Paraphilias Treatments

(Also Known As: Paraphilia Treatments, Paraphilic Treatments, Sexual Abuse Treatments)

(Reviewed by: Paul Peterson, Licensed Therapist)

What Kinds of Paraphilias Treatments are Available?

Paraphilias need to be treated immediately to reverse the abnormal behaviors associated with it, which to an extent can cause the person to be in trouble with the law. The treatment purpose for paraphilias is to help control and eliminate the abnormal sexual thoughts and behavior. Paraphilia however is a condition that is chronic and usually persists, especially in a stressful situation. Paraphilias require long term treatment and the success of the treatment is usually complicated by the failure of compliance of some paraphiliacs. Most compliance to paraphilias treatment is often achieved mostly because it is mandated by the court system. The treatment options for paraphilia will basically depend on the type of paraphilia, but there are general treatment approaches consisting of the following:

Cognitive Behavioral Therapy

This form of treatment approach will help a paraphiliac recognize the relation between their actions and thoughts and to help them learn to replace distorted thoughts into realistic ones. The paraphiliac will learn to control the inappropriate thoughts that precede their sexual arousal through cognitive behavioral therapy.

Interpersonal Psychotherapy

This treatment approach helps a paraphiliac to identify the underlying motives for their sexual attractions to people, inappropriate objects and activities.

Group Therapy

Group therapy can benefit a paraphiliac through sexual addiction discussions and to help them undergo a self help process through the 12-step model used by Alcoholics Anonymous.

Behavioral Therapy

This form of treatment for paraphilia focuses on changing the negative behavior associated with the condition. Learning techniques are taught to help paraphiliacs stop and control their abnormal sexual behavior.

Pharmacotherapy Treatment

  • Antiandrogenic drugs

This group of drugs inhibits the action of androgen that produces the male hormones testosterone and androsterone, and is also responsible for the male’s sexual drive and attraction. The action of this drug in androgen inhibition is the suppression of sexual urges.

Medroxyprogesterone is one drug that is commonly used for therapy in paraphiliacs that reduces the sexual drive. The use of this drug is limited, however, due to unpleasant side effects, such as growth of the breast, weight gain, headache and reduced bone density.

A synthetic hormone Triptorelin is also used to reduce sex drive.

  • Psychoactive Drugs

This form of drugs is used in augmenting the effects of serotonergic drugs in paraphiliacs. The prescription of psychostimulant drugs can actually inhibit sexual behavior and when taken with SSRIs can actually reduce the impulsive tendencies in paraphilias.

  • Antidepressants

This is an adjunct treatment for paraphiliacs with associated anxiety and depressive symptoms. Its common side effect is decreased sexual urges which makes this group of drugs more suitable for paraphilias.

Could You Have Paraphilias?

Paraphilias Topics

Related Conditions

Anxiety Disorder NOS – Pathological Fears, Chronic Anxiety, Depression, Stress, Fatigue, Exhaustion
Gender Dysphoria (Gender Identity Disorder) – Gender Dysphoria, Transgender, Transvestism, Transsexuality
Obsessive Compulsive Disorder – Anxiety, Intrusive Thoughts, Depression, Obsession, Compulsive Behavior, Anxiety
Personality Disorder NOS – Changes in Personality and Behavior, Pervasive Behavioral Deviation, Inflexible Personality
Post Traumatic Stress Disorder – Anxiety, Traumatic Events, Stress, Depression, Psychological Trauma
Schizophrenia – Abnormal Perception of Reality, Hallucinations, Paranoid, Delusion, Disorganized Thinking and Speech
Sexual Addiction – Unmanageable Sexual Behavior, Hypersexuality, Sexual Dependency, Sexual Compulsivity