Psychosexual problem

2025-06-19 16:22:17
Taking fluoxetine 40 since 6 months for sexual ocd (suffering for 5/7 yrs)  prescribed by psychiatrist. Feeling much better, maximum compulsive behaviour have changed. but couldn't completely get rid of my sexual addiction. Should I need CBT by psychologist or take Naltrexone prescribed by other psychiatrist (2nd opinion).
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Hi It’s really encouraging to hear that you’ve seen significant improvement in your compulsive behaviors after starting fluoxetine — that shows your brain is responding well to treatment. However, when it comes to sexual OCD vs. sexual addiction, these are two different but sometimes overlapping issues. OCD is driven by anxiety and compulsions to relieve distress, whereas addiction involves pleasure-seeking and loss of control despite negative consequences. If you feel the compulsions are now better, but the addictive urges remain, it might be time to address that second layer. This is where CBT (Cognitive Behavioural Therapy) can be highly effective — especially when tailored to addiction-related patterns. A psychologist can help you explore triggers, create behavioral boundaries, and work on impulse control techniques. Medication like Naltrexone can reduce cravings, but without therapy, the underlying thought-behavior loop often stays intact. So ideally, start CBT now, and if your psychiatrist feels Naltrexone is necessary, it can be added in parallel. But therapy should absolutely be part of the recovery path now. Take therapy, and you can connect with me on nine two six six seven two six zero six five.

Answered2025-06-22 04:36:27

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Heyy I can help you better with further treatment course needed. U can connect me via whatsapp on seven zero eight two zero two two zero six two.

Answered2025-06-22 04:32:04

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Hi.. yes you can try. Also maybe you need a dose adjustment.

Answered2025-06-21 23:54:29

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Consult your psychiatrist, you have not been treated with optimal dose yet. Good luck

Answered2025-06-21 07:40:52

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Visit your psychiatrist for change in prescription for your OCD
Next Steps
you can consult me on practo for further discussion
Health Tips
don't take any medication on your own.

Answered2025-06-21 19:39:49

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Behavioral therapy will help long term.

Answered2025-06-21 10:10:43

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