Simply finding teenagers attractive does not denote ephebophilia. Similarly, not all people who become sexually involved with teenagers are ephebophiles. However, when people have a pattern of becoming sexually involved with older teens, they are likely to have ephebophilia.
Although in some cultures ephebophilia is acceptable, it is frowned upon in others. Laws of consent also vary from country to country and state to state, so in some cases indulging in one's ephebophilic urges could be illegal.
Counselling may be sought by people who feel ephebophilia is negatively impacting their lives. Without counselling, it’s not uncommon for ephebophiles to feel isolated, angry, and lonely due to their condition. Clinical depression and related coping mechanisms such as alcoholism are also common amongst untreated ephebophiles.