Pornography addiction is not currently recognized in the Diagnostic and Statistical Manual of Mental Disorders Five (DSM-V), but can be broadly classified under Compulsive Sexual Behavior Disorder (CSBD) in the International Classification for Diseases (ICD). An increased incidence of CSBD has been reported in patients with ipolar I Disorder (BPI) as an independent compulsion, not secondary to mania. Due to the ambiguity of identifying pornography addiction in the DSM-V, approved treatment for patients with a concurrent diagnosis of CSBD in the context of BPI is limited. The following article presents a patient with CSBD with concurrent BPI, and investigates the treatment strategy taken in an inpatient setting.