Sex addiction has been a topic of debate. With the new DSM-V (2013) category of Substance-Related and Addictive Disorders that now includes gambling disorder, other excessive behaviors including sex are poised to capture increasing attention. Depiction and clinical case studies of the progression and features of sex addiction are limited in the research literature due to ethics of confidentiality and the taboo nature of the topic. This article puts a human face to the question of sex addiction through the use of cinema as a 'cultural text' with the film Shame (2011). A framework for addiction comprising of the 3C's: (1) craving; (2) loss of control; and (3) negative consequences, is used to analyze the protagonist's behavior. Parallels to alcohol and gambling disorders are drawn. Momentous shifts in society's sexual environment and norms that currently re-shape sexual behaviors are highlighted. The article points to avenues of research and its urgency to society and its individuals. Clear neurobiological and behavioral markers to define sex addiction can reduce shame and alleviate the suffering of those afflicted through appropriate treatment. A fortified understanding of sex addiction has significant individual, family and social implications.to use the movie Shame [11] to delineate the features of compulsive sexual behaviour that fit with the criteria used to determine substance use disorder and gambling disorder according to DSM-V (APA, 2013) [12]. Film engages a large audience in a visceral way and acts as a form of social commentary on contemporary phenomena. It mirrors and constructs a representation of our social worlds with sounds, images and narratives that stimulate intellectual and emotional engagement with what is on the screen [10]. As such, cinema can bring a phenomenon to life the pathos of which is otherwise obscured by abstractions. Interpretations generated by a film could fuel further exploration and raise our private, public and professional consciousness of complex issues such as whether sex addiction exists.The fact that Gambling Disorder is now placed under the section Substance-Related and Addictive Disorders in the DSM-V (APA 2013) [12] is a portent of other excessive behaviors being examined as addictive disorders. Indeed, the interest in behavioral addiction is on the rise [13][14][15][16]. The DSM-V cites activation of the brain reward system and behavioral symptoms of Gambling Disorder as comparable to Substance Use Disorder. However, insufficient current peer-reviewed evidence to establish diagnostic criteria and course of development of 'sex addiction' precludes its inclusion the latest DSM [12,17].Written and directed by Steve McQueen from the UK, the film Shame (2011) is the product of McQueen's investigation into how contemporary lives, such as that of the protagonist Brandon, are impacted by a rapidly changing sexual environment. As an experimental film-maker who is intentional about his art, McQueen believes that cinema is an important platform to call attention to s...