Sexual activities and relationships with members of one's own sex, whether casual or intimate, are not considered signs or symptoms of sexual addiction. Sexual addiction is not defined by the type of sexual act or the gender of sexual partner. Out-of control sexual behavior is defined as sexual behavior that is acted out compulsively, often with preoccupation (before and after the act), and often without regard for the consequences.
The Society for the Advancement of Sexual Health acknowledges along with the American Psychiatric Association, that homosexuality does not imply any pathology or mental illness. Unlike homosexuality, sexual addiction is seen as a disorder in need of treatment. People with homosexual or bisexual orientations have long been stigmatized and may suffer because of this stigmatization. It is important to distinguish between out-of control sexual behavior (sexual addiction) and one's discomfort with their sexual orientation. A trained therapist should be able to help separate the issues.