Drugs

, Volume 71, Issue 6, pp 771–790

Current Concepts in the Pharmacotherapy of Paraphilias

Review Article

DOI: 10.2165/11585490-000000000-00000

Cite this article as:
Garcia, F.D. & Thibaut, F. Drugs (2011) 71: 771. doi:10.2165/11585490-000000000-00000

Abstract

Concerns about paraphilia and its treatment have grown in the past few years. Although the aetiology of paraphilia disorder is still not completely understood, pharmacological treatments have been proposed for this disorder. Paraphilias are a major burden for patients and society; nevertheless, only a few individuals with paraphilias voluntarily seek treatment. Antidepressants have been used in the treatment of certain types of mild (e.g. exhibitionism) and juvenile paraphilias. Antilibidinal hormonal treatments, such as steroidal antiandrogens and gonadotrophin-releasing hormone (GnRH) analogues, have also been studied and they seem to be effective in paraphilic disorders, although caution should be taken in the prescription of these treatments in order to avoid or minimize adverse effects and the risk of victimization. The combination of psychotherapy and pharmacological therapy is associated with better efficacy compared with either treatment as monotherapy. Paraphilia is a chronic disorder and a minimal duration of treatment of 3–5 years is highly recommended for severe paraphilia with a high risk of sexual violence. In conclusion, this review of the literature provides suggestive evidence that paraphilias are well characterized disorders marked by pathological dimensions. Although further research is necessary to confirm treatment efficacy and to improve our knowledge of long-term tolerance, available data on the use of selective serotonin reuptake inhibitors, steroidal antiandrogens and GnRH analogues strongly suggest the efficacy of these treatments for paraphilic disorders.

Copyright information

© Adis Data Information BV 2011

Authors and Affiliations

  1. 1.ADEN Laboratory EA4311Rouen University Hospital, Biomedical Research Institute, IFR 23RouenFrance
  2. 2.Department of Psychiatry, Rouen University Hospital, INSERM U 614, Faculty of MedicineRouen UniversityRouenFrance
  3. 3.Department of PsychiatryRouen University Hospital Charles NicolleRouen CedexFrance

Personalised recommendations