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By Sara Solovitch A few years ago, a middle-aged woman from Vancouver, British Columbia, happened to read an article about bipolar disorder and hypersexuality, written by her very own psychiatrist. She began “doing things I had never done before.” It began with extramarital affairs, mostly with younger men: “It was as if my husband couldn’t see what was going on.

In all the years she’d been going to see him, she was shocked to realize, this doctor had never once asked if hypersexuality was one of her symptoms. He finally asked me and I said ‘no.’ The second time he asked me I couldn’t lie,” Bev recalls.

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Goodwin, MD, and Kay Redfield Jamison, Ph D) settled on an average of 57 percent. For, despite its primal role in human behavior, sexuality remains one of the hardest, most sensitive subjects to dredge up in any but the most cursory details. Despite such findings, personal sexuality is a subject often avoided on the psychiatrist’s couch.

Which explains why, while hypersexuality is listed as one of the primary symptoms of bipolar in the DSM-IV (Diagnostic and Statistical Manual of Mental Disorders, Fourth Edition), many psychiatrists refer to it almost as an afterthought—if at all—when forming a diagnosis: Racing thoughts? Indeed, patients complain that their doctors rarely want to hear about it.

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