Management of Concurrent Bipolar I Disorder and Compulsive Sexual Behavior Disorder: A Case Report.
| Autor: | Fiandor-Montesino J; Medicine, School of Medicine, St. George's University, Hackensack, USA., Kusakavitch M; Medicine, College of Osteopathic Medicine, University of New England, Portland, USA., Kakarlapudi R; Psychiatry, Bergen New Bridge Medical Center, Paramus, USA., Puthiyathu M; Psychiatry, Bergen New Bridge Medical Center, Paramus, USA. |
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| Jazyk: | angličtina |
| Zdroj: | Cureus [Cureus] 2023 Sep 11; Vol. 15 (9), pp. e45016. Date of Electronic Publication: 2023 Sep 11 (Print Publication: 2023). |
| DOI: | 10.7759/cureus.45016 |
| Abstrakt: | Pornography addiction is not currently recognized in the Diagnostic and Statistical Manual of Mental Disorders Fifth Edition (DSM-V), but it can be broadly classified under compulsive sexual behavior disorder (CSBD) in the International Classification for Diseases (ICD). An increased incidence of CSBD has been reported in patients with bipolar I disorder (BPI) as an independent compulsion, not secondary to mania. Due to the ambiguity of identifying pornography addiction in the DSM-V, approved treatment for patients with a concurrent diagnosis of CSBD in the context of BPI is limited. We report the case of a patient with CSBD with concurrent BPI and investigate the treatment strategy taken in an inpatient setting. Though there are no FDA-approved treatment strategies currently approved for patients with concurrent CSBD and BPI, selective serotonin reuptake inhibitors, mood stabilizers, naltrexone, and cognitive behavioral therapy can be used in combination for maximal benefit. Competing Interests: The authors have declared that no competing interests exist. (Copyright © 2023, Fiandor-Montesino et al.) |
| Databáze: | MEDLINE |
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