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Sexual addiction is a popular model to explain hyper-sexuality is sexual urges, behaviors, or thoughts that appear extreme in frequency or feel out of one's control. There is no consensus among sexologists for whether the phenomenon represents an actual addiction or even a psychological/psychiatric condition at all. Proponents of the sexual addiction model draw an analogy between hyperactive sexuality and substance addiction. Sexual addiction may be but is not always associated with obsessive-compulsive disorder narcissistic personality disorder, and manic-depression. There are those who suffer from more than one condition simultaneously, but traits of addiction are often confused with those of these disorders. Specialists in obsessive-compulsive disorder and addictions use the same terms to refer to different symptoms. In addictions, obsession is progressive and pervasive, and develops along with denial; the person usually does not see him or herself as preoccupied, and simultaneously makes excuses, justifies and blames. Compulsion is present only while the addict is physically dependent on the activity for physiological stasis. Constant repetition of the activity creates a chemically dependent state. If the addict acts out when not in this state, it spurs by the obsession only. Some addicts do have obsessive-compulsive disorder as well as addiction, and the symptoms will interact. Sexual activity is different. Like eating, having sex is necessary for human survival. Sexual provocation in our society has spawned an increase in the number of individuals engaging in a variety of unusual or illicit sexual practices, such as phone sex, the use of escort services and computer pornography. More of these individuals and their partners are seeking help. The same compulsive behavior that characterizes other addictions also is typical of sex addiction. These other addictions, including drug, alcohol and gambling dependency, involve substances or activities with no necessary relationship to our survival. For example, we can live normal and happy lives without ever gambling, taking illicit drugs or drinking alcohol. Even the most genetically vulnerable person will function well without exposure to, or provoked by, these addictive activities.