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Russell Brand is one of a number of celebrities who claim to be sex addicts. For a lot of people, it could be about sexual satisfaction, their relationship, monogamy.

“It could be a symptom of a host of things. “With hypersexual disorder, the numbers are probably a lot lower. “A lot of people have a psychological problem of which hypersexuality may be a symptom,” said Mr Walton. Those at the higher end can also become socially isolated, neglect healthy behaviour such as exercise and experience immediate physical issues such as infection or penile trauma. The addiction is not necessarily about the specific amount of sex or masturbation people are engaging in - it’s about whether their behaviour is causing them anxiety. You’ve got someone whose output is way above someone who’s feeling distressed.” Then you’ve got someone else who’s watching quite a lot of porn and masturbating. “They would sleep with multiple people, up to 20 in a weekend, and that person is mostly OK, there may just occasionally be some unease or fatigue. “One of my case studies was married but involved in swinging with their husband,” said Mr Walton, who has surveyed more than 1500 people over several years while working with psychologists at UNE and the Centre for Addiction and Mental Health in Toronto. Harvey Weinstein and Kevin Spacey both checked into rehab clinics after they were accused of sexual assault. Scientists are still divided over whether sex addiction is really a clinical disorder - and if it is, how it can be accurately identified and treated.

The young woman, who has been diagnosed with anxiety and takes antidepressants, said she has “honestly no idea” what to do about it. “I often feel deep shame as a result, yet I cannot control these actions,” she admitted. “I engage in high-risk and detrimental sexual behaviours that I have trouble controlling,” she said, adding that her urges were “intermittent” but had a “serious impact” on her wellbeing and relationships with family, friends and her current and former partners.

The university graduate believes she has been a sex addict since the age of 14, and has even passed on sexually transmitted infections to her husband because of her reckless behaviour. JESSIE* is 30 years old, with a full-time job and what she describes as a “happy marriage” - but in secret, she regularly fires off messages cruising for casual sex, masturbates three times a day and constantly fantasises about steamy, meaningless encounters.