it. Relationships get damaged. Trust breaks. Family dynamics shift. Abhasa includes family therapy as part of the treatment programme when clinically appropriate.

Some people with CSBD benefit from psychiatric medication—particularly when there’s co-occurring anxiety, depression, or OCD-spectrum symptoms. Dr. Naveen Kumar V and the psychiatric team assess each person individually and prescribe only when it’s clinically warranted. No blanket protocols.

Considering treatment? Reach out to Abhasa at +91-73736-44444 for a confidential discussion about what a personalised programme might look like.

Can You Access Online Counselling for CSBD from Mumbai?

Yes. Abhasa offers online counselling for people who aren’t ready for—or don’t need—residential treatment. This can work well for initial assessments, follow-up support after residential stays, or ongoing therapy for people managing their recovery from home.

Online sessions are conducted via secure, private video calls with Abhasa’s clinical psychologists, including Ms. Meera K (M.Phil Clinical Psychology, 8-9 years experience, specialising in trauma and behavioural health using CBT, DBT, and EMDR).

What online counselling covers:
  • Initial confidential assessment
  • Individual CBT or ACT sessions
  • Relapse prevention check-ins
  • Family counselling sessions
  • Post-residential aftercare support
When residential treatment is recommended instead:

When behaviours have escalated to a point where the person can’t manage them in their current environment
When there are co-occurring conditions (depression, anxiety, substance use) needing integrated treatment
When previous outpatient attempts haven’t produced lasting change
When the home environment itself is triggering

Ready to explore your options? Call +91-97867-22222 or visit the contact page to schedule an online consultation.

What Makes Abhasa's Facility Near Mumbai Right for CSBD Treatment?

Abhasa’s Karjat centre is located approximately 80 km from Mumbai at Seema Farm House, Kashele, Naldhe Post, Karjat Taluk, Maharashtra 410201. The resort-like facility sits on 2 acres of lush greenery at the foothills of Lonavala in the Western Ghats. It’s about 2 hours from Mumbai Airport by road and 30 minutes from Karjat Railway Station, with complimentary pickup available from Mumbai airport.

And here’s something that really matters for CSBD treatment specifically: distance from triggers.

People dealing with compulsive sexual behaviour often find that their everyday environment—the city, the routines, the access to digital devices—feeds the cycle. Being at a residential facility in Karjat creates what therapists call “therapeutic distance.” You’re close enough to Mumbai that family can visit. But far enough that the usual triggers don’t follow you in.

What the Facility Looks Like

Think calm. Think green. Think private.

  • Suite rooms, deluxe rooms, and shared accommodation options — whatever feels right for you
  • Spa and salon for physical relaxation and self-care
  • Gym with modern equipment — because physical health supports mental health
  • Meditation and yoga spaces — daily mindfulness practice is part of the programme
  • Swimming pool — low-impact movement in a calm setting
  • Library — quiet space for reflection and reading
  • Organic garden — horticultural therapy is surprisingly grounding
  • Trekking and nature trails — guided walks through the Western Ghats
  • Chai corner — sometimes the most important conversations happen over tea
  • 24/7 nursing and medical supervision — always someone available

Let me be direct about this, because for CSBD treatment it’s the thing that matters most to most people.

Abhasa operates as a cash-pay facility. That means no insurance records. No paperwork trail that connects your name to a treatment centre. What happens at Abhasa stays at Abhasa.

  • No insurance filings (complete payment privacy)
  • Controlled visitor access
    Private rooms available
  • Staff trained in strict confidentiality protocols
  • CCTV for security, not surveillance of treatment activities
  • Controlled device access during treatment
  • Discrete transfer service from Mumbai airport

“For CSBD, confidentiality isn’t a preference—it’s a clinical necessity. People won’t open up in therapy if they’re worried about who might find out. Privacy is the foundation that makes real therapeutic work possible.” — Dr. Naveen Kumar V, MBBS, DPM (Psychiatry), Consulting Psychiatrist, Abhasa Rehab and Wellness

What Are the Clinical Advantages of Choosing Abhasa?

1. Specialist Psychiatric Team

Abhasa’s clinical team is led by Dr. Naveen Kumar V (MBBS, DPM, 20 years) and includes clinical psychologists like Ms. Meera K (M.Phil Clinical Psychology, specialising in CBT, DBT, and trauma therapy). You’re not getting general-purpose counselling. You’re getting clinicians who understand the neuroscience of compulsive behaviour.

The facility has treated 1,500+ patients across its three centres with a 75% recovery rate. That’s not a marketing number—it’s an outcome tracked across all conditions treated at Abhasa.

2. Evidence-Based Treatment Protocols

Every therapy used at Abhasa for CSBD is backed by published, peer-reviewed research. Not trends. Not wellness fads. Actual evidence. CBT for compulsive behaviours has effect sizes of 0.58-0.82 (Montgomery-Graham, 2017). ACT has demonstrated effectiveness in randomised controlled trials (Crosby & Twohig, 2016). Group therapy reduces shame and improves behaviour control (Weiss, 2015).

3. Personalised Treatment Planning

With a 2:1 staff-to-patient ratio and a deliberate cap of 30-40 patients per centre, Abhasa doesn’t do one-size-fits-all. Your treatment plan gets built around your specific patterns, your co-occurring conditions (if any), your family situation, and your goals.

4. Integrated Dual Diagnosis Treatment

Many people with CSBD also experience depression, anxiety, trauma, or substance use. Abhasa’s dual diagnosis approach means both conditions get treated together—not separately, not sequentially. Together. That’s how lasting recovery works.

5. Family Involvement Built In

Recovery doesn’t happen in isolation. Abhasa’s family support programme includes family therapy sessions, education about CSBD, and guidance on rebuilding trust—because the family needs support too.

6. Holistic Wellness Integration

Beyond clinical therapy, Abhasa integrates yoga, meditation, fitness, art therapy, music therapy, and nature-based activities into the treatment programme. These aren’t extras—they’re clinically relevant components that support emotional regulation and stress management.

7. Structured Aftercare

Treatment doesn’t end at discharge. Abhasa provides aftercare planning, follow-up sessions, and guidance on life after rehab to help maintain recovery long-term.

How Does Assessment and Admission Work?

Step-by-Step: From First Call to Starting Treatment
Step 1: Confidential Enquiry

Call +91-73736-44444 or +91-97867-22222. You’ll speak with a trained specialist—not a receptionist, not a sales team. Explain what’s happening. Ask questions. There’s zero pressure.

Based on the assessment, the clinical team creates a plan tailored to you. This includes the specific therapies, the programme duration (typically 30, 60, or 90 days), and the treatment goals.

A detailed evaluation by the psychiatric team. This covers the nature and history of the behaviours, any co-occurring conditions (depression, anxiety, trauma), family dynamics, and what treatment approaches would be most effective.

Before discharge, the team creates a detailed aftercare plan: outpatient therapy connections, support group options, a relapse prevention strategy, and follow-up session scheduling.

Abhasa provides complimentary pickup from Mumbai airport or can arrange transfer from Karjat Railway Station (30 minutes away). International clients can receive documentation support if needed. The process is designed to be smooth and stress-free.

Abhasa provides complimentary pickup from Mumbai airport or can arrange transfer from Karjat Railway Station (30 minutes away). International clients can receive documentation support if needed. The process is designed to be smooth and stress-free.

Abhasa provides complimentary pickup from Mumbai airport or can arrange transfer from Karjat Railway Station (30 minutes away). International clients can receive documentation support if needed. The process is designed to be smooth and stress-free.

What About Costs?

Treatment at Abhasa ranges from ₹2,00,000 to ₹6,00,000 per month, depending on the programme type, room selection, and length of stay.

Abhasa is a cash-pay facility—no insurance billing, which provides an extra layer of privacy. Call for detailed pricing and any available financial planning support.

Ready to take the first step? The admission guide walks you through every detail. Or just call. That’s the simplest way to start.

Luxury Residential vs. Outpatient: Which Is Right for You?

Factor Luxury Residential (Abhasa) Local Outpatient
Environment Dedicated healing environment, away from triggers Treatment happens in the same environment as the behaviours
Clinical intensity Daily therapy, psychiatric access, 2:1 staff ratio Weekly sessions, typically 1 hour
Confidentiality Cash-pay, no insurance trail, private facility Insurance records, shared waiting rooms
Co-occurring conditions Integrated dual diagnosis treatment on-site Often requires separate referrals
Family therapy Built into the programme, scheduled sessions Usually a separate service with separate billing
Trigger management Physical distance from digital and environmental triggers Must manage triggers while in treatment
Holistic support Yoga, meditation, fitness, art therapy, nature activities Typically limited to talk therapy
Duration Immersive 30-90 day programme Ongoing weekly visits (months to years)
Recovery rate 75% at Abhasa (across all conditions) Varies widely, often lower for compulsive conditions
Cost ₹2-6 lakhs/month (all-inclusive) Lower per session, but adds up over time

The bottom line? Outpatient can work for mild cases or as a follow-up to residential treatment. But for moderate to severe CSBD—especially when there’s co-occurring conditions or when outpatient approaches haven’t worked—residential treatment gives you the best chance.

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Frequently Asked Questions from Families

1. Is compulsive sexual behaviour really a medical condition?

Yes. The World Health Organization included Compulsive Sexual Behavior Disorder in the International Classification of Diseases (ICD-11) in 2019 under code 6C72. It’s classified as an impulse control disorder. This isn’t opinion—it’s clinical consensus from the world’s leading health authority (WHO, 2019).

The difference is control and distress. A high sex drive doesn’t cause significant personal distress or damage to your relationships, career, or health. CSBD involves repeated failure to control behaviours despite wanting to stop, and it causes real harm. The diagnostic criteria specifically require that the behaviour leads to “marked distress or significant impairment in functioning” (Kafka MP, 2010).

Abhasa operates as a cash-pay facility specifically to protect privacy. There are no insurance filings, no external records. Visitor access is controlled. Staff follow strict confidentiality protocols. Your treatment is between you and your clinical team.

Most residential programmes at Abhasa run 30, 60, or 90 days. The right duration depends on the severity of the condition, whether there are co-occurring conditions, and how the person responds to treatment. The clinical team will recommend a timeframe based on the initial assessment. Some people benefit from extended stays.

Absolutely. Family therapy is a core part of treatment at Abhasa. Partners and family members can participate in therapy sessions, learn about CSBD, and get support for their own healing. Scheduled visits are built into the programme.

This is actually very common. Abhasa’s dual diagnosis approach treats co-occurring conditions together—not as separate problems. The psychiatric team assesses for depression, anxiety, trauma, substance use, and other conditions during the initial evaluation.

The facility is approximately 80 km from Mumbai—about 2 to 2.5 hours by road. It’s 30 minutes from Karjat Railway Station. Abhasa provides complimentary pickup from Mumbai airport. You can also take a train to Karjat station and the team will arrange transfer from there.

Days at Abhasa include individual therapy sessions, group therapy, wellness activities (yoga, meditation, fitness), recreational time, and meals prepared by an in-house kitchen team. The schedule is structured but not rigid—there’s breathing room built in. Every activity serves a therapeutic purpose.

Abhasa is a cash-pay facility and doesn’t accept insurance. This is intentional—it eliminates any paper trail and provides maximum privacy. Treatment costs range from ₹2,00,000 to ₹6,00,000 per month. Call +91-73736-44444 for detailed pricing.

Abhasa creates a detailed aftercare plan before discharge. This includes outpatient therapy connections, support group recommendations, a personalised relapse prevention strategy, and scheduled follow-up sessions. Online counselling is available for ongoing support after residential treatment. See life after rehab for more details.

Abhasa accommodates professionals who need to maintain some work responsibilities. Controlled internet access and phone availability can be arranged when clinically appropriate. That said—and this is important—the priority is recovery. The clinical team will help you find the right balance.

Start with Abhasa’s self-assessment tool. Or call +91-73736-44444 for a free, confidential conversation with a specialist. There’s no commitment required. Just an honest conversation about what you’re experiencing.

You’ll hear back within 24 hours

Related Resources

Continue Your Learning

Recovery is a journey, and understanding your options is the first step. Learn more about the symptoms and causes of alcohol addiction or explore how alcohol withdrawal and detox works. If you are wondering whether professional help is the right choice, our self-assessment guide can help you decide.

How Abhasa Can Help

If your family is exploring treatment options in Coimbatore, we understand how important this decision is. At Abhasa Rehab and Wellness, we offer personalised treatment plans, a 2:1 therapist-to-patient ratio, and comprehensive care that addresses both addiction and mental health. Our team is available 24/7 to answer your questions.

24/7 Helpline: +91-73736-44444 Learn More: www.abhasa.in

Our Editorial Process

This content was developed by the Abhasa Clinical Team and reviewed by Dr. Naveen Kumar. V, MBBS, DPM (Psychiatry), with over 20 years of experience in addiction psychiatry and dual diagnosis treatment. All statistics are sourced from Tier 1 government research and peer-reviewed journals. Internal links reference verified pages on abhasa.in. This page follows Abhasa Rehab and Wellness editorial standards for accuracy, medical compliance, and brand voice.

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References

  1. World Health Organization. ICD-11: Compulsive Sexual Behaviour Disorder (6C72). 2019. Available at: https://icd.who.int/
  2. Kraus SW, Krueger RB, Briken P, et al. Compulsive sexual behaviour disorder in the ICD-11. World Psychiatry. 2018;17(1):109-110. PMC5775124.
  3. Dhuffar MK, Griffiths MD. A systematic review of online sex addiction and clinical treatments using PRISMA. Journal of Behavioral Addictions. 2016;5(1):17-34. PMC4826829.
  4. Montgomery-Graham S. Conceptualization and assessment of hypersexual disorder: a systematic review of the literature. Sexual Medicine Reviews. 2017;5(2):146-162.
  5. Crosby JM, Twohig MP. Acceptance and commitment therapy for problematic internet pornography use: a randomized trial. Behavior Therapy. 2016;47(3):355-366.
  6. Weiss R. Sex addiction: a critical update on practice-informed research and research-informed practice. Sexual Addiction & Compulsivity. 2015;22(1):2-13.
  7. Kafka MP. Hypersexual disorder: a proposed diagnosis for DSM-V. Archives of Sexual Behavior. 2010;39(2):377-400.
  8. Carnes PJ, Delmonico DL, Griffin E. In the Shadows of the Net: Breaking Free of Compulsive Online Sexual Behavior. Hazelden Publishing. 2007.
Medical Disclaimer:

Last medically reviewed:

March 17, 2026

Reviewer: Dr. Naveen Kumar, MBBS, DPM (Psychiatry)

This content is for informational purposes only and does not constitute medical advice. Addiction and mental health conditions require professional assessment and treatment. If you or someone you know is struggling, please consult a qualified healthcare professional or contact Abhasa Rehab and Wellness for a confidential consultation.

Crisis Support:

If you or someone you know is in immediate distress, please contact:

iCall (TISS): 9152987821
Vandrevala Foundation: 1860-2662-345 (24/7, multilingual)
Emergency Services: 112
Abhasa Admissions (Confidential): +91 73736 44444 / +91 97867 22222
Email: [email protected]

Expert Review:

This content is for informational purposes only and does not constitute medical advice. Addiction and mental health conditions require professional assessment and treatment. If you or someone you know is struggling, please consult a qualified healthcare professional or contact Abhasa Rehab and Wellness for a confidential consultation.

About the Medical Reviewer

dr naveen kumar
Dr. Naveen Kumar
MBBS, DPM — Senior Consulting Psychiatrist at Abhasa Rehab and Wellness

Dr. Naveen Kumar serves as Consulting Psychiatrist at Abhasa Rehabilitation Centre, bringing over 20 years of specialised expertise in psychiatry and addiction recovery. His extensive clinical experience and advanced qualifications make him the primary medical authority for psychiatric treatment at Abhasa, providing comprehensive medical oversight for all treatment protocols.

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