Sexual anorexia is a term use to describe a loss of "appetite" for romantic-sexual interaction. However, the term is used broadly and can be better defined as a fear of intimacy to the point that the person has severe anxiety surrounding sex.{{Nathan Hare, 1975, Sylvia Kaplan, 1981, Nathan and Julia Hare, 1989, Peter Carnes, 1994, and Julia Hare, 2008}). Other practitioners have applied the term in their own way. In the view of some practitioners corroborating the seminal work of Peter Carnes, there are people that appear to have a sexual addiction because they frequent strip clubs, prostitutes, cyberporn sites, etc., but really fit the definition of sexual anorexic because they are terrified of having any kind of relationship beyond a paid-for or anonymous experience. The person does not have an aversion to sex but to intimacy. They may also represent the bullimic A sex addict is more likely to be capable of being in a more intimate relationship and is often married or in a committed relationship when deciding to get treatment for their addiction. A sexual anorexic may have a social phobia or be so fragile emotionally that the risk of rejection or criticism is far more terrifying than being isolated. Narcissistic traits are often seen in both sexual anorexics and sex addicts, but in the sexual anorexic, the traits are considered far more "brittle" and the pain of rejection and criticism is far more excruciating than for the sex addict.