Hypersexuality is typically treated using a combination of medication, psychotherapy, and support groups.
MedicationWhile no medication is officially approved specifically for sexual addiction, certain medications targeting brain chemistry and compulsive behavior have proven helpful, including:
- Antidepressants: Selective serotonin reuptake inhibitors (SSRIs) are typically the first line of medication.
- Anti-androgens: Reduce obsessive sexual thoughts, sometimes used in severe cases.
- Naltrexone (Vivitrol®, Revia®): Initially used for alcohol and opioid addictions, also effective for compulsive sexual behavior.
- Mood stabilizers: Effective for patients with concurrent bipolar disorder or impulsivity, such as lithium, valproate (Depakote®), and carbamazepine (Tegretol®).
- Anti-anxiety medications: Such as buspirone, if anxiety contributes to sexual compulsions.
- Other medications: Antipsychotics or ADHD medications may be considered depending on specific symptoms.
PsychotherapyPsychotherapy helps individuals and families manage compulsive sexual behaviors. Therapeutic approaches include:
- Cognitive Behavioral Therapy (CBT): Helps individuals replace harmful thoughts and behaviors with healthier coping mechanisms.
- Acceptance and Commitment Therapy (ACT): Teaches mindfulness and acceptance to better handle distressing thoughts.
- Motivational Interviewing: Helps individuals explore and resolve ambivalence toward change, guided by personal goals and values.
Support GroupsModeled after Alcoholics Anonymous, sexual addiction support groups include:
- Sex Addicts Anonymous
- Sexaholics Anonymous
- Sex and Love Addicts Anonymous
- Sexual Compulsives Anonymous