Inappropriate Masturbation and Schizophrenia

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Letter to the Editor

Sir: Inappropriate masturbation and sexual preoccupation in schizophrenia can have disastrous consequences for a patient. We report a case of treatment-resistant schizophrenia in which inappropriate masturbation presented legal and housing problems for the patient and did not resolve with treatment of his
psychosis. Behavioral redirection was of no avail, so we resorted to oral medroxyprogesterone acetate (MPA) in an attempt to decrease the incidence of masturbation.

J Clin Psychiatry 2000;61(6):451 [letter]