I have met newcomers at SA meetings who have bristled at the description of sexual addiction as a disease. The Diagnostic and Statistical Manual (DSM) does not list it. The CDC doesn’t recognize it. It’s missing from disease lists everywhere. One newcomer said to me defiantly, “It’s not a disease. You’re just a terrible person.” Our ideas, as a society, of what constitutes a disease changes and evolves with culture. Culture simply hasn’t caught up with sexual addiction yet.