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).
Answers (6)
Get your queries answered instantly with Care AI
FREE
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.
Answered
Flag this answer
1/1 people found this helpful
Was this answer helpful?
YESNO
Didn't find the answer you are looking for?
Talk to experienced psychiatrist online and get your health questions answered in just 5 minutes.
Disclaimer : The content is not intended to be a substitute for professional medical advice, diagnosis, or treatment. Always seek the advice of your physician or other qualified health provider with any questions you may have regarding your medical condition. Never disregard professional medical advice or delay in seeking it because of something you have read on this website.
Disclaimer : The content is not intended to be a substitute for professional medical advice, diagnosis, or treatment. Always seek the advice of your physician or other qualified health provider with any questions you may have regarding your medical condition. Never disregard professional medical advice or delay in seeking it because of something you have read on this website.
Mental Health
Reasons for flagging
Hateful or abusive contentSpam or misleadingAdvertisement