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For some people, the route to compulsive use of the Internet for sexual satisfaction is fast and short, said Dr. Projected to the country as a whole, this would mean that a minimum of 200,000 men and women have become cybersex addicts in the last few years, Dr. And, he added, because the respondents were self-selected and because denial of the symptoms of sexual compulsivity is commonplace, there are likely to be many more cybersex addicts than the survey indicated. Jennifer Schneider, a physician in Tucson, Ariz., who is associate editor of the journal, said in an interview that even when cybersex addicts and their partners sought treatment, they often concealed their real problem, and therapists often failed to ask questions that would disclose it. Cooper, who works at the San Jose Marital and Sexuality Center in Santa Clara, Calif., cybersex compulsives are just like drug addicts; they "use the Internet as an important part of their sexual acting out, much like a drug addict who has a 'drug of choice,' " and often with serious harm to their home lives and livelihood.Cybersex Personal Health: First Step Is Recognizing the Signs of Internet Abuse (May 16, 2000) Related Articles Health: Behavior Health Columns The New York Times on the Web: Science/Health Forum Join a Discussion on Mental Health and Treatment ex is the hottest topic among adult users of the Internet, with studies showing that fully a third of all visits directed to sexually oriented Web sites, chat rooms and news groups. And it's very difficult to treat because the people affected don't want to give it up." Those most strongly hooked on Internet sex are likely to spend hours each day masturbating to pornographic images or having "mutual" online sex with someone contacted through a chat room.For most people these forays into cybersex are relatively harmless recreational pursuits, but experts in the field say that the affordability, accessibility and anonymity of the Internet are fueling a brand new psychological disorder -- cybersex addiction -- that appears to be spreading with astonishing rapidity and bringing turmoil to the lives of those affected. Occasionally, they progress to off-line affairs with sex partners they meet online. Al Cooper of Stanford, who has conducted the largest and most detailed survey of online sex, calls the Net "the crack cocaine of sexual compulsivity." The survey, conducted online among 9,265 men and women who admitted surfing the Net for sexually oriented sites, indicated that at least 1 percent were already seriously hooked on online sex.Research up to now focuses on the management of the disease during childhood.The longer lifespan of these patients warrants deeper investigations of how and if aging could be affected by the syndrome.