Question about Diminishing Sex Drive

[DropkickMurphy]

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I am in a psychology course and we are discussing sexual disorders. One of the topics that came up is the cases where people have seriously excessive sex drives- not like to the point where it is causing them to become a sexual predator or anything like that, but to the extent that it is causing them major problems in their social life. The professor has assigned me to work up a presentation on the subject to be presented next Friday and I have come up empty on the management end of the presentation. All I can seem to find is several citations about the use of behavioral therapy and correction of other underlying psychopathology. Would there be any medications that would be useful for diminishing sex drive (other than something along the lines of chemical castration) or at least diminishing the expression of such actions. Any assistance would be very much appreciated.

 

[Anasazi23]

SSRIs (paroxetine/Paxil, fluoxetine/Prozac) in particular have been used in some prison populations to diminish sexual libido.

 

[Poety]

SSRIs (paroxetine/Paxil, fluoxetine/Prozac) in particular have been used in some prison populations to diminish sexual libido.

I knew a student in a PsyD program that used to masturbate up to 50 times a day, I told him I thought he needed to see a psychiatrist. Would an SSRI have helped him? He had some other odd sexual fetishes, like wearing masks while masturbating.

 

[Anasazi23]

I knew a student in a PsyD program that used to masturbate up to 50 times a day, I told him I thought he needed to see a psychiatrist. Would an SSRI have helped him? He had some other odd sexual fetishes, like wearing masks while masturbating.

Hard to say....you'd have to do a full interview to determine if the acts were in the context of compusions, and do a medical workup to exclude exogenous physiological causes.

Or, he could just watch re-runs of Hilary Clinton speeches. That's an effective treatment also.

 

[Poety]

Hard to say....you'd have to do a full interview to determine if the acts were in the context of compusions, and do a medical workup to exclude exogenous physiological causes.

Or, he could just watch re-runs of Hilary Clinton speeches. That's an effective treatment also.

Well, the behavior went along with some other oddities he had. i.e. He figured the govn't was watching him, big conspiracy theorist, he also smoked an excessive amount of pot - which couldn't be helping the paranoia. I could get into this even more, but you never know who is on these boards. Lets just say - his conspiracy theory was so extreme it frightened me enough to bring it up to my mentor at my hospital - he agreed that the guy really did need an evaluation for possible schizophrenia. What was strange was how high functioning he was. It must have been exhausting though to be him, with all those theories, school and the masturbation - I'd be worn out. 😴

 

[needinformation]

This can include a very long list of differential, consider drugs use, Cluster A personality d/o, OCD, or mania, in addition to psychotic d/o. SSRI helps to decrease libido, and you can also use Risperdal, increase his prolactin, and you will also decrease libido, in addition to giving him breasts...

 

[Poety]

This can include a very long list of differential, consider drugs use, Cluster A personality d/o, OCD, or mania, in addition to psychotic d/o. SSRI helps to decrease libido, and you can also use Risperdal, increase his prolactin, and you will also decrease libido, in addition to giving him breasts...

I didn't think he could be that high functioning with schizophrenia - from what I know, I think he still is high functioning. Also, he had odd prejudices that tied in with his conspiracy theory, which he said he covered up by "dating" that "ethnicity" so no one would ever know When he went into all these details is when I spoke with my mentor about it all. It was excessivly elaborate, very much like a fixed delusion.

 

[DropkickMurphy]

What's cluster A personality? I've never heard that term before.

So would the SSRI's be used in doses similar to what is used for depression or anxiety disorders (the latter in the case of paroxetine)? Any experience with Zoloft in such cases?

 

[Psyclops]

According to the DSM-4 (if you're inclined to accept it as valid, 200, APA) there are 10 PDs, that are clustered into 3 groups, A, B, & C. The Cluster A PDs are Schizoid, Schyzotypal, and Paranoid.

Here is some more info:

Types of Personality Disorders
There are many formally identified personality disorders, each with their own set of behaviors and symptoms. Many of these fall into three different categories or clusters:

1.) Cluster A: Odd or eccentric behavior
2.) Cluster B: Dramatic, emotional or erratic behavior
3.) Cluster C: Anxious fearful behavior
Since there are too many identified types of personality disorders to explain in this context, we will only review a few in each cluster.

Cluster A:

Schizoid Personality Disorder
Schizoid personalities are introverted, withdrawn, solitary, emotionally cold, and distant. They are often absorbed with their own thoughts and feelings and are fearful of closeness and intimacy with others. For example, a person suffering from schizoid personality is more of a daydreamer than a practical action taker.
Paranoid Personality Disorder
The essential feature for this type of personality disorder is interpreting the actions of others as deliberately threatening or demeaning. People with paranoid personality disorder are untrusting, unforgiving, and prone to angry or aggressive outbursts without justification because they perceive others as unfaithful, disloyal, condescending or deceitful. This type of person may also be jealous, guarded, secretive, and scheming, and may appear to be emotionally “cold” or excessively serious.
Schizotypal Personality Disorder
A pattern of peculiarities best describes those with schizotypal personality disorder. People may have odd or eccentric manners of speaking or dressing. Strange, outlandish or paranoid beliefs and thoughts are common. People with schizotypal personality disorder have difficulties forming relationships and experience extreme anxiety in social situations. They may react inappropriately or not react at all during a conversation or they may talk to themselves. They also display signs of “magical thinking” by saying they can see into the future or read other people’s minds.

 

[50960]

I published an article on this a few years back that included the txs that we used. If you want it IM me and give me an e-mail I can send it to.

 

[BooMed]

I didn't think he could be that high functioning with schizophrenia - from what I know, I think he still is high functioning. Also, he had odd prejudices that tied in with his conspiracy theory, which he said he covered up by "dating" that "ethnicity" so no one would ever know When he went into all these details is when I spoke with my mentor about it all. It was excessivly elaborate, very much like a fixed delusion.

I think I dated this guy in college. Really.