Pharmacotherapy of Sexual Addiction (2020)

Sexual Disorders (LE Marshall and H Moulden, Section Editors)

Published: 07 May 2020, Leo Malandain, Jean-Victor Blanc, Florian FerreriFlorence Thibaut

Current Psychiatry Reports volume 22, Article number: 30 (2020)

Abstract

Purpose of Review

We reviewed recent data on sexual addiction and its treatment. We examined the different definitions of this disorder, related to the pathophysiological mechanisms. We addressed the pharmacological treatment of sexual addiction.

Recent Findings

Hypersexual behavior can be considered an addictive disorder. Sexual addiction is accompanied by significant psychiatric and addictive comorbidities and is responsible for life impairment. A comprehensive and efficient treatment must be proposed.

Summary

Selective serotonin reuptake inhibitors seem the first-line pharmacological treatment for sexual addiction. Naltrexone could be another therapeutic option. Psychotherapy and preferentially cognitive-behavioral therapy should be used in association with pharmacotherapy and treatments of comorbidities.