NDLI: Pharmacologic treatment of paraphilias.

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Pharmacologic treatment of paraphilias.

Content Provider	World Health Organization (WHO)-Global Index Medicus
Author	Assumpção, Alessandra Almeida Garcia, Frederico Duarte Garcia, Heloise Delavenne Bradford, John M. W. Thibaut, Florence
Description	Country affiliation: Brazil Author Affiliation: Assumpção AA ( Department of Psychiatry, INCT-Medicina Molecular, Universidade Federal de Minas Gerais, Avenida Alfredo Balena, 190 Sala 240, Belo Horizonte, Minas Gerais, 30130-100, Brazil.); Garcia FD ( Department of Psychiatry, INCT-Medicina Molecular, Universidade Federal de Minas Gerais, Avenida Alfredo Balena, 190 Sala 240, Belo Horizonte, Minas Gerais, 30130-100, Brazil); Garcia HD ( Department of Psychiatry, INCT-Medicina Molecular, Universidade Federal de Minas Gerais, Avenida Alfredo Balena, 190 Sala 240, Belo Horizonte, Minas Gerais, 30130-100, Brazil); Bradford JM ( Institute of Mental Health Research, Brockville Mental Health Centre, University of Ottawa, 1804 Highway 2 East, Brockville, Ontario K6V 5W7, Canada.); Thibaut F ( Psychiatry and Addictive Disorders, University Hospital Cochin-Tarnier, 89 rue d'Assas, 75006 Paris, France)
Abstract	The treatment of paraphilias remains a challenge in the mental health field. Combined pharmacologic and psychotherapeutic treatment is associated with better efficacy. The gold standard treatment of severe paraphilias in adult males is antiandrogen treatment with cognitive behavioral therapy. Selective serotonin reuptake inhibitors have been used in mild types of paraphilia and in cases of sexual compulsions and juvenile paraphilias. Antiandrogen treatments seem to be effective in severe paraphilic subjects committing sexual offenses. In particular, gonadotropin-releasing hormone analogs have shown high efficacy working in a similar way to physical castration but being reversible at any time. Treatment recommendations, side effects, and contraindications are discussed.
File Format	HTM / HTML
ISSN	0193953X
Issue Number	2
Volume Number	37
e-ISSN	15583147
Journal	Psychiatric Clinics of North America
Language	English
Publisher	Elsevier
Publisher Date	2014-06-01
Publisher Place	United States
Access Restriction	Subscribed
Subject Keyword	Discipline Psychiatry Paraphilias Drug Therapy Androgen Antagonists Therapeutic Use Antidepressive Agents Cyproterone Acetate Gonadotropin-releasing Hormone Agonists Analogs & Derivatives Goserelin Humans Leuprolide Medroxyprogesterone Acetate Serotonin Uptake Inhibitors Triptorelin Pamoate Journal Article Review
Content Type	Text
Resource Type	Article
Subject	Psychiatry and Mental Health

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