The evidence that sexuality is often increased in adults with Bipolar disorder during hypomanic or manic episodes includes controlled and uncontrolled studies and clinical case reports. This paper discusses a study of sexuality in Bipolar outpatients treated in private practice in comparison to outpatients without affective disorder or schizophrenia. They had failed to use condoms and had had sex with strangers and prostitutes during the previous year. Even so, some patients in the Comparison group also had engaged in risky sexual behavior. Compared to Bipolar females, Bipolar males had more sex partners, had more sex with strangers, and were more likely to have engaged in homosexual behavior. Compared to control men, Bipolar men had had more partners in the last year and were more likely to have had sex without condoms. ![]() Differences in sexual behavior between the two groups as a whole were minimal, but meaningful differences emerged when subgroups were compared. Subjects were outpatients treated with drugs and psychotherapy in routine office practice. ![]() ![]() Sexual behavior over the past year of 32 outpatients with Bipolar disorder is compared to that of 44 Comparison patients that had never had an episode of affective illness.
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